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Barriers to Mental Health Treatment in the Saudi National Mental Health Survey

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  • Abdulaziz S. Alangari

    (Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV 26506, USA
    Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia)

  • Sarah S. Knox

    (Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV 26506, USA)

  • Alfgeir L. Kristjansson

    (Department of Social and Behavioral Sciences, School of Public Health, West Virginia University, Morgantown, WV 26506, USA)

  • Sijin Wen

    (Department of Biostatistics, School of Public Health, West Virginia University, Morgantown, WV 26506, USA)

  • Kim E. Innes

    (Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV 26506, USA)

  • Lisa Bilal

    (Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia
    King Salman Center for Disability Research, Riyadh 12512, Saudi Arabia
    SABIC Psychological Health Research & Applications Chair (SPHRAC), College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia)

  • Abdulhameed Alhabeeb

    (National Center for Mental Health Promotion, Ministry of Health, Riyadh 11525, Saudi Arabia)

  • Abdullah S. Al-Subaie

    (SABIC Psychological Health Research & Applications Chair (SPHRAC), College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
    Edrak Medical Center, Riyadh 12281, Saudi Arabia)

  • Yasmin A. Altwaijri

    (Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia
    King Salman Center for Disability Research, Riyadh 12512, Saudi Arabia
    SABIC Psychological Health Research & Applications Chair (SPHRAC), College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia)

Abstract

Objectives : To examine barriers to initiation and continuation of treatment among individuals with common mental disorders in the Saudi National Mental Health Survey (SNMHS). Methods : The SNMHS is a community-based epidemiological survey in a nationally representative household sample of respondents aged 15–65 in the Kingdom of Saudi Arabia. The World Health Organization Composite International Diagnostic Interview (CIDI) 3.0 was used. Predictors of barriers to treatment were analyzed with multivariable logistic regression. Results : Among participants with a 12-month DSM-IV/CIDI disorder ( n = 711), 86.1% reported no service use. Of those ( n = 597), 50.7% did not think they needed any help (categorized as “low perceived need”) and 49.3% did perceive need. Of those who perceived need ( n = 309), the majority (98.9%) reported attitudinal barriers to initiation. In contrast, 10.3% of those with a perceived need reported structural barriers. Respondents who were previously married or indicated below-average income were more likely to believe they needed help. Conclusions : Among people with a diagnosed mental disorder, low perceived need and attitudinal barriers are the primary barriers to mental health treatment in the KSA. The results suggest that addressing poor mental health literacy may be essential factor in reducing the unmet need for mental health treatment in the KSA.

Suggested Citation

  • Abdulaziz S. Alangari & Sarah S. Knox & Alfgeir L. Kristjansson & Sijin Wen & Kim E. Innes & Lisa Bilal & Abdulhameed Alhabeeb & Abdullah S. Al-Subaie & Yasmin A. Altwaijri, 2020. "Barriers to Mental Health Treatment in the Saudi National Mental Health Survey," IJERPH, MDPI, vol. 17(11), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:3877-:d:365055
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    References listed on IDEAS

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    1. Henderson, C. & Evans-Lacko, S. & Thornicroft, G., 2013. "Mental illness stigma, help seeking, and public health programs," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 777-780.
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    Cited by:

    1. Yasmin A Altwaijri & Abdullah S Al-Subaie & AbdulHameed Al-Habeeb & Sandro Galea & Marya Akkad & Mohammad Talal Naseem & Lisa Bilal, 2023. "Urbanization and mental health: A perspective from Riyadh City, Kingdom of Saudi Arabia," International Journal of Social Psychiatry, , vol. 69(5), pages 1121-1133, August.
    2. Hasan Beyari, 2023. "The Relationship between Social Media and the Increase in Mental Health Problems," IJERPH, MDPI, vol. 20(3), pages 1-11, January.

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