Navigating stigma and support: a qualitative study of help-seeking for mental health challenges among Chinese university students

PURPOSE: This study explores how students' help-seeking behaviors are shaped by their Psychological Capital (PsyCap) and perceived social support amidst the structural challenges they face. METHODS: Using a qualitative approach, we analyzed semi-structured interviews with 30 students from a Chinese university. Themes related to internal resources (e.g., resilience, hope, self-efficacy, optimism) and external resources (e.g., support from peers and family) were identified through thematic analysis. RESULTS: The findings suggest that students experiencing mental health difficulties often rely on their PsyCap and social support networks, such as peers and family, to cope. However, significant barriers such as stigma and a lack of mental health literacy hinder effective help-seeking. Moreover, the study highlights the influence of academic stress and environmental pressures on students' mental health and on their use of cognitive and emotional regulation strategies. CONCLUSIONS: These findings call for the development of mental health literacy programs that integrate PsyCap and social support elements to foster better help-seeking behaviors and improve mental health outcomes. Such programs can facilitate access to mental health services and contribute to a healthier academic environment.