@文章{信息:doi/10.2196/13873，作者="Pretorius, Claudette and Chambers, Derek and Coyle, David"，标题="青少年在线求助与心理健康困难:系统叙述综述"，期刊="J Med Internet Res"，年="2019"，月="11"，日="19"，卷="21"，数="11"，页数="e13873"，关键词="互联网;求助行为;青春;心理健康;在线行为;自决理论;背景:年轻人经常使用互联网作为他们日常活动的一部分，这已经延伸到他们的求助行为。众所周知，线下寻求帮助受到一些障碍的阻碍，包括耻辱和自力更生的偏好。在线寻求帮助可能提供了一个额外的领域，年轻人可以在这里寻求心理健康问题的帮助，而不受这些障碍的阻碍。目的:本系统文献综述的目的是研究年轻人在心理健康问题上的在线求助行为。 It aimed to summarize young peoples' experiences and identify benefits and limitations of online help-seeking for this age group. It also examined the theoretical perspectives that have been applied to understand online help-seeking. Methods: A systematic review of peer-reviewed research papers from the following major electronic databases was conducted: PsycINFO, Cumulative Index of Nursing and Allied Health Literature, PubMed, Cochrane Library, Association for Computing Machinery Digital Library, and Institute of Electrical and Electronics Engineers Xplore. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. The search was conducted in August 2017. The narrative synthesis approach to reviews was used to analyze the existing evidence to answer the review questions. Results: Overall, 28 studies were included. The most common method of data collection was through the use of surveys. Study quality was moderate to strong. Text-based query via an internet search engine was the most commonly identified help-seeking approach. Social media, government or charity websites, live chat, instant messaging, and online communities were also used. Key benefits included anonymity and privacy, immediacy, ease of access, inclusivity, the ability to connect with others and share experiences, and a greater sense of control over the help-seeking journey. Online help-seeking has the potential to meet the needs of those with a preference for self-reliance or act as a gateway to further help-seeking. Barriers to help-seeking included a lack of mental health literacy, concerns about privacy and confidentiality, and uncertainty about the trustworthiness of online resources. Until now, there has been limited development and use of theoretical models to guide research on online help-seeking. Conclusions: Approaches to improving help-seeking by young people should consider the role of the internet and online resources as an adjunct to offline help-seeking. This review identifies opportunities and challenges in this space. It highlights the limited use of theoretical frameworks to help conceptualize online help-seeking. Self-determination theory and the help-seeking model provide promising starting points for the development of online help-seeking theories. This review discusses the use of these theories to conceptualize online help-seeking and identify key motivations and tensions that may arise when young people seek help online. ", issn="1438-8871", doi="10.2196/13873", url="//www.mybigtv.com/2019/11/e13873/", url="https://doi.org/10.2196/13873", url="http://www.ncbi.nlm.nih.gov/pubmed/31742562" }