Investigating Perceptions that Predict Mental Health Related Help-Seeking in First-Year Engineering Students

Abstract National data indicates that engineering students are less likely than students in other academic disciplines to seek professional help for their mental health distress. Without professional intervention, mental health symptoms can worsen and become more challenging to treat. Therefore, this study uses a quantitative approach to investigate the beliefs that first-year engineering students hold about seeking mental health treatment and the influence of these beliefs on their intention to seek professional help. This study addresses the following research questions: 1) Which factors are most strongly associated with first-year engineering students' intention to seek mental health treatment? 2) What beliefs about the outcomes of professional mental healthcare are most predictive of students' intention to seek treatment? This study used a self-report survey instrument that employed the Integrated Behavioral Model (IBM) as an empirically supported theoretical framework to identify the beliefs that most accurately predict behavior. In December 2021, a survey was conducted in the first-year engineering program at a large public university with a predominantly White population (n = 452). The self-report survey instrument included measures of mental health help-seeking intention, attitude, perceived norm, personal agency, and outcome beliefs guided by the IBM. Respondents exhibited high scores on scales measuring their attitude towards seeking help, perceived control, and self-efficacy. This suggests that, on average, first-year engineering students had positive perceptions of their seeking help, felt in control of their decisions to seek help, and were confident in their ability to seek help. Students had lower scores for perceived norms, meaning they were less likely to believe that seeking help was supported by those who are important to them. Additionally, less than half of the students indicated they would intend to seek help if they experienced mental health distress. Students' perception that others would expect them to seek help (i.e., their perceived norm injunctive) was the strongest predictor of intention to seek help, followed by their attitude toward seeking help. The specific outcome beliefs that were negatively correlated with intention to seek help were that seeking help would: 1) go against the expectations of the engineering community, 2) be a sign of weakness or an admission of defeat, and 3) result in poor treatment or discrimination from the mental health professional. Conversely, the outcome beliefs most positively correlated with intention were that seeking help would: 1) help me feel supported, 2) help me improve my coping skills, 3) make me feel better, 4) help me find a solution to my problem, and 5) help me gain a better understanding of my mental health concern. The findings of this study offer valuable insights into the beliefs of first-year engineering students towards seeking professional treatment for mental health concerns. These findings will inform the development of targeted interventions to improve help-seeking for mental health.