Psychosocial education forms the basis of many public health interventions internationally, with an emphasis on reducing stigma, increasing mental health awareness, and decreasing barriers to help-seeking. Despite advances in mental health care in Saudi Arabia, little is known about how health professionals perceive the impact of mental health education and its consequences. This study aimed to explore professionals’ perspectives on current mental health awareness efforts in Saudi Arabia.
Methods:
A qualitative descriptive design was employed which involved semi-structured interviews with 15 mental health professionals (psychiatrists, psychologists and public health specialists). Braun and Clarke’s framework for thematic analysis was used to analyse the data.
Findings:
Three broad themes were identified: perceptions of mental health education and awareness, including improved recognition but also sociocultural and structural barriers; critiques of existing awareness efforts, such as oversimplification, ethical dilemmas and lack of clarity; and recommendations for future directions, emphasising the value of holistic, culturally sensitive approaches and the integration of ethical and critical thinking into mental health education.
Conclusion:
Findings highlight the necessity of a more holistic, ethically and scientifically grounded perspective on mental health awareness in Saudi Arabia. The study provides valuable insights for policymakers, educators and professionals seeking to enhance mental health education. Further research is needed, however, to assess the effectiveness and long-term effects of current mental health awareness efforts in Saudi Arabia.
Abd El SalamAEAbdAllahAMEl MaghawryHA (2023) Effect of health education program on improving knowledge and attitude towards mental health stigma and professional help-seeking among adolescents. Middle East Current Psychiatry30(1): 32.
2.
AhmedSK (2024) The pillars of trustworthiness in qualitative research. Journal of Medicine, Surgery, and Public Health2: 100051.
3.
AlattarNFeltonAStickleyT (2021) Mental health and stigma in Saudi Arabia: A scoping review. Mental Health Review Journal26(2): 180–196.
4.
BognerAMenzW (2009) The theory-generating expert interview: Epistemological interest, forms of knowledge, interaction. In: BognerALittigBMenzW (eds) Interviewing Experts. London: Palgrave Macmillan, pp. 43–80.
5.
BraunVClarkeV (2006) Using thematic analysis in psychology. Qualitative Research in Psychology3.
6.
BraunVClarkeV (2021) To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative Research in Sport, Exercise and Health13(2): 201–216.
7.
CenedesiRTFMendonçaDPDa SilvaJDF, et al. (2024) Mental health education: Challenges and future perspectives. IOSR. Journal of Humanities and Social Science29(9): 7–12.
8.
CorriganPWMorrisSBMichaelsPJ, et al. (2012) Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services (Washington, D.C.)63(10): 963–973.
9.
CreswellJWPothCN (2018) Qualitative Inquiry and Research Design: Choosing among Five Approaches. 4th ed. Thousand Oaks, CA: Sage.
10.
EngelGL (2012) The need for a new medical model: A challenge for biomedicine. Psychodynamic Psychiatry40(3): 377–396.
11.
FoulkesLAndrewsJL (2023) Are mental health awareness efforts contributing to the rise in reported mental health problems? A call to test the prevalence inflation hypothesis. New Ideas in Psychology69: 101010.
12.
GuestGBunceAJohnsonL (2016) How many interviews are enough?Field Methods18(1): 59–82.
13.
GuestGNameyEChenM (2020) A simple method to assess and report thematic saturation in qualitative research. PLoS ONE15(5): e0232076.
14.
GuestGNameyEMitchellM (2013) Collecting Qualitative Data: A Field Manual for Applied Research. Thousand Oaks, CA: Sage.
15.
HaqZURasheedRRashidA, et al. (2023) Criteria for Assessing and Ensuring the Trustworthiness in Qualitative Research. International Journal of Business Reflections4(2): 150–173.
16.
HendersonCEvans-LackoSThornicroftG (2013) Mental illness stigma, help-seeking, and public health programs. American Journal of Public Health103(5): 777–780.
17.
HongYFitzGeraldCA (2024) Intersectionality in health communication: How health communication influences the association between intersectional discrimination and health information seeking. Journal of Health Communication29(11–12): 683–692.
18.
JormAF (2000) Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry177(5): 396–401.
19.
JormAF (2012) Mental health literacy: Empowering the community to take action for better mental health. The American Psychologist67(3): 231–243.
20.
KaushikDGargMDixitG (2024) Holistic approaches to mental health: Integrating mind, body, and spirit for comprehensive well-being. International Journal of Advanced Biochemistry Research8: 295–299.
KowalskiCAttoeC (2021) Mental health education: Contemporary context and future directions. In: HiggsRAjjawiSBillettA, et al (eds) Clinical Education for the Health Professions. Singapore: Springer.
23.
KvaleSBrinkmannS (2015) InterViews: Learning the Craft of Qualitative Research Interviewing. 3rd ed. Thousand Oaks, CA: Sage.
24.
LimWM (2024) What is qualitative research? An overview and guidelines. Australasian Marketing Journal33: 199–229.
25.
LinkBGPhelanJC (2001) Conceptualizing stigma. Annual Review of Sociology27: 363–385.
26.
MallaAGoldI (2024) Public discourse on mental health: A critical view. Journal of Psychiatry & Neuroscience: JPN49(2): E126–E131.
27.
ManjariASSudheshNT (2024) Mental health professionals’ insights on developing and implementing a mental health awareness and destigmatisation program (MHAD) for adolescents. Social Work in Mental Health23: 165–192.
28.
MegheirkouniMMoirJ (2023) Simple but effective criteria: Rethinking excellent qualitative research. The Qualitative Report28(3): 848–864.
29.
NaslundJAAschbrennerKAMarschLA, et al. (2020) The future of mental health care: Peer-to-peer support and social media. Epidemiology and Psychiatric Sciences25(2): 113–122.
30.
NowellLSNorrisJMWhiteDE, et al. (2017) Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods16(1): 1–13.
31.
NutbeamD (2008) The evolving concept of health literacy. Social Science & Medicine (1982)67(12): 2072–2078.
32.
PatelVSaxenaSLundC, et al. (2018) The Lancet Commission on global mental health and sustainable development. The Lancet392(10157): 1553–1598.
33.
PattonMQ (2002) Qualitative Research and Evaluation Methods. 3rd ed. Thousand Oaks, CA: Sage.
34.
PawlukSAZolezziM (2017) Healthcare professionals’ perspectives on a mental health educational campaign for the public. Health Education Journal76(4): 479–491.
35.
PowellTMQushuaN (2023) A qualitative study of a mental health awareness intervention for Jordanian and resettled Syrian refugees in host communities. The International Journal of Social Psychiatry69(1): 161–172.
36.
SalicruS (2020) Retiring categorical systems and the biomedical model of mental illness: The why and the how-a clinician’s perspective. Psychology11(8): 1215–1235.
37.
SchwandtTALincolnYSGubaEG (2007) Judging interpretations: But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Evaluation2007(114): 11–25.
38.
StalmeijerREBrownMELO’BrienBC (2024) How to discuss transferability of qualitative research in health professions education. The Clinical Teacher21(6): e13762.
39.
TerryGHayfieldNClarkeV, et al. (2017) Thematic analysis. In: WilligCStainton RogersW (eds) The SAGE Handbook of Qualitative Research in Psychology. 2nd ed. London: Sage, pp. 17–37.
40.
ThornicroftGMehtaNClementS, et al. (2016) Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet387(10023): 1123–1132.
41.
Van NesFAbmaTJonssonH, et al. (2010) Language differences in qualitative research: Is meaning lost in translation?European Journal of Ageing7(4): 313–316.
42.
WeistMDLowieJAFlahertyLT, et al. (2001) Collaboration among the education, mental health, and public health systems to promote youth mental health. Psychiatric Services (Washington, D.C.)52(10): 1348–1351.
43.
WeiYMcGrathPJHaydenJ, et al. (2016) Measurement properties of tools measuring mental health knowledge: A systematic review. BMC Psychiatry16: 1–16.
