Mental Health Concerns and Help-Seeking Behaviors Among Adolescents in High Socioeconomic Status Groups: A Scoping Review

Abstract There is growing evidence that adolescents in high socioeconomic status groups may be at increased risk for some mental health concerns. This scoping review aims to synthesize empirical literature from 2010 2021 on concerns and help-seeking behaviors among this adolescent group. Six comprehensive electronic databases yielded 1316 studies were systematically reviewed Covidence identify relevant research. PRISMA-ScR analysis was used. Eighty-three met the eligibility requirements. NVivo employed coding, data extraction, analysis. Key findings suggest substance use, particular, alcohol, main concern groups. Other externalizing behaviors, bullying, depression, anxiety stress. These shown influenced by parents, peers, school, neighborhood contextual factors. Three emerging subgroups identified as being higher of Specifically, residing boarding schools, those with subjective social (e.g., popular) or low academic performance. Being pressured parents perform well academically a risk-factor depression anxiety. Albeit limited, areas explored centered formal, semi-formal informal support. Further research examining multi-level factors are urgently needed inform appropriate interventions under-represented