Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis

Objectives This study investigated how Brazilian young people perceive their role in promoting and supporting their peer community’s mental health and well-being, and the conditions and contexts influencing their engagement.Design Co-produced qualitative study using in-depth interviews and focus gro...

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Main Authors: Ilina Singh, Gabriela Pavarini, Felipe Rodrigues Siston, Sheila Giardini Murta, Josimar Antônio de Alcântara Mendes, Julyana Alves Ferreira, Victor Hugo de Lima Santos, Brenda Thallys Rocha Seabra, Rafa Ribeiro Alves de Souza, Rafaela de Oliveira da Cunha
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e084996.full
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author Ilina Singh
Gabriela Pavarini
Felipe Rodrigues Siston
Sheila Giardini Murta
Josimar Antônio de Alcântara Mendes
Julyana Alves Ferreira
Victor Hugo de Lima Santos
Brenda Thallys Rocha Seabra
Rafa Ribeiro Alves de Souza
Rafaela de Oliveira da Cunha
author_facet Ilina Singh
Gabriela Pavarini
Felipe Rodrigues Siston
Sheila Giardini Murta
Josimar Antônio de Alcântara Mendes
Julyana Alves Ferreira
Victor Hugo de Lima Santos
Brenda Thallys Rocha Seabra
Rafa Ribeiro Alves de Souza
Rafaela de Oliveira da Cunha
author_sort Ilina Singh
collection DOAJ
description Objectives This study investigated how Brazilian young people perceive their role in promoting and supporting their peer community’s mental health and well-being, and the conditions and contexts influencing their engagement.Design Co-produced qualitative study using in-depth interviews and focus groups with adolescents. The sessions were audio-recorded, transcribed and anonymised. Data were analysed using reflexive thematic analysis.Setting Data collection took place remotely across Brazil via audio or video calls conducted by a youth collaborator and a senior researcher.Participants 46 Brazilian adolescents aged between 15 and 18 years old, recruited primarily via social media.Results Our analysis generated four overarching themes: (1) young people’s sense of responsibility and motivation—many participants felt committed to promoting the mental health and well-being of their friends and community, while also critically emphasising responsibilities of and partnerships with adult stakeholders to make a meaningful difference; (2) strategies for promoting peer mental health—suggested strategies included peer-to-peer support, such as non-judgemental listening, and collective actions such as forming school groups; (3) intrapersonal barriers—key barriers to participation included a lack of necessary skills and self-efficacy; and (4) contextual barriers—young people reported feeling unheard, invalidated, and fearing judgement due to mental health stigma.Conclusion These findings support an ecological view of youth participation in the promotion of mental health as dependent on intrapersonal, interpersonal and contextual factors. Realising young people’s potential in advancing mental health in their communities requires fostering youth–adult partnerships, providing peer support training, and combating adultism and mental health stigma.
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spelling doaj-art-8abbcaf884a64183974e814e0b6fa7c12024-12-17T04:15:11ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-084996Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysisIlina Singh0Gabriela Pavarini1Felipe Rodrigues Siston2Sheila Giardini Murta3Josimar Antônio de Alcântara Mendes4Julyana Alves Ferreira5Victor Hugo de Lima Santos6Brenda Thallys Rocha Seabra7Rafa Ribeiro Alves de Souza8Rafaela de Oliveira da Cunha9Department of Psychiatry, University of Oxford, Oxford, UKDepartment of Social Policy and Intervention, University of Oxford, Oxford, UKInstitute of Psychology, University of Brasilia, Brasília, BrazilInstitute of Psychology, University of Brasilia, Brasília, BrazilInstitute of Psychology, University of Brasilia, Brasília, BrazilEngajadamente Youth Collaborative Group, Brasília, UKEngajadamente Youth Collaborative Group, Brasília, UKEngajadamente Youth Collaborative Group, Brasília, UKEngajadamente Youth Collaborative Group, Brasília, UKEngajadamente Youth Collaborative Group, Brasília, UKObjectives This study investigated how Brazilian young people perceive their role in promoting and supporting their peer community’s mental health and well-being, and the conditions and contexts influencing their engagement.Design Co-produced qualitative study using in-depth interviews and focus groups with adolescents. The sessions were audio-recorded, transcribed and anonymised. Data were analysed using reflexive thematic analysis.Setting Data collection took place remotely across Brazil via audio or video calls conducted by a youth collaborator and a senior researcher.Participants 46 Brazilian adolescents aged between 15 and 18 years old, recruited primarily via social media.Results Our analysis generated four overarching themes: (1) young people’s sense of responsibility and motivation—many participants felt committed to promoting the mental health and well-being of their friends and community, while also critically emphasising responsibilities of and partnerships with adult stakeholders to make a meaningful difference; (2) strategies for promoting peer mental health—suggested strategies included peer-to-peer support, such as non-judgemental listening, and collective actions such as forming school groups; (3) intrapersonal barriers—key barriers to participation included a lack of necessary skills and self-efficacy; and (4) contextual barriers—young people reported feeling unheard, invalidated, and fearing judgement due to mental health stigma.Conclusion These findings support an ecological view of youth participation in the promotion of mental health as dependent on intrapersonal, interpersonal and contextual factors. Realising young people’s potential in advancing mental health in their communities requires fostering youth–adult partnerships, providing peer support training, and combating adultism and mental health stigma.https://bmjopen.bmj.com/content/14/12/e084996.full
spellingShingle Ilina Singh
Gabriela Pavarini
Felipe Rodrigues Siston
Sheila Giardini Murta
Josimar Antônio de Alcântara Mendes
Julyana Alves Ferreira
Victor Hugo de Lima Santos
Brenda Thallys Rocha Seabra
Rafa Ribeiro Alves de Souza
Rafaela de Oliveira da Cunha
Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis
BMJ Open
title Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis
title_full Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis
title_fullStr Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis
title_full_unstemmed Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis
title_short Young people’s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis
title_sort young people s sense of agency and responsibility towards promoting mental health in brazil a reflexive thematic analysis
url https://bmjopen.bmj.com/content/14/12/e084996.full
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