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Record W4412736483 · doi:10.1016/j.cpr.2025.102628

A scoping review of decision-aid tools for disclosure and help-seeking of mental health concerns

2025· review· en· W4412736483 on OpenAlexaff
Kassandra Hon, Mark Boyes, Penelope Hasking, Katrina Hon, Stephen P. Lewis

Bibliographic record

VenueClinical Psychology Review · 2025
Typereview
Languageen
FieldPsychology
TopicMental Health Treatment and Access
Canadian institutionsUniversity of Guelph
FundersNational Health and Medical Research CouncilSuicide Prevention Australia
KeywordsPsychologyMental healthApplied psychologyPsychotherapist

Abstract

fetched live from OpenAlex

Globally, there is a large discrepancy between the prevalence of mental health concerns and the proportion of people who disclose or seek help for their mental health. As such, decision-aid tools have recently emerged in the mental health context to facilitate the disclosure and help-seeking process. Given recent developments in this field, a synthesis of the literature is needed to consolidate existing decision-aid tools and assess their effectiveness, particularly in facilitating the disclosure or help-seeking process. This scoping review aimed to capture and synthesise the growing literature on decision-aid tools designed to support people in the decision to disclose or seek help for their mental health concerns. The review considered empirical studies, including theses and dissertations that matched the following criteria: 1) focused on populations with a mental health concern, 2) reported the development and/or evaluation of a decision-aid tool, and 3) assessed a tool specifically designed to facilitate the disclosure or help-seeking process, or reported on at least one disclosure or help-seeking related outcome. The review was guided by Arksey and O'Malley's framework and the Joanna Briggs Institute's guidelines for scoping reviews. The findings of the review indicate that decision-aid tools can support various cognitive-emotional processes relevant to decision-making. There was also evidence demonstrating the effectiveness of decision-aid tools in increasing the rates of disclosure and help-seeking behaviours for mental health concerns. Overall, decision-aid tools appear to be a promising approach to enhance the effectiveness of disclosure and help-seeking decisions in the mental health context.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.512
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.002
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0100.002
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.541
GPT teacher head0.687
Teacher spread0.147 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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