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Therefore, we studied the association between mental health literacy (MHL) and active help-seeking in a community sample. Participants were recruited from an add-on questionnaire study to the \u2018Bern Epidemiological At-Risk\u2019 (BEAR) study on 16\u201340-year-old community subjects of the Swiss canton Bern. At baseline, data of <jats:italic>N<\/jats:italic>\u2009=\u20091504, and at 3-year follow-up, data of <jats:italic>N<\/jats:italic>\u2009=\u2009535 were available. Based on an unlabelled case vignette (on depression or schizophrenia), MHL was assessed by the questionnaire of Angermeyer and colleagues. Cross-sectional and longitudinal baseline predictors of help-seeking were analysed using path analyses. Additionally, sensitivity analyses of the prospective model were computed for sex, vignette, and baseline mental health problems\/disorders. Cross-sectionally, help-seeking was associated with non-endorsement of biogenetic causal explanations, presence of mental health problems\/disorders, help-seeking before baseline, poorer functioning, and lower health satisfaction. The prospective model was similar; yet, help-seeking at follow-up was associated with endorsements of the causal explanation \u2018biogenetics\u2019 and, additionally, \u2018childhood trauma\u2019 but not the presence of baseline mental health problems\/disorders. Sensitivity analyses revealed a significant impact on sex, vignette, and mental health problems\/disorders. For example, actual functional problems were predictive in males, while health satisfaction was predictive in females. Our findings indicate that future studies on drivers of help-seeking should assess very large community samples with case vignettes on different mental disorders to examine appropriate subgroups and their likely interaction to address group-specific factors in awareness campaigns.<\/jats:p>","DOI":"10.1007\/s00406-022-01483-9","type":"journal-article","created":{"date-parts":[[2022,9,11]],"date-time":"2022-09-11T00:02:13Z","timestamp":1662854533000},"page":"649-662","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Influence of mental health literacy on help-seeking behaviour for mental health problems in the Swiss young adult community: a cohort and longitudinal case\u2013control study"],"prefix":"10.1007","volume":"273","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9761-0099","authenticated-orcid":false,"given":"N.","family":"Osman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Michel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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