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To inform future intervention targets and strategies, this study aimed to characterise treatment\u2010seeking behaviours and attitudes, and perceived barriers to treatment in college students high in schizotypy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A sample of 200 college students (139 high schizotypy; 61 low schizotypy) completed questionnaires related to treatment\u2010seeking behaviours, attitudes and barriers. Independent samples <jats:italic>t\u2010<\/jats:italic>tests, Mann\u2013Whitney <jats:italic>U<\/jats:italic> and Kruskal\u2013Wallis tests were used to compare treatment\u2010seeking behaviours, attitudes and barriers between schizotypy groups as well as among subgroups of those high in positive, negative and combined schizotypy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Students with elevated schizotypy not only reported higher rates of lifetime (56% vs. 36%) and recent (37% vs. 21%) treatment compared to those low in schizotypy, but also endorsed more negative attitudes towards help\u2010seeking (<jats:italic>d<\/jats:italic>\u2009=\u20090.47). This latter finding was particularly true for those with primarily negative traits. The high schizotypy group also expressed greater concerns about embarrassment and fear of being treated differently related to treatment\u2010seeking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although students with elevated schizotypy accessed treatment at higher rates, many remain untreated and report negative attitudes towards help\u2010seeking. While not all students with elevated schizotypy require clinical intervention, these findings highlight the need for targeted interventions to address stigma and improve help\u2010seeking behaviours among college students. This may be especially true for those experiencing distress or impairment associated with schizotypal traits.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.70034","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:48:24Z","timestamp":1745542104000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Obstacles to Seeking Help: Perceived Barriers and Stigma Towards Mental Health Treatment in College Students at Elevated Risk for Psychosis"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2841-0493","authenticated-orcid":false,"given":"Benjamin","family":"Buck","sequence":"first","affiliation":[{"name":"Behavioral Research in Technology and Engineering (BRiTE) Center, Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Whiting","sequence":"additional","affiliation":[{"name":"Behavioral Research in Technology and Engineering (BRiTE) Center, Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tess F.","family":"Filip","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4132-0230","authenticated-orcid":false,"given":"Madisen T.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Psychology Indiana University\u2014Indianapolis  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Akhras","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Busanet","sequence":"additional","affiliation":[{"name":"Department of Psychology Michigan State University  East Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine N.","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Department of Psychology Michigan State University  East Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"McCleery","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle S.","family":"Minor","sequence":"additional","affiliation":[{"name":"Department of Psychology Indiana University\u2014Indianapolis  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710000371"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2012.705922"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12725"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2023.07.028"},{"volume-title":"Intervening Early in Psychosis\u2014A Team Approach","year":"2019","author":"Buck B.","key":"e_1_2_8_6_1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2013.1909"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13497"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720000148"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0153557"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.01.053"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs14060474"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbu176"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300254"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558709335173"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.04.062"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.05.018"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13494"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.06.036"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.52017\/001c.24870"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.7334\/psicothema2017.100"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.157115"},{"key":"e_1_2_8_23_1","unstructured":"Gallagher R. 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