{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:40:17Z","timestamp":1756284017591,"version":"3.44.0"},"reference-count":30,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"unspecified","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Nordland Hospital Trust","award":["na"],"award-info":[{"award-number":["na"]}]},{"DOI":"10.13039\/501100007137","name":"Helse Nord RHF","doi-asserted-by":"publisher","award":["HNF1530-20"],"award-info":[{"award-number":["HNF1530-20"]}],"id":[{"id":"10.13039\/501100007137","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014232","name":"Helsedirektoratet","doi-asserted-by":"publisher","award":["na"],"award-info":[{"award-number":["na"]}],"id":[{"id":"10.13039\/501100014232","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005416","name":"Norges Forskningsr\u00e5d","doi-asserted-by":"publisher","award":["295989"],"award-info":[{"award-number":["295989"]}],"id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009123","name":"Norges Teknisk-Naturvitenskapelige Universitet","doi-asserted-by":"publisher","award":["na"],"award-info":[{"award-number":["na"]}],"id":[{"id":"10.13039\/100009123","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Ment Health"],"accepted":{"date-parts":[[2025,5,19]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Adolescent mental health problems and mental health help-seeking have increased in the later decades. We aimed to assess to which extent adolescents with high mental health symptom loads received help in general practice or specialist mental health services, and whether parental education influenced the association.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This cohort study included 7554 Norwegian adolescents who participated in the population-based Young-HUNT4 Survey (2017\u20132019). They reported their mental health by the Strengths and Difficulties Questionnaire (SDQ), measuring both internalising and externalising symptoms, summed up to a Total Difficulties score. During 1 year after participation, data on contacts with and diagnoses from general practice and specialist mental health services were collected from national registries. We used generalised linear models to analyse the probability of contact with general practice and specialist mental health services by low, moderate and high SDQ scores. We evaluated effect measure modification using interaction terms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among adolescents with high total, internalising or externalising SDQ scores, 29\u201331% of females and 19\u201321% of males consulted a general practitioner for mental health problems, compared with 9\u201310%\u2009and 6\u20137% among those with low scores. Males and females with high internalising scores had a nine times increased risk of specialist mental health service contacts with internalising diagnoses, and similar associations were found for externalising scores and contacts\/diagnoses. The associations were largely independent of parental education level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Adolescents\u2019 mental health symptom loads were positively associated with health service use in general practice and specialist mental health services and largely independent of parental education.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjment-2024-301508","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T14:30:14Z","timestamp":1750948214000},"page":"e301508","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of adolescent mental health and parental education with healthcare use: a cohort study based on data from the Young-HUNT study, Norway"],"prefix":"10.1136","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0503-4416","authenticated-orcid":false,"given":"Kirsti","family":"Wahlberg","sequence":"first","affiliation":[{"name":"Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3456-9522","authenticated-orcid":false,"given":"Karoline Louise Imingen","family":"Selvik","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Health Sciences, Nord University, Bod\u00f8, Norway"},{"name":"Department of Mental Health and Addiction Medicine, Nordland Hospital Trust, Bod\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4394-6149","authenticated-orcid":false,"given":"Tonje","family":"Braaten","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Health Sciences, Nord University, Bod\u00f8, Norway"},{"name":"Department of Community Medicine, UiT The Arctic University of Norway, Troms\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8038-917X","authenticated-orcid":false,"given":"Kirsti","family":"Kval\u00f8y","sequence":"additional","affiliation":[{"name":"HUNT Research Center, Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology, Trondheim, Norway"},{"name":"Levanger Hospital, Nord-Tr\u00f8ndelag Hospital Trust, Levanger, Norway"},{"name":"Centre for Sami Health Research, Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Troms\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1552-5291","authenticated-orcid":false,"given":"Gunnhild \u00c5berge","family":"Vie","sequence":"additional","affiliation":[{"name":"General Practice Research Unit, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9023-4980","authenticated-orcid":false,"given":"Ottar","family":"Bjerkeset","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Health Sciences, Nord University, Bod\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9287-7245","authenticated-orcid":false,"given":"Kristine","family":"Pape","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"2025082700595039000_28.1.e301508.1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00163-9"},{"key":"2025082700595039000_28.1.e301508.2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s00787-024-02371-4","article-title":"Secular trends in mental health problems among young people in Norway: a review and meta-analysis","volume":"34","author":"Potrebny","year":"2025","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"2025082700595039000_28.1.e301508.3","doi-asserted-by":"crossref","first-page":"2877","DOI":"10.1007\/s00787-022-02131-2","article-title":"A systematic review and meta-analysis on the prevalence of mental disorders among children and adolescents in Europe","volume":"33","author":"Sacco","year":"2024","journal-title":"Eur Child Adolesc 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Bruk av tjenester i psykisk helsevern for barn og unge \u2013 utvikling og variasjon 2013 -2017. 2 - Utvikling i bruk av tjenester for barn og unge 2013-2017. 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