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The sessions were audio-recorded, transcribed and anonymised. Data were analysed using reflexive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Data collection took place remotely across Brazil via audio or video calls conducted by a youth collaborator and a senior researcher.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>46 Brazilian adolescents aged between 15 and 18 years old, recruited primarily via social media.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our analysis generated four overarching themes: (1) young people\u2019s sense of responsibility and motivation\u2014many 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\u2014suggested strategies included peer-to-peer support, such as non-judgemental listening, and collective actions such as forming school groups; (3) intrapersonal barriers\u2014key barriers to participation included a lack of necessary skills and self-efficacy; and (4) contextual barriers\u2014young people reported feeling unheard, invalidated, and fearing judgement due to mental health stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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\u2019s potential in advancing mental health in their communities requires fostering youth\u2013adult partnerships, providing peer support training, and combating adultism and mental health stigma.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2024-084996","type":"journal-article","created":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T17:05:43Z","timestamp":1733591143000},"page":"e084996","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Young people\u2019s sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis"],"prefix":"10.1136","volume":"14","author":[{"given":"Josimar Ant\u00f4nio de Alc\u00e2ntara","family":"Mendes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila Giardini","family":"Murta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Rodrigues","family":"Siston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafaela de Oliveira","family":"da Cunha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda Thallys Rocha","family":"Seabra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julyana Alves","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafa Ribeiro Alves","family":"de Souza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor Hugo de Lima","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilina","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5574-4021","authenticated-orcid":false,"given":"Gabriela","family":"Pavarini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,12,7]]},"reference":[{"key":"2024120709053260000_14.12.e084996.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60827-1"},{"key":"2024120709053260000_14.12.e084996.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60512-6"},{"key":"2024120709053260000_14.12.e084996.3","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/S2215-0366(24)00211-6","article-title":"Centring youth mental health discourse on low-income and middle-income countries","volume":"11","author":"Rose-Clarke","year":"2024","journal-title":"Lancet Psychiatry"},{"key":"2024120709053260000_14.12.e084996.4","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica . 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