Help is just a message away: online counselling chat services bridging gaps in youth mental health?

• Alexis Dewaele ^[1] ; Elke Denayer ^[1] ; Maria Cabello ^[2] ; Irati Higuera Lozano ^[2] ; Tuuli Pitkänen ; Katalin Felvinczi ^[3] ; Zsuzsa Kaló ^[3] ; Siiri Soininvaara ; Lien Goossens ^[1]
  1. [1] Ghent University

     Ghent University

     Arrondissement Gent, Bélgica

     
  2. [2] Universidad Autónoma de Madrid

     Universidad Autónoma de Madrid

     Madrid, España

     
  3. [3] Eötvös Loránd University

     Eötvös Loránd University

     Hungría

     

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• Localización: EJIHPE: European Journal of Investigation in Health, Psychology and Education, ISSN 2174-8144, ISSN-e 2254-9625, Vol. 15, Nº. 12, 2025, págs. 257-257
• Idioma: inglés
• DOI: 10.3390/ejihpe15120257
• Enlaces
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• Resumen

  • Adolescents and young adults across Europe face growing mental health challenges, yet many do not seek professional help. Online counselling chat services (OCCS) offer anonymous, accessible, and youth-friendly support, but their varied aims, formats, and resources complicate evaluation and integration into formal care systems. This study aimed to identify shared priorities for the development, evaluation, and implementation of OCCS for youth. Eight focus groups were conducted with 38 stakeholders—including researchers, counsellors, and service coordinators—from eight European countries. Through qualitative content analysis, six key thematic domains emerged: usability and engagement, service quality and effectiveness, infrastructure and integration, sustainability, ethical considerations, and future visions. Participants highlighted OCCS as valuable tools for fostering emotional safety, trust, and accessibility, while also noting persistent challenges such as limited funding, fragile infrastructure, and ethical tensions around anonymity and safeguarding. Crucially, the need for flexible evaluation frameworks that reflect service diversity and for stronger cross-model collaboration was emphasized. These findings provide a strategic foundation for advancing inclusive, sustainable, and youth-centered digital mental health support across Europe.

• Referencias bibliográficas
  • Agarwal, S., Jalan, M., Wilcox, H. C., Sharma, R., Hill, R., Pantalone, E., Thrul, J., Rainey, J. C., & Robinson, K. A. (2022). Evaluation...
  • Badanta, B., De la Plata-Blasco, M. M., Lucchetti, G., & González-Cano-Caballero, M. (2024). The social and health consequences of the...
  • Baker, K. D., & Ray, M. (2011). Online counseling: The good, the bad, and the possibilities. Counselling Psychology Quarterly, 24(4),...
  • Barak, A., Klein, B., & Proudfoot, J. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38(1),...
  • Berardi, C., Antonini, M., Jordan, Z., Wechtler, H., Paolucci, F., & Hinwood, M. (2024). Barriers and facilitators to the implementation...
  • Bontinck, C., Baeyens, D., De Schryver, M., Renty, J., & Roeyers, H. (2025). Evaluating online chat counselling as a synchronous, digital...
  • Brown, B. B., & Larson, J. (2009). Peer relationships. Adolescence Handbook of Adolescent Psychology, 2, 74–103.
  • Child Helpline International. (2023). Voices of children & young people around the world. Available online: https://www.childhelplineinternational.org...
  • Del Re, A. C., Flückiger, C., Horvath, A. O., & Wampold, B. E. (2021). Examining therapist effects in the alliance–outcome relationship:...
  • Erdmann, A., & Potthoff, S. (2023). Decision criteria for the ethically reflected choice of a member check method in qualitative research:...
  • Essau, C. A. (2005). Frequency and patterns of mental health services utilization among adolescents. Depression and Anxiety, 22(3), 130–137.
  • Finfgeld-Connett, D. (2014). Use of content analysis to conduct knowledge-building and theory-generating qualitative systematic reviews. Qualitative...
  • Garrett, S. L., Burnell, K., Armstrong-Carter, E. L., Prinstein, M. J., & Telzer, E. H. (2023). Linking video chatting, phone calling,...
  • Gore, F. M., Bloem, P. J. N., Patton, G. C., Ferguson, J., Joseph, V., Coffey, C., Sawyer, S. M., & Mathers, C. D. (2011). Global burden...
  • Helfer, A., Kataja, K., & Pitkänen, T. (2025). When despair takes over: Suicide conversations in an online counseling chat service for...
  • Hickman, C., Marks, E., Pihkala, P., Clayton, S., Lewandowski, R. E., Mayall, E. E., Wray, B., Mellor, C., & Van Susteren, L. (2021)....
  • Higuera-Lozano, I., Ramírez, A. M., Breugelmans, N., Denayer, E., Dewaele, A., Felvinczi, K., Goossens, L., Kaló, Z., Pitkänen, T., Rényi,...
  • Higuera-Lozano, I., Uusimäki, V., Pitkänen, T., Denayer, E., Dewaele, A., Felvinczi, K., Goossens, L., Kaló, Z., Rényi, M., & Cabello,...
  • Hitch, D. (2024). Artificial intelligence augmented qualitative analysis: The way of the future? Qualitative Health Research, 34(7), 595–606....
  • James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., Abdelalim, A., Abdollahpour,...
  • Kibiswa, N. K. (2019). Directed qualitative content analysis (DQlCA): A tool for conflict analysis. The Qualitative Report, 24(8), 2059–2079.
  • Kramer, J., Conijn, B., Oijevaar, P., & Riper, H. (2014). Effectiveness of a web-based solution-focused brief chat treatment for depressed...
  • Lagan, S., Quinlan, H., & Ramakrishnan, A. (2021). Evaluating evaluation frameworks: A scoping review of digital mental health tools....
  • Lipschitz, J. M., Connolly, S. L., Van Meter, A., & Stewart, R. W. (2022). Digital mental health interventions for depression: A scoping...
  • Malterud, K., Siersma, V. D., & Guassora, A. D. (2016). Sample size in qualitative interview studies: Guided by information power. Qualitative...
  • Martin, R., McBride, L., & Gillard, S. (2014). Towards a framework for the appraisal of digital products for mental health. Journal of...
  • Mathieu, S. L., Uddin, R., Brady, M., Batchelor, S., Ross, V., Spence, S. H., Watling, D., & Kõlves, K. (2021). Systematic review: The...
  • Meeus, W., Van De Schoot, R., Keijsers, L., Schwartz, S. J., & Branje, S. (2010). On the progression and stability of adolescent identity...
  • Murray, C. J. L. (2022). The global burden of disease study at 30 years. Nature Medicine, 28(10), 2019–2026.
  • Radez, J., Reardon, T., Creswell, C., Lawrence, P. J., Evdoka-Burton, G., & Waite, P. (2021). Why do children and adolescents (not) seek...
  • Ramos, G., Ponting, C., Labao, J. P., & Sobowale, K. (2021). Considerations of diversity, equity, and inclusion in mental health apps:...
  • Rees, J., & Patalay, P. (2019). Opportunities for data collection and linkage: Mental health. Economic and Social Research Council. Available...
  • Sindahl, T. N., Côte, L. P., Dargis, L., Mishara, B. L., & Bechmann Jensen, T. (2019). Texting for help: Processes and impact of text...
  • Sindahl, T. N., Fukkink, R. G., & Helles, R. (2020). SMS counselling at a child helpline: Counsellor strategies, children’s stressors...
  • Sindahl, T. N., & van Dolen, W. (2020). Texting at a child helpline: How text volume, session length and duration, response latency, and...
  • Surani, A., Bawaked, A., Wheeler, M., Kelsey, B., Roberts, N., Vincent, D., & Das, S. (2023). Security and privacy of digital mental health:...
  • Takala, J., Helfer, A., & Pitkänen, T. (2025). Nuoren toimijuus ja avunsaamisen oikeutus anonyymissä chat-palvelussa [Young people’s agency...
  • Tibbs, M., O’Reilly, A., Dwan O’Reilly, M., & Fitzgerald, A. (2022). Online synchronous chat counselling for young people aged 12–25:...
  • Torous, J., Bucci, S., Bell, I. H., Kessing, L. V., Faurholt-Jepsen, M., Whelan, P., Carvalho, A. F., Keshavan, M., Linardon, J., & Firth,...
  • Vanhove, T., & Vercaigne, C. (2011). Ervaren baat in éénmalige ch@hthulp: Een driehoeksanalyse van bevraging van oproepers, beantwoorders...
  • Villarreal-Zegarra, D., Alarcon-Ruiz, C., Melendez-Torres, G. J., Torres-Puente, R., Navarro-Flores, A., Cavero, V., Ambrosio-Melgarejo, J.,...
  • World Health Organization. (2025). Scaling up mental health services within the PHC approach: Lessons from the WHO European region. WHO Regional...
  • Zelmer, J., van Hoof, K., Notarianni, M., van Mierlo, T., Schellenberg, M., & Tannenbaum, C. (2018). An assessment framework for e-mental...
  • Zhou, X., Edirippulige, S., Bai, X., & Bambling, M. (2021). Are online mental health interventions for youth effective? A systematic review....