skip to main content

Experiences of Mental Health Challenges among Vulnerable Groups in Indonesia

*Sri Warsini orcid scopus  -  Mental Health and Community Nursing Department Faculty of Medicine, Nursing and Public Health Universitas Gadjah Mada, Indonesia
Martini Sinta Kristanti orcid scopus  -  Basic and Emergency Nursing Department, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia
Intansari Nurjannah orcid scopus  -  Mental health and community nursing department, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia
Rizki Fitryasari orcid scopus  -  Faculty of Nursing, Universitas Airlangga, Indonesia
Marthoenis Marthoenis orcid scopus  -  Faculty of Nursing, Universitas Syiah Kuala, Indonesia
Open Access Copyright (c) 2026 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Despite growing global recognition of mental health needs, qualitative evidence on how different vulnerable populations in Indonesia experience mental health challenges and navigate help-seeking within the same sociocultural context remains limited. This knowledge gap may result in unrecognized psychosocial needs, underutilization of mental health services, insufficiently tailored interventions, and persistent inequities in mental health service provision.

Purpose: This study explored experiences of mental health challenges among vulnerable populations, including adolescents, university students, pregnant and postpartum women, and caregivers of individuals with severe mental illness.

Methods: A qualitative descriptive design was employed. Data were collected through five focus group discussions (FGDs) conducted with 18 participants recruited through purposive sampling in the Special Region of Yogyakarta: three pregnant women, three postpartum women, four caregivers of individuals with severe mental illness, four adolescents, and four university students. Source triangulation was conducted through an additional FGD with five mental healthcare providers. Verbatim Indonesian transcripts were analyzed using thematic analysis with manual coding supported by Microsoft Excel. Trustworthiness was enhanced through peer debriefing and cross-verification among the research team.

Results: Three overarching themes emerged: (1) root causes of mental health vulnerability, encompassing family- and perinatal-related stressors, developmental and identity-related stress, and caregiving burden and social exclusion; (2) coping and help-seeking practices, shaped by emotional disclosure preferences, support systems, and mental health literacy; and (3) structural gaps in mental health services, including inadequate service integration, logistical barriers, and mistrust of care quality. Help-seeking preferences varied across vulnerable groups and were influenced by stigma, concerns about confidentiality, and perceived accessibility of mental health services.

Conclusion: Vulnerable populations experience mental health challenges through distinct psychosocial stressors, coping strategies, and help-seeking behaviors. These findings underscore the need for person-centered, culturally responsive, and population-specific mental health services that address the diverse needs of vulnerable groups.

 

Fulltext Email colleagues
Keywords: Help-seeking behaviour; Indonesia; mental health; qualitative research; vulnerable populations
Funding: Directorate of Research, Technology and Community Service, Directorate General of Higher Education, Research and Technology, Ministry of Education, Culture, Research and Technology of Indonesia.

Article Metrics:

  1. Basrowi, R., Wiguna, T., Samah, K., Moeloek, N., Soetrisno, S., Purwanto, S., Ekowati, M., Elisabeth, A., Rahadian, A., Ruru, B., & Pelangi, B. (2024). Exploring mental health issues and priorities in Indonesia through qualitative expert consensus. Clinical Practice & Epidemiology in Mental Health, 20. https://doi.org/10.2174/0117450179331951241022175443, 2024, 20, e17450179331951
  2. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/https://doi.org/10.1191/1478088706QP063OA
  3. Cox, J., Mills, L., Hermens, D., Read, G., & Salmon, P. (2024). A systematic review of the facilitators and barriers to helpseeking for self harm in young people : A systems thinking perspective. Adolescent Research Review, 9(3), 411–434. https://doi.org/10.1007/s40894-024-00241-3
  4. Crockett, M. A., Núñez, D., Martínez, P., Borghero, F., Campos, S., & Langer, Á. I. (2025). Interventions to reduce mental health stigma in young people a systematic review and meta-analysis. JAMA Network Open, 8(1), 1–17. https://doi.org/10.1001/jamanetworkopen.2024.54730
  5. Daliri, D., Aninanya, G., Laari, T., Abagye, N., Dei-Asamoa, R., & Afaya, A. (2024). Exploring the barriers to mental health service utilization in the Bolgatanga Municipality: The perspectives of family caregivers, service providers, and mental health administrators. BMC Health Services Research, 24(278). https://doi.org/10.1186/s12913-024-10567-2
  6. Daniels, S., Cheng, H., Gray, C., Kim, B., Stave, C., & Midboe, A. (2022). A scoping review of implementation of health-focused interventions in vulnerable populations. Transl Behav Med, 12(935–944). https://doi.org/10.1093/tbm/ibac025
  7. Dessauvagie, A., Dang, H., Nguyen, T., & Groen, G. (2022). Mental Health of University Students in Southeastern Asia: A Systematic Review. Asia Pacific Journal of Public Health, 34, 172–181. https://doi.org/10.1177/10105395211055545
  8. Fitryasari, R., Marthoenis, M., Warsini, S., Usher, K., Nihayati, H., Kusumawardani, W., & Sari, H. (2025). Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia. International Journal of Nursing Sciences, 12(1), 27–34. https://doi.org/10.1016/j.ijnss.2024.12.003
  9. Lahti, H., Kokkonen, M., Hietajarvi, L., Lyyra, N., & Paakkari, L. (2024). Social media threats and health among adolescents: evidence from the health behaviour in school-aged children study. Child Adolesc Psychiatry Ment Health, 18(1), 62. https://doi.org/ 10.1186/s13034-024-00754-8
  10. Laranjeira, C., & Querido, A. (2024). Mental health promotion and illness prevention in vulnerable populations. Healthcare, 12(554). https://doi.org/10.3390/healthcare12050554
  11. Lincoln, Y., & Guba, E. (1985). Naturalistic Inquiry. Sage Publications
  12. Low, S. R., & Bono, S. A. (2023). The effect of emotional support on postpartum depression among postpartum mothers in Asia : A systematic review. Asia-Pacific Psychiatry, 15(2–3), 1–13. https://doi.org/10.1111/appy.12528
  13. Ministry of Health of the Republic of Indonesia. (2023). Indonesian Health Survey
  14. Mukti, O., & Putri, N. (2021). Social media analytics: Instagram utilization for delivering health education messages to young adult in Indonesia. J Promkes The Indonesian Journal of Health Promotion and Health Education, 9(1), 36–43. https://doi.org/10.20473/jpk.V9.I1.2021.36-43
  15. Muslimah, U., Aufa, M., & Iswinarti, I. (2024). Academic resilience of adolescent students: A systematic review. The International Journal of Indian Psychology, 12(2), 3872–3881. https://doi.org/10.25215/1202.345
  16. Nuraini, N., & Mulyana, D. (2024). Social support of first-time mothers : An exploratory study of Indonesian mothers. Psympathic: Jurnal Ilmiah Psikologi, 11(2), 125–136. https://doi.org/10.15575/psy.v11i2.34360
  17. Octavia, G., Doorbar, J. A., & Chan, K. (2025). Help-Seeking Behavior and Related Mental Health Promotion Programs in Southeast Asian Youth: A Systematic Literature Review. Kesmas, 20(1), 73–81. https://doi.org/10.7454/kesmas.v20i1.2256
  18. Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., Chisholm, D., Collins, P., Cooper, J., Eaton, J., Hermann, H., Herzallah, M., Huang, Y., Jordans, M., Kleinman, A., Medina-Mora, M., Morgan, E., Niaz, U., Omigbodun, O., … UnUtzer, J. (2018). The Lancet Commission on global mental health and sustainable development. Lancet, 392(10157), 1553–1598. https://doi.org/10.1016/S0140-6736(18)31612-X
  19. Pebryatie, E., Paek, S. C., Sherer, P., & Meemon, N. (2022). Associations between spousal relationship, husband involvement, and postpartum depression among postpartum mothers in West Java, Indonesia. Journal of Primary Care & Community Health, 13, 1–10. https://doi.org/10.1177/21501319221088355
  20. Peters, S. (2010). Qualitative research methods in mental health. BMJ Mental Health, 13(2). https://doi.org/https://doi.org/10.1136/ebmh.13.2.35
  21. Phoeun, B., Chanthorn, L., Schulhofer, L., Khann, S., Soung, T., Conroy, K., & Nguyen, A. J. (2023). ‘ I feel hopeless ’: Exploring the psychosocial impacts of caring for mentally ill relatives in Cambodia. International Journal of Soc, 69(2), 438–446. https://doi.org/10.1177/00207640221109171
  22. Radez, J., Reardon, T., Creswell, C., Lawrence, P., Evdoka-Burton, G., & Waite, P. (2021). Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies. European Child and Adolescent Psychiatry, 30(2), 183–211. https://doi.org/10.1007/s00787-019-01469-4
  23. Rahvy, A., Ridlo, I., & Habsy, A. (2020). Actual challenges of mental health in Indonesia: Urgency, UHS, humanity, and government commitment. The European Journal of Public Health, 30(Supplement 5). https://doi.org/10.1093/eurpub/ckaa166.1023
  24. Sainuddin, S. S., Noor, N. M., Kadir, A. A., & Zakaria, R. (2023). A 10-year systematic review and meta-analysis of determinants of postpartum depression in the Association of Southeast Asian Nations countries. Medical Journal Malaysia, 78(5), 675–686
  25. Sandelowski, M. (2000). Whatever happened to qualitative description?. Research in nursing and health, 23(4), 334–340. https://doi.org/10.1002/1098-240x(200008)23:4%3c334::aid-nur9%3e3.0.co;2-g
  26. Sarikhani, Y., Bastani, P., Rafiee, M., Kavosi, Z., & Ravangard, R. (2021). Key barriers to the provision and utilization of mental health services in low ‑ and middle ‑ income countries : A scope study. Community Mental Health Journal, 57(5), 836–852. https://doi.org/10.1007/s10597-020-00619-2
  27. Sheikh, A., Payne-Cook, C., Lisk, S., Carter, B., & Brown, J. (2025). Why do young men not seek help for affective mental health issues ? A systematic review of perceived barriers and facilitators among adolescent boys and young men. European Child & Adolescent Psychiatry, 34(2), 565–583. https://doi.org/10.1007/s00787-024-02520-9
  28. Steare, T., Munoz, C. G., Sullivan, A., & Lewis, G. (2023). The association between academic pressure and adolescent mental health problems : A systematic review. Journal of Affective Disorders, 339(January), 302–317. https://doi.org/10.1016/j.jad.2023.07.028
  29. Subandi, M., Parptomojati, A., Marchira, C., DelVecchio Good, M.-J., & Good, B. (2021). Cultural explanations of psychotic illness and care-seeking of family caregivers in Java, Indonesia. Transcultural Psychiatry, 58(1), 3–13. https://doi.org/10.1177/1363461520916290
  30. Subu, M. A., Holmes, D., Arumugam, A., Al-Yateem, N., Maria Dias, J., Rahman, S. A., Waluyo, I., Ahmed, F. R., & Abraham, M. S. (2022). Traditional, religious, and cultural perspectives on mental illness: a qualitative study on causal beliefs and treatment use. International Journal of Qualitative Studies on Health and Well-Being, 17(1). https://doi.org/10.1080/17482631.2022.2123090
  31. Velasco, A. A., Cruz, I. S. S., Billings, J., Jimenez, M., & Rowe, S. (2025). What are the barriers , facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents ? A Systematic Review. Focus, 23(1). https://doi.org/10.1176/appi.focus.25023003
  32. Wahdi, A. E., James, C., Nadhira, D. A., & Fine, S. L. (2025). Barriers and facilitators of seeking help for mental health challenges among adolescents across 13 countries : A qualitative investigation. Journal of Adolescent Health, 77(3), 421–427. https://doi.org/10.1016/j.jadohealth.2024.02.035
  33. Wang, M., & Togher, K. (2024). Health misinformation on social media and adolescent health. JAMA Pediatr, 178(2), 109–110. https://doi.org/doi: 10.1001/jamapediatrics.2023.5282
  34. Wells, I., & Giacco, D. (2024). Theoretical frameworks used to inform qualitative mental health research: a focus on positivism, interpretivism and critical realism. BJPsych Advances, 31(5), 299–307. https://doi.org/10.1192/bja.2024.66
  35. WHO. (2013). Mental health action plan 2013 - 2020. https://www.who.int/publications/i/item/9789241506021
  36. WHO. (2022a). Addressing mental health in Indonesia. https://www.who.int/publications/i/item/9789290210184
  37. WHO. (2022b). Mental Health Atlas 2020 Country Profile: Indonesia. https://www.who.int/publications/m/item/mental-health-atlas-idn-2020-country-profile
  38. World Health Organization. (2022c). World mental health report: Transforming mental health for all. Executive summary. World Health Organization. https://www.who.int/publications/i/item/9789240049338
  39. Williams, L., Bartik, W., & Cosh, S. (2024). Online anti-stigma interventions for mental health help-seeking in young people : A systematic review. Journal of Affective Disorders Reports, 18, 100841. https://doi.org/10.1016/j.jadr.2024.100841
  40. Wuthrich, V. M., Jagiello, T., & Azzi, V. (2020). Academic stress in the final years of school : A systematic literature review. Child Psychiatry & Human Development, 51(6), 986–1015. https://doi.org/10.1007/s10578-020-00981-y
  41. Zimmer-Gembeck, M., & Skinner, E. (2024). Stress appraisals and coping across and within academic, parent, and peer stressors: The roles of adolescents’ emotional problems, coping flexibility, and age. adolescents. Adolescent, 4(1), 120–137. https://doi.org/10.3390/adolescents4010009

Last update:

No citation recorded.

Last update: 2026-08-31 23:03:16

No citation recorded.