Coralie J Wilson

Coralie J Wilson
University of Wollongong | UOW · Graduate School of Medicine

PhD

About

75
Publications
53,514
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Introduction
My research program includes translational, theoretical, and applied projects to: (1) Identify determinants of help-seeking and help-negation in three population groups - adolescents, men, health care professionals; (2) Identify mechanisms of symptom and behaviour change specific to each group; (3) Develop and evaluate services and interventions to improve medical and mental health and wellbeing in each group. Go to http://smah.uow.edu.au/gsm/staff/UOW028294.html, for further details.
Additional affiliations
November 2006 - present
University of Wollongong

Publications

Publications (75)
Article
Full-text available
In recent years, Australia and New Zealand have witnessed an increased prevalence in highly destructive natural disasters. These events result in significant loss of life and reduced quality of life in their aftermath. Since the 2011 Brisbane floods, affected residents have experienced increased levels of common psychiatric disorders, sleeping diff...
Article
Full-text available
Interventions that aim to improve social problem-solving skills can significantly reduce the severity of anxiety and depression symptoms in young people. Anxious and depressed individuals often have a negative orientation to problem solution which acts as a barrier to implementing problem-solving skills. Research with older adults suggests that sym...
Article
Seeking appropriate help for early signs and symptoms of psychological distress can reduce the long-term impact of many mental disorders. This article describes practice implications and new initiatives for promoting early access and help-seeking among young people. Relevant help-seeking research is reviewed, and prominent help-seeking barriers are...
Article
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Background: Young people experiencing mental health problems are often reluctant to seek help, particularly from professionals (i.e., doctors or mental health workers). MAKINGtheLINK is a school-based intervention that aims to help adolescents overcome barriers to seeking professional help for mental health and substance use problems. Methods: A...
Article
Background and Objective Adolescents experiencing mental health problems often approach their peers rather than seeking professional help. A better understanding of adolescents’ stigmatising attitudes towards mental illness will help inform interventions that aim to improve the quality of advice that young people provide to their peers. In particul...
Article
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Telephone crisis support is a confidential, accessible, and immediate service that is uniquely set up to reduce male suicide deaths through crisis intervention. However, research focusing on telephone crisis support with suicidal men is currently limited. To highlight the need to address service delivery for men experiencing suicidal crisis, this p...
Article
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Background Many young people are reluctant to seek professional help for mental health problems, preferring to rely on their friends for support. It is therefore important to ensure that adolescents can identify signs of psychological distress in their peers, talk to them about these, and help them access appropriate services when necessary. The cu...
Article
Background: Empathic engagement with distressed others can lead to elevated symptoms of psychological distress and functional impairment, which preclude helping professionals' delivery of optimal patient care. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. Aims: This study exam...
Article
Full-text available
Suicide signs have been identified by expert consensus and are relied on by service providers, community helpers’ and family members to identify suicidal men. Whether signs that are reported in suicide literature accurately describe male presentations of suicidality is unclear. A systematic review of the literature was conducted to identify male-sp...
Data
Summary of findings and suicide sign label. (DOCX)
Data
Suicide sign label and description. (DOCX)
Article
Background: In order to respond to crises with appropriate intervention, crisis workers are required to manage their own needs as well as the needs of those they respond to. Aims: A systematic review of the literature was conducted to examine whether telephone crisis support workers experience elevated symptoms of psychological distress and are...
Article
Objective: While some studies suggest that men and women report different symptoms associated with depression, no published systematic review or meta-analysis has analyzed the relevant research literature. This article aims to review the evidence of gender differences in symptoms associated with depression. Methods: PubMed, Cochrane, and PsycINFO d...
Article
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Background: Adolescence is a high-risk time for the development of mental health and substance use problems. However, fewer than one in four 16-24 year-olds with a current disorder access health services, with those experiencing a substance use disorder being the least likely to seek professional help. Research indicates that young people are keep...
Article
University students are vulnerable to depression and other co-occurring mental disorders, but few receive treatment. Male university students are at particular risk of not receiving assistance. A better understanding of gender differences in the experience of depression may assist in improving its detection and the provision of appropriate support...
Article
Background: It is well known that helping professionals experience functional impairment related to elevated symptoms of psychological distress as a result of frequent empathic engagement with distressed others. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. Aims: The purpose o...
Article
Background: There is some evidence that, in contrast to depressed women, depressed men tend to report alternative symptoms that are not listed as standard diagnostic criteria. This may possibly lead to an under- or misdiagnosis of depression in men. Aims: This study aims to clarify whether depressed men and women report different symptoms. Meth...
Article
Full-text available
Background: Although telephone services continue to play an important role in the delivery of front-line crisis support, published evidence of the standardized assessment of such services does not exist to date. Aims: To describe the development of the Telephone Crisis Support Skills Scale (TCSSS), an instrument to assess workers' intentions to...
Article
Epidemiological studies suggest that young people might have a tendency to avoid help when they experience symptoms of psychological distress. There is growing evidence that many young people prefer no help from anyone for their mental health problems. The current study examined the association between symptoms of general psychological distress and...
Conference Paper
Introduction: Data from the American National Comorbidity Survey Replication (Martin et al., 2013; JAMA Psychiatry) - a nationally represented mental health survey - provides evidence that current diagnostic criteria for depression in men may be incomplete. Objectives: To conduct and present findings of a systematic review of the biological, psycho...
Article
Full-text available
Although many postgraduate psychology programs address students' mental health, there are compelling indications that earlier, undergraduate, interventions may be optimal. We investigated specific attitudes that predict students' intentions to seek treatment for psychological distress to inform targeted interventions. Psychology students (N = 289;...
Conference Paper
Full-text available
Introduction: Heart disease is the number one cause of death in Australia but with early treatment, can be managed, halted, or reversed. Few people seek help early enough to benefit optimally from treatment; many deaths occur before medical help is sought. Help-negation refers to the process of help withdrawal or avoidance found among those experie...
Article
Full-text available
In view of the growing disease burden of mental disorders, we consider the pressing need to update medical school psychiatry education to better equip doctors to recognise and treat these conditions. Key challenges to the delivery of medical school mental health curricula, and possible directions for reform, are reviewed with the aims of stimulatin...
Conference Paper
Full-text available
Telephone crisis supporters (TCSs) provide front line mental health support to callers in crisis. TCSs often support callers with suicidal thoughts, depression and anxiety, and the caller’s experience of the call will influence whether they will seek help from a crisis support service in the future. Despite their important role, little information...
Conference Paper
Full-text available
Help-negation is seen when the severity of an individual’s suicidal ideation increases and they become less likely to seek help as a result of their condition. Research has implicated distorted affect regulation and perceptual processes related to social support in the development of help-negation among suicidal individuals (Wilson, Svenson, Caputi...
Conference Paper
Full-text available
Help-negation (reluctance to seek help as distress levels increase) occurs among Telephone Crisis Supporters (TCSs) who are exposed to suicidal, depressed and anxious callers, and impacts both personal wellbeing and TCSs intention to use recommended skills with callers (Kitchingman, Wilson, Caputi, Woodward, 2013). Assertiveness is a key clinical s...
Conference Paper
Full-text available
Help-negation is defined as the process of help withdrawal or avoidance found among those currently experiencing clinical and subclinical levels of different forms of psychological distress, including low and critical levels of suicidal ideation (Wilson, Bushnell, Caputi, 2011). Understanding the determinants of help-negation in suicidal samples th...
Conference Paper
Full-text available
Help-negation refers to the process of help avoidance or refusal that commonly occurs in clinical and non-clinical samples with varying forms and levels of psychological symptoms. In the last decade the effect has been established as an inverse relationship between the severity of symptoms and help-seeking for suicidal ideation, depression, and gen...
Conference Paper
Help-negation refers to the help avoidance or withdrawal that has been found in samples with clinical and subclinical levels of suicidal ideation for a variety of professional and non-professional help sources. This presentation examines the role of cognitive distortion (CD) and need for autonomy (NA) in explaining the help-negation process for sui...
Conference Paper
Young adulthood is the life stage spanning 18-25 years of age. It is a period of intense social and neurobiological change that some researchers believe provides a major reason to explain why young people in this age group have high rates of mental health problems. In Australia, suicide is a concern in this age group and preliminary results from th...
Article
The current study examined the relationship between belief-based barriers to seeking professional mental health care and help-seeking intentions in a sample of 1037 adolescents. From early adolescence to adulthood, for males and females, the need for autonomy was a strong barrier to seeking professional mental health care. Help-seeking fears were w...
Chapter
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Article
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Emerging or early adulthood is the life stage spanning 18-25 years of age. In Australia, anxiety and affective disorders (often classified as ‘common mental disorders’) are prevalent in this age group and suicide is also a concern. Professional mental health care can reduce the long-term impact of these mental health problems and protect against th...
Article
This study explores the factors that influence adolescents' help-seeking intentions. Specifically, the study investigates the extent to which perceived benefits of help seeking, stoicism, gender and symptoms of psychological distress are associated with intentions to seek professional help for emotional problems. A cross sectional self-report quest...
Article
Full-text available
This study examined whether high school students’ current symptoms of general psychological distress, self-rated social problem-solving skills, and recent help-seeking experiences predict their future intentions to seek help for a mental health problem. At Time 1, 98 high school students, aged 12-17 years, completed the study self-report survey tha...
Article
Full-text available
Appropriate help-seeking is widely recognized as a protective factor, and vital for early treatment and prevention of mental health problems during adolescence. General medical practitioners (GPs), that is, family doctors, provide a vital role in the identification of adolescents with mental health problems and the provision of treatment as well as...
Article
Full-text available
Epidemiological studies suggest that young people might have a tendency to avoid help when they experience symptoms of psychological distress. There is growing evidence that many young people prefer no help from anyone for their mental health problems. The current study examined the association between symptoms of general psychological distress and...
Article
Full-text available
Article
Full-text available
Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study examined the association between suicidal ideation and intentions to seek help from friends, family and professional...
Article
Full-text available
Adults who act as gatekeepers for young people may have the same barriers to help-seeking for mental health issues as young people. This study investigated the personal help-seeking practices of 47 Australian youth workers prior to and after a training workshop on youth mental health issues. Pre-post workshop evaluation revealed some increases in b...
Article
Full-text available
The Building Bridges to General Practice (BBGP) program is an outreach initiative (written by the first author). It aims to reduce young peoples’ perceived knowledge- and belief-based barriers to engaging in treatment and to increase their behavioral intentions to consult a general medical practitioner (GP) for physical and psychological problems....
Article
Full-text available
Whether the help-negation effect as demonstrated for suicidal thoughts was also evident for depressive symptoms was investigated in three studies of young people from diverse urban areas. The studies comprised a large sample of younger high school students (years 7-10), a sample of older high school students (years 8-12), and first year university...
Article
Full-text available
• Despite the high prevalence of mental health problems and disorders that develop in adolescence and early adulthood, young people tend to not seek professional help. Young men and young people from Indigenous and ethnic minority groups tend to be those most reluctant to seek help. • Young people are more inclined to seek help for mental health pr...
Article
Building Bridges-GP-Team (Building Bridges-Team; Wilson et al., 2004c) is a variation of the Building Bridges to General Practice: GPs in Schools program (Building Bridges-GP; Wilson et al., 2004a), which promotes consultation with health care professionals who are local and available for rural and regional adolescent’ consultation. The first major...
Article
Media reports describing the great escape of the Beaconsfield miners and indeed the focus of the Prime Minister, have been on the stoicism and bravery shown by these ‘accidental heroes’. To some extent this became a case study in defining the best of what makes us proud to be Australian; as a society we greatly admire those who tolerate hardship wi...
Article
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Seventy-three men who were currently accessing or had recently accessed mental health services completed a questionnaire regarding their emotional expression, engagement in therapy, perceptions of treatment helpfulness, and future help-seeking intentions. Perceptions of treatment helpfulness were inversely predicted by alexithymia (mediated by bond...
Article
Avoidance of appropriate help is common in acutely suicidal samples and has been confirmed in nonclinical samples but factors that contribute to this help negation effect remain unclear. The current study is the second in series from the first author's larger PhD research program. In a sample of 269 nonclinical Australian high school students, the...
Article
Full-text available
This paper summarises an ambitious research agenda aiming to uncover the factors that affect help-seeking among young people for mental health problems. The research set out to consider why young people, and particularly young males, do not seek help when they are in psychological distress or suicidal; how professional services be made more accessi...
Article
Full-text available
Adolescence and young adulthood are critical life stages for mental health, as this is the period when most mental health problems and mental disorders have their peak incidence. It is also a time of increased suicidal ideation and frequency of suicide attempts. Despite the importance of adolescence and young adulthood in the aetiology of mental di...
Article
Full-text available
A clear understanding of help-seeking intentions and behavior is fundamental to the identification of factors that can be modified to facilitate young people’s help-seeking when they are psychologically distressed or suicidal. Despite considerable research on help-seeking intentions and behavior for personal-emotional or distressing problems, integ...
Article
Full-text available
The degree to which men's current or most recent access to professional psychological help was influenced by others, and their future independent help-seeking intentions were measured. Seventy-three males currently accessing, or who had recently accessed a mental health service, completed a questionnaire that asked about their pathway to care and f...
Article
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We examined whether adolescents who are poor at identifying, describing, and managing their emotions (emotional competence) have lower intentions to seek help for their personal-emotional problems and suicidal ideation, as observed in adult studies. We also examined whether age moderated the relationship between competence and help-seeking. Two hun...
Article
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Across the popular and academic literature, it is widely recognised that young people with persistent suicidal thoughts are at high risk for suicide completion. It is also accepted that seeking and receiving appropriate help offers protection against the development of acute forms of suicidality, along with suicide completion. Yet, as promising as...
Article
Full-text available
It has been found that university students who were the least skilled at managing their emotions also had the lowest intention of seeking help from a variety of nonprofessional sources (e.g. family and friends). The present study sought to extend these findings by focusing on adolescents, examining a larger number of emotional competencies, and exp...
Article
Full-text available
Caring for young people is a challenge that requires a full approach to general practice along with additional skills and knowledge. Research indicates that "youth friendly" GPs need to (1) practice in youth friendly environments that include youth friendly support staff, (2) know about the developmental stages of adolescence and have skills for de...
Article
Full-text available
A number of cognitive and affective barriers reduce the likelihood that young people will seek professional psychological help for either personal-emotional or suicidal problems. This paeer describes a study that has examined tbe relationship between helpseeking barriers and intentions in a highschool sample. Six hundred and eight high school stude...
Article
Effective mental illness prevention programs are important for the safety of youth and adolescents. Research suggests that programs should facilitate appropriate help seeking by lowering help-seeking barriers. This study used focus groups to obtain high school student opinions about actual help-seeking behaviors, reducing adolescent help-seeking ba...
Article
Few distressed young people seek professional psychological help and little is known about what sources of help young people seek for different problems. In suicidal youth, the process of help-negation may exacerbate poor help-seeking. Three hundred and two undergraduate university students completed a questionnaire measuring suicidal ideation, hop...
Article
Full-text available
Effective mental illness prevention programs are important for the safety of youth and adolescents. Research suggests that programs should facilitate appropriate help-seeking by lowering help-seeking barriers. This study used focus groups to obtain high school student opinions about actual help-seeking behaviors, reducing adolescent help-seeking ba...
Article
Full-text available
Rickwood, D. (2002). Help-seeking patterns for suicidal and non-suicidal problems in two high school samples. Suicide Prevention Australia 9th Annual Conference (pp. 1-7).

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Project (1)
Project
This doctoral research is the first known research program to examine whether telephone crisis support workers experience impaired functioning related to elevated symptoms of psychological distress as the result of frequent empathic engagement with callers. The three studies which comprise this thesis are mapped to recommended stages of preventative intervention research program development. Studies seek to identify mechanisms of telephone crisis support workers’ functional impairment, with the ultimate goal of informing the development and/or modification of service strategies to optimise workers’ psychological wellbeing and functioning.