Factors influencing family decisions to seek treatment at psychiatric hospitals: a thematic analysis

Open

Marthoenis, Husna Hidayati, Said Usman, Martina, Sri Warsini, Rizki Fitiryasari

2025 East Asian Archives of Psychiatry Vol. 35 Issue 4 Article Cited by 0 SDG 3SDG 17 Quartile

Abstract

Objective: To investigate barriers and facilitators that influence family decisions to seek mental healthcare at psychiatric hospitals. Methods: Family members aged ≥18 years who accompanied their relatives for psychiatric care at a psychiatric hospital in Aceh, Indonesia, between September and October 2024 were recruited using convenience sampling. Participants were asked a single open-ended question: “Why did you decide to go to the psychiatric hospital?” Responses were transcribed verbatim, and thematic analysis was conducted. Results: In total, 168 family members participated. Seven themes were identified: (1) deterioration of the patient’s condition, (2) desire for appropriate treatment, (3) influence from family and healthcare workers, (4) difficulty managing patient behaviour, (5) limitations of previous treatments, (6) financial considerations, and (7) urgency to seek recovery. Conclusion: Clinical or patient-related factors as well as social and contextual influences affect treatmentseeking behaviour among families of individuals with mental illness in Indonesia. There is a need for improved access to mental health services and support systems to aid families making decisions. Raising awareness and educating families about mental health resources may facilitate more informed decision making. © 2025 Hong Kong College of Psychiatrists. CC BY-NC-ND 4.0

Affiliations

Universitas Syiah Kuala, Banda Aceh, Indonesia; Universitas Gadjah Mada, Yogyakarta, Indonesia; Universitas Airlangga, Surabaya, Indonesia

Research at a Glance

Premium content — register to unlock

Research at a Glance

Register to unlock

Topics & SDG Alignment

Premium content — register to unlock

Topics & SDG Alignment

Register to unlock

Collaboration

Premium content — register to unlock

Collaboration

Register to unlock

Author Profile (Selected)

Premium content — register to unlock

Author Profile (Selected)

Register to unlock

References Overview

Premium content — register to unlock

References Overview

Register to unlock

Journal & Source

Premium content — register to unlock

Journal & Source

Register to unlock

Metadata & Integrity

Premium content — register to unlock

Metadata & Integrity

Register to unlock