Trying to Survive in an Emotional Storm: A Qualitative Framework Analysis of Anonymous Youth Helpline Conversations on Mental Health and Everyday Life.

Background/

Objectives

Young people's mental health is increasingly discussed using diagnostic terms. However, limited knowledge exists about how young people describe distress and support needs. This study explored how young people with self-reported functional difficulties described challenges affecting their mental health and everyday lives.

Methods

A qualitative study was conducted using 137 anonymized chat and text message contacts from BRIS (Children's Rights in Society), a Swedish youth helpline. Contacts registered within the category "Functional Impairments" were selected through predefined inclusion criteria. The material was analysed in Swedish using Framework Analysis.

Results

One overarching theme, Trying to Survive in an Emotional Storm, was identified, comprising three subthemes: Social Environment-Between Norm Pressure and the Need for Support, A Constant Struggle in the Educational System and Insufficient Parental Support-Between Desire for Help and Barriers to Understanding. Young people described challenges related to social relationships, school demands, and limited support from adults. Self-reported diagnostic labels, particularly ADHD, were used to explain and communicate distress.

Conclusions

The findings suggest that distress was closely linked to social and contextual circumstances. For nurses and other mental health professionals, the findings highlight the importance of listening to young people's narratives and supporting participation, autonomy, and meaning-making.