Skip to main content
Have a personal or library account? Click to login
Empowering Adults to Support Youth Mental Health: A Non-Randomized Controlled Trial of Youth Mental Health First Aid Training on Helping Behavior and Mental Health Literacy Outcomes Cover

Empowering Adults to Support Youth Mental Health: A Non-Randomized Controlled Trial of Youth Mental Health First Aid Training on Helping Behavior and Mental Health Literacy Outcomes

By:   
Open Access
|Aug 2026

Figures & Tables

Figure 1.

Study design

*YMHFA: Youth Mental Health First Aid

Table 1

Baseline sociodemographic characteristics of intervention and control groups for comparison of Mental Health First Aid Opinions Quiz scores

VariablesIntervention Group (n=22)Control Group (n=18)χ2
Frequency (%)Frequency (%)p-value*
Age
  18–243 (13.6)1 (5.6)0.397
  25–449 (40.9)9 (50.0)0.565
  45–646 (27.3)6 (33.3)0.677
  ≥ 654 (18.2)2 (11.1)0.533
Sex assigned at birth
  Female13 (59.1)16 (88.9)0.036a
  Male9 (40.9)2 (11.1)0.036a
Highest education completed
  High school10 (45.5)3 (16.7)0.053
  Undergraduate6 (27.3)5 (27.8)0.972
  Graduate6 (27.3)10 (55.6)0.069
Job role
  Direct youth-serving role19 (86.4)17 (94.4)0.397
  Direct youth mental health role3 (13.6)5 (27.8)0.266
Prior youth mental health training
  Yes5 (22.7)3 (16.7)0.634
  No17 (77.3)15 (83.3)0.634

* α = 0.05;

a Statistically significant

Table 2

Baseline sociodemographic characteristics of intervention and control groups for comparison of helping behavior

OutcomesIntervention Group (n=17)Control Group (n=18)χ2
Frequency (%)Frequency (%)p-value*
Age
  18–242 (11.8)1 (5.6)0.512
  25–447 (41.2)9 (50.0)0.600
  45–646 (35.3)6 (33.3)0.903
  ≥ 652 (11.8)2 (11.1)0.952
Sex assigned at birth
  Female9 (52.9)16 (88.9)0.019a
  Male8 (47.1)2 (11.1)0.019a
Highest education completed
  High school7 (41.2)3 (16.7)0.109
  Undergraduate4 (23.5)5 (27.8)0.774
  Graduate6 (35.3)10 (55.6)0.127
Job role
  Direct youth-serving role16 (94.1)17 (94.4)0.967
  Direct youth mental health role3 (17.6)5 (27.8)0.476
Prior youth mental health training
  Yes3 (17.6)3 (16.7)0.939
  No14 (82.4)15 (83.3)0.939

* α = 0.05;

a Statistically significant

Figure 2.

Comparison of YMHFA Opinions Quiz scores of pre-YMHFA intervention group, post-YMHFA intervention group, and control group

*YMHFA: Youth Mental Health First Aid

Table 3

Helping behavior outcomes of intervention and control groups

OutcomesIntervention Group (n=17)Control Group (n=18)χ2
Frequency (%)Frequency (%)p-value*
Helped youth experiencing mental health and/or substance use challenges in the last 30 days16 (94.1)12 (66.7)0.042a
Help frequency
  Once6 (37.5)2 (16.7)0.227
  ≥ Twice10 (62.5)10 (83.3)0.227
Help recipient
  Family3 (18.8)4 (33.3)0.378
  Friend3 (18.8)2 (16.7)0.887
  Self1 (6.3)0 (0.0)0.378
  Neighbor1 (6.3)0 (0.0)0.378
  Stranger3 (18.8)1 (8.3)0.436
  Student8 (50.0)4 (33.3)0.378
  Youth client/patient6 (37.5)4 (33.3)0.820
Skills used
  Ab8 (50.0)7 (58.3)0.662
  Lc14 (87.5)11 (91.7)0.724
  Gd14 (87.5)11 (91.7)0.724
  E1e8 (50.0)9 (75.0)0.229
  E2f13 (81.3)9 (75.0)0.690
Reason for help
  Mental health challenge9 (56.3)6 (50.0)0.743
  Substance use challenge5 (31.3)0 (0.0)0.033a
  Mental health and substance use challenges6 (37.5)5 (41.7)0.823
  Other2 (12.5)1 (8.3)0.724

* α = 0.05;

a Statistically significant;

b Assess for risk of suicide or harm;

c Listen nonjudgmentally;

d Give reassurance and information;

e Encouraged appropriate professional help;

f Encourage self-help and other support strategies

Language: English
Page range: 135 - 154
Submitted on: May 21, 2026
Accepted on: Aug 1, 2026
Published on: Aug 5, 2026
Published by: International Platform on Mental Health
In partnership with: Paradigm Publishing Services
Publication frequency: Volume open

© 2026 Hwal Lee, published by International Platform on Mental Health
This work is licensed under the Creative Commons Attribution 4.0 License.