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Life sciences · Journal article
Journal of Affective Disorders · October 6, 2026
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Background. Young adults with depression often avoid mental health care. Social contact videos may increase help-seeking intentions, but whether intention change leads to treatment use remains unclear, especially among those with suicidal ideation. We examined whether change in help-seeking intentions accounted for treatment use after social contact videos versus a written vignette, and whether this pathway differed by suicidal ideation.Methods. In this randomized controlled trial, 1545 young adults (aged 18-25 years) with depressive symptoms were recruited via Prolific and randomized to one of three brief videos featuring personal recovery stories or a written vignette with identical content, yielding a 3:1 video-to-written comparison. Help-seeking intentions were measured before, after, and at 30-day follow-up. Treatment use at 30-day follow-up was modeled using structural equation modeling. Suicidal ideation was tested as a moderator of the association between intention change and treatment use.Results. Participants assigned to video showed greater change in help-seeking intentions, and intention change was associated with treatment use. The indirect association through intention change and the total effect were significant. Treatment use was greater with video than with vignette. Conditional indirect effects did not differ by suicidal ideation. However, the association between intention change and treatment use was stronger among participants with suicidal ideation than those without.Conclusions. Change in help-seeking intentions partially accounted for the association between intervention assignment and treatment use. Brief social contact videos may represent a scalable approach to treatment seeking among young adults with depressive symptoms, including those with suicidal ideation.Clinicaltrials. GOV: NCT06172075.