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Compared with the control group ( n = 72), a significant improvement was found in help-seeking intentions for suicidal ideation in the intervention group ( n = 70) at post-discussion (mean difference = 0.22, 95% CI, p = 0.005), 1-month (mean difference = 0.19, 95% CI, p = 0.018), and 3-month follow-ups (mean difference = 0.25, 95% CI, p = 0.001). Chinese Clinical Trial Registry: ChiCTR2100053248.Ī total of 137 (95.1%) participants completed a 3-month follow-up, and 4 participants from the intervention condition and 3 from the control condition did not complete the final survey. All models were adjusted for baseline scores. A linear mixed model (LMM) was used for analysis. The analysis was performed by including all participants based on their randomized group regardless of adherence to the protocol. The primary outcomes were help-seeking intentions for emotional problems and suicidal ideation and attitudes toward seeking help from mental health professionals at the 1-month follow-up. The contents of the video, discussion, and brochure are help-seeking for the intervention group and general mental health knowledge for the control group. All participants received online psychoeducational videos, online facilitator-led group discussions, and electronic brochures in December 2021 and January 2022, with the final follow-up in April 2022. Participants ( n = 144) were stratified by gender assigned at birth (male/female) and randomly allocated (1:1 ratio) to the intervention or active control parallel condition by generating a random number table, so they were blinded to the intervention condition. We recruited LGBTQ+ young adults aged between 18 and 29 who scored moderate or above on at least 1 dimension of the Depression Anxiety Stress Scale 21 and did not have help-seeking experiences in the past 12 months.

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