Generational perspectives on stigma and help-seeking for mental health disorders in Saudi Arabia: A cross-sectional study

Background: Mental health stigma hinders care-seeking in Saudi Arabia. Generational differences affect perceptions and behaviors, with younger people more exposed to awareness efforts. Methodology: A cross-sectional survey of 700 Saudi adults (18+) was conducted from March to Mid-July 2025 using a 28-item Arabic questionnaire assessing attitudes, stigma, help-seeking, and generational views. Data were analyzed with SPSS. Results: Participants were 45.6% aged 18–29 and 60.9% female. Most had a bachelor’s degree (59.9%) and no prior psychological treatment (88.9%). While 88.6% believed mental illness should be treated like physical illness, 89.6% feared judgment. Females sought help more (p < 0.001). Prior treatment improved attitudes (p = 0.009) but not help-seeking (p = 0.419). The 18–29 group was seen as most accepting (61.7%). Stigma (79.6%) was the main barrier; awareness and education were key enablers. Conclusion: Stigma and gender gaps challenge mental health support. Despite younger generations’ openness, fear of judgment remains. Tailored awareness and culturally sensitive services are vital to improve mental health care in Saudi Arabia.