Youth mental health in Serbia: Results of focus group discussions in Serbia

Abstract Background In Serbia, few studies investigate youth mental health. We aim to provide knowledge on the perceptions of youth. Methods We conducted three focus group discussions with youth (n = 10), parents (n = 6), and stakeholders (n = 10) from Serbia using a semi-structured interview guide developed by the EARLY consortium. The interview guide addresses four key areas: mental health concepts, conditions, influencing factors, and perceptions of interventions. Results The youth group included 3 males, 7 females (9 in education, 1 employed). Most parents (1 male, 5 female, all employed) had two children. The stakeholder group included 8 persons (2 male, 6 female). Youth emphasized the importance of close relationships and the need for accessible mental health support via formal and informal channels. For parents, mental health was viewed primarily through the lens of balance and the importance of self-acceptance. Parents highlighted challenges of communication with their children in a rapidly changing society, where expectations and overprotectiveness exacerbate mental health issues. They emphasized the influence of peers, (social) media on their children's mental health, and the necessity for parent and teacher support. Stakeholders perceived the need for early intervention, fostering resilience, emotional intelligence, and healthy lifestyle choices among youth. They stressed the importance of involving parents in mental health discussions and supporting professionals who work with young people. Stakeholder feedback underlined the critical role of societal and environmental factors (political situations, global risks, and media influence), for mental health outcomes in youth. Conclusions Youth mental health in Serbia is shaped by societal pressures, familial expectations, and environmental factors, underscoring the urgent need for comprehensive support systems, early intervention, and open communication to address the mental health challenges faced by young people effectively.