Adolescent and caregiver demographic information.

Introduction
The majority of the world’s adolescents live in low-and middle-income countries (LMICs). However, there is a dearth of knowledge about adolescents’ perspectives on mental health and sources of distress there. Therefore, a qualitative study of adolescents’ and caregivers’ beliefs and experiences related to mental illness was conducted in Nairobi, Kenya.
Materials and methods
Six focus group discussions were conducted with 46 participants at two peri-urban settlements in Nairobi from November to December 2020. Using a two-step analytic process, we generated core themes, and the study team reviewed the transcripts and triangulated the themes.
Results
Themes include knowledge about mental health and illness, triggers of psychological disturbances, attitudes towards mental illness, practices adopted to strengthen mental health, barriers to strengthening mental health among young people, emerging needs around caregiver mental health and parenting, and community recommendations on interventions. Adolescents had limited knowledge of specific mental illnesses but articulated triggers, stresses, and challenges they face in daily life in an in-depth manner. Caregivers demonstrated a breadth of knowledge and understanding of adolescent mental health.
Conclusion
Adolescents and their caregivers face tremendous stresses in the Nairobi settlements. Mental health literacy is limited, but adolescents and caregivers are ready to embrace mental health services. Reducing stigma and access to youth-friendly services are crucial to expanding service engagement.

引言
全球绝大多数青少年生活在低收入和中等收入国家（Low- and Middle-Income Countries, LMICs）。然而，目前针对这些地区青少年对心理健康的看法及其痛苦来源的相关研究仍较为匮乏。因此，本研究在肯尼亚内罗毕开展了一项质性研究，旨在探索青少年与照护者关于精神疾病的认知与经历。

材料与方法
2020年11月至12月期间，研究团队在内罗毕的两处城郊定居点开展了6场焦点小组讨论，共招募46名参与者。研究采用两步分析法提炼核心主题，并由研究团队对转录文本进行审阅与主题三角验证。

结果
本次研究提炼的核心主题涵盖：心理健康与精神疾病认知、心理困扰诱因、对精神疾病的态度、维护心理健康的相关举措、青少年群体维护心理健康的阻碍因素、照护者心理健康与养育相关的新兴需求，以及社区对干预措施的建议。青少年对特定精神疾病的认知较为有限，但能够深入阐述其日常生活中遭遇的心理诱因、压力与困境。照护者则对青少年心理健康具备较为全面的认知与理解。

结论
内罗毕城郊定居点的青少年及其照护者面临着巨大的生活压力。尽管心理健康素养水平普遍有限，但青少年与照护者均愿意接受心理健康服务。降低病耻感并推广青少年友好型心理健康服务，对于提升服务参与率至关重要。