Research Highlights Lack of Focus on Coaches in Athlete Mental Health Support

Tue 12th Aug, 2025

A recent study published in BMJ Open by researchers from the University of Birmingham reveals a significant gap in research concerning mental health support for athletes, particularly regarding the role of coaches as a source of assistance. While many athletes confront mental health challenges, the study indicates that they often encounter specific barriers when seeking help, particularly in relation to the fear of deselection.

The research team conducted a comprehensive review of 104 studies worldwide, focusing on athletes' perspectives on accessing mental health support. Their findings suggest that while formal sources, such as psychologists and counselors, are well-studied, the role of semi-formal sources, including coaches, has been largely overlooked, with only 2% of the researched papers addressing this critical area.

Lead researcher Kirsty Brown, a Ph.D. student at the University of Birmingham, emphasized the need for a deeper understanding of athletes' help-seeking behaviors. She noted the unique barriers athletes face, which can deter them from seeking the necessary mental health support. The research highlights the importance of providing coaches with the tools to understand and address the mental health needs of their athletes.

Among the research reviewed, the most examined aspect was athletes' attitudes towards seeking mental health support, with 79% of studies incorporating this theme. In contrast, the issue of access to mental health resources was the least explored, with only 32% of studies addressing it, despite its foundational role in help-seeking behavior.

The findings also suggest a notable lack of research in lower-income and non-Western contexts, where cultural and structural barriers to accessing mental health support may differ significantly from those observed in Western settings. The authors of the study call for future research to delve more thoroughly into the role of semi-formal support systems and their potential impact on athletes' willingness to seek help.

Professor Jennifer Cumming, a senior author of the study, highlighted the necessity of building a robust evidence base to inform effective support models for athletes. She urged that understanding the nuances of help-seeking behaviors will be crucial for developing comprehensive mental health support structures.

Overall, the study serves as a reminder of the importance of recognizing the various sources of mental health support available to athletes and addressing the gaps in the current research to ensure that all athletes can receive the assistance they need.


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