Validation of the self stigma of seeking help (SSOSH) scale in Iran

Abstract

This study aims to validate the Self-Stigma of Seeking Help (SSOSH) Scale among the Iranian population to better understand the role of self-stigma in mental health help-seeking behaviors. Mental health stigma, particularly self-stigma, significantly impacts individuals’ willingness to seek psychological assistance, often leading to adverse mental health outcomes. We conducted a two-phase validation study comprising translation and cultural adaptation, followed by psychometric evaluation with a sample of 404 people who use substances in Karaj, Iran. Results demonstrated that the SSOSH scale exhibits robust psychometric properties, including high internal consistency (Cronbach’s alpha = 0.93) and a confirmed one-factor structure. This research the importance of culturally relevant instruments in addressing mental health stigma, thereby informing mental health policies and interventions to facilitate greater access to mental health services in Iran. © 2025 Taylor & Francis Group, LLC.