Depression in young people is an important mental health problem that can impair social and academic functioning and increase mental health risks into adulthood. However, low health service utilization hinders appropriate treatment, especially in West Java, which has Indonesia's highest youth depression prevalence. This study identifies factors influencing health care facility (fasyankes) utilization for depression treatment among young residents in West Java in 2023. Using 2023 Indonesian Health Survey (SKI) data with a cross-sectional design, analysis was conducted using Firth Logistic Regression on 277 residents aged 15–24 years with depression. Results showed only 5.5 percent of respondents utilized fasyankes. Age, maternal education, and suicidal ideation had significant effects. Residents aged 20–24 years, those with highly educated mothers, and those experiencing suicidal ideation were more likely to utilize fasyankes. These findings highlight the importance of early detection, improving mental health literacy, and family support to encourage help-seeking before conditions worsen.
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