Background Youth engagement in mental health has been shown to inform effective interventions aimed at improving youth mental health outcomes. However, evidence on the state of youth engagement in mental health remains limited in low- and middle-income countries (LMICs). This study aims to identify the drivers of youth engagement in mental health in Morocco, as well as the support needs and resources required to promote it.

Methods We conducted a nationwide cross-sectional study in Morocco, including young Moroccans aged 18–24 years. Using an online self-administered questionnaire, we assessed participants’ levels of engagement in mental health activities, attitudes toward mental health, awareness about mental health, support needs, and perceived importance of well-being drivers across five domains, informed by the WHO adolescent well-being framework. Descriptive statistics, clustering analysis, and logistic regression analyses were used to identify predictor factors of youth engagement in mental health.

Results A total of 1,183 participants were included. The engaged cluster group reported higher awareness about mental health and more positive attitudes toward mental health. Predictors of engagement in mental health included higher education (OR=2.23, 95% CI: [46-3.43]) unemployment (OR=1.65, 95% CI: [1.04-2.64]), and higher scores on “Connectedness and positive values and contribution to society” (OR=1.07, 95% CI: [1.05-1.10]) as well as positive attitudes toward mental health (OR=1.04, 95% CI: [1.03-1.05]). Conversely, those who prioritized ‘safety and a supportive environment’ were less likely to be engaged (OR=0.94, 95% CI: [0.91-0.98]). The most frequently cited needs to support engagement were access to mental health professionals (63.0%) and mental health education (42.4%).

Conclusions These results provide insights into the factors influencing youth engagement in mental health in Morocco. Fostering “connectedness, positive values, and contribution to society” and “positive attitudes towards mental health”, as well as improving access to mental health professionals, information and education, is essential to promote youth engagement in mental health programs and policy-making.

The authors have declared no competing interest.

This study was financially supported by Grand Challenges Canada.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

the Ethics Committee of the Faculty of Medicine and Pharmacy of Tangier gave ethical approval for this workunder number (AC470C/2023).

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The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.