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ABSTRACTThe current study aims to examine the relationship between gratitude and parental support through the mediation of perceived stress and the influence of parental support on adolescent professional help-seeking for mental health problems. 1987 participants completed the survey, including 41.4% boys and 58.6% girls aged 11–15 years. The findings indicated that (i) parental support mediated the relationship between perceived stress and professional psychological help-seeking attitudes; (ii) perceived stress mediated the effect of gratitude on parental support; (iii) gratitude predicted professional psychological help-seeking attitudes through perceived stress and parental support; and (iv) gratitude predicted positively adolescents’ academic achievement. The study highlights the potential influence of parental support on adolescents’ professional help-seeking attitudes. Mental health services should be developed to be more accessible to adolescents to facilitate more independent help-seeking. Prevention and intervention programmes for adolescents may be more effective at decreasing stress symptoms by combining gratitude interventions.