Experiences with family planning amongst persons with mental health problems 55 between mental health and family planning, the experience with the conversation about family planning in mental health care, and the perception of stigmas and taboos regarding mental health problems, as well as sexuality in both mental health care and the personal environment. Close ones were identified by a first question ‘Do you fill in this survey as a patient or as a close one (of a person with mental health problems)?’. For those questionnaires populated by close ones, they received similar questions as (former) patients that specifically asked about the experiences of their close ones. For the current paper, the survey was translated into English in collaboration with a native speaker. This study included all panel members who populated the survey and provided informed consent. Respondents under the age of 18 years were excluded (as derived from the survey responses). Anonymized data were collected in the software program Spidox (www.spidox.net (accessed on 1-12-2022)) and shared with the research team in a secured Excel file. Subsequently, data were imported into R studio (version 4.2.0) for data cleaning and analysis. We performed descriptive analyses of the respondents’ demographics and history of mental health problems. Age was presented as mean and standard deviation (in the case of normal distribution). Other descriptive characteristics were presented as numbers and proportions of the group (all, female, men, other gender, or close ones). Living area was assessed with the question ‘What is your living area? Rural/urban’. Education levels were assessed according to the International Standard Classification of Education (ISCED) levels 0– 8. Mental health disorder was assessed with the question ‘Have you ever received a psychiatric diagnose? Yes/no’. Mental health problems were assessed with the question ‘What kind of mental health problems have you encountered in your life? Open question’. Recovery status was assessed with the question ‘Do you currently consider yourself recovered? Yes/no/I have learned to live with it/other’. To present histories of mental health problems in the results section, we grouped self-reported mental health problems into larger categories (for example, depression, anxiety, etc.). Grouping was performed by a medical doctor and a researcher in psychology (NS and BW). A Cohen’s Kappa was used to measure interrater reliability for grouping between the two researchers16. The study group paired questions on similar topics into four domains, reproductive history, reproductive decision making, parenting, and sexuality. Reproductive history was reported separately for respondents identifying as women and men. History of abortion was presented for respondents identifying as women. The results of multiplechoice questions were presented in graphs. Open-text answers that elaborated on multiple choice answers (‘if yes, why?’) were collected and included in the results’
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