Abstract
Interventions informed by intergenerational resilience have shown positive effects on youth
mental health. In Majority World countries, however, mental health promotion remains constrained
by stigmatizing beliefs and limited resources. This study explored multiple stakeholder perspectives
of how intergenerational learning was incorporated in youth-led mental health promotion in Pakistan.
Fourteen youth peer educators co-designed a mental health promotion programme with family
advisers and facilitated 11 workshops in two disadvantaged areas of Karachi. Of the 304 workshops
participants, a sub-sample of 63 youth, mothers, teachers and peer educators attended 11 focus
groups. Established themes related to the process that enabled intergenerational learning, notably
participatory activities, and how such learning could be transferred to resilience-enabling systems by
mobilizing communities. A multidimensional resilience framework that draws upon intergenerational
experiences can usefully inform youth mental health promotion, especially in resource-constrained
settings. Co-production with holders of local knowledge can engage and empower communities.