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Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013–2021

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Lipson, Sarah Ketchen, Zhou, Sasha, Abelson, Sara, Heinze, Justin, Jirsa, Matthew, Morigney, Jasmine, Patterson, Akilah, Singh, Meghna, Eisenberg, Daniel·2022·Journal of Affective Disorders

DOI 10.1016/j.jad.2022.03.038PMC PMC8995361

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Abstract

Background A considerable gap in knowledge exists around mental health trends in diverse racial and ethnic adolescent and young adult populations. The purpose of this study is to examine annual trends for mental health and help-seeking by race/ethnicity in a national sample of college students. Methods Survey data come from >350,000 students at 373 campuses that participated in the Healthy Minds Study between 2013 and 2021. Analyses are descriptive in nature focusing on year-by-year prevalence and help-seeking rates for each racial/ethnic group. Results In 2020-2021, >60% of students met criteria for one or more mental health problems, a nearly 50% increase from 2013. Mental health worsened among all groups over the study period. American Indian/Alaskan Native students experienced the largest increases in depression, anxiety, suicidal ideation, and meeting criteria for one or more mental health problem. Students of color had the lowest rates of mental health service utilization. The highest annual rate of past-year treatment for Asian, Black, and Latinx students was at or below the lowest rate for White students. Although Arab American students experienced a 22% increase in prevalence, there was an 18% decrease in treatment. Limitations Response rates raise the potential of nonresponse bias. Sample weights adjust along known characteristics, but there may be differences on unobserved characteristics. Conclusions Findings have important implications for campus mental health programming and underscore the urgency of reducing mental health inequalities in college student populations through the identification and implementation of best practices both in clinical settings and through system-level change.

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Authors: Lipson, S. K., Zhou, S., Abelson, S., Heinze, J., Jirsa, M., Morigney, J., Patterson, A., Singh, M., & Eisenberg, D.
Affiliations: Boston University (US)
Wayne State University (US)
Temple University (US)
University of Michigan (US)
Eastern Michigan University (US)
University of California, Los Angeles (US)
Corresponding author: Lipson, Sarah Ketchen
ORCID: Lipson, Sarah Ketchen
Zhou, Sasha
Abelson, Sara
Heinze, Justin
Singh, Meghna
Eisenberg, Daniel
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2022-06
Volume: 306
Pages: 138-147
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2022.03.038
PMC: PMC8995361
OpenAlex: W4220856280
Cited by: 877
References: 29
Citations by year: 2026: 248 · 2025: 260 · 2024: 226 · 2023: 122 · 2022: 21
FWCI: 148.61
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (am, 294 d)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: Journal of Affective Disorders (acceptedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: William T Grant Foundation Inc
National Institute of Mental Health
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Keywords: college student mental health, help-seeking, racial and ethnic disparities, mental health trends, depression, anxiety, suicidal ideation, mental health service utilization, Healthy Minds Study
MeSH terms: Adolescent, Ethnicity, Humans, Mental Health, Students, United States, Universities, Young Adult, Suicidal Ideation

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Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013–2021

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