Cited by 579Suicide and Self-Harm StudiesMental Health Treatment and AccessStudent Stress and Coping

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Trends in Mood and Anxiety Symptoms and Suicide-Related Outcomes Among U.S. Undergraduates, 2007–2018: Evidence From Two National Surveys

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Duffy, Mary E., Twenge, Jean M., Joiner, Thomas E.·2019·Journal of Adolescent Health

DOI 10.1016/j.jadohealth.2019.04.033

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Abstract

Purpose Past work has evidenced increased utilization of mental health services on college campuses, as well as rising rates of mood and suicide-related pathology in adolescents and young adults in recent years. We examined whether such findings are reflective of large-scale, nationwide trends in college student mental health in the past decade.Methods We examined trends in mood, anxiety, and suicide-related outcomes among U.S. college students from 2007 to 2018 across two large national datasets: (1) the National College Health Assessment (n = 610,543; mean age = 21.25 years; 67.7% female; and 72.0% white) and (2) the Healthy Minds Study (n = 177,692; 86% students aged 18-22 years; 57% female; and 74% white). Participants, randomly selected by their educational institution, completed self-report measures of past-year mood, anxiety, nonsuicidal self-injury, and suicidal thoughts and behaviors.Results In both samples, rates of depression, anxiety, nonsuicidal self-injury, suicidal ideation, and suicide attempts markedly increased over the assessed years, with rates doubling over the period in many cases. Anger, low flourishing, and suicide plans, each assessed in only one dataset, also exhibited upward trends.Conclusions Findings demonstrate a broad worsening of mental health among U.S. college students over the past decade, a concerning result meriting further attention and intervention.

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“In the past decade, a marked worsening of students’ mental health has been reported [26, 70], exposing the need for new ways to support students in this crucial period of their lives.”
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“Alarmingly, rates of suicidal ideation and attempts among college students have markedly risen over the past decade (Duffy et al., 2019).”
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Of What Do We Testify? A Meditation on Becoming ‘Good’ and on the Nature of ‘Self’ in Self-Study
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“For example, drawing on two large national surveys administered each semester from 2007 to 2018, Duffy et al. (2019) concluded that mood and anxiety symptoms among undergraduates offer ‘evidence of a troubling rise in assessed mental health symptoms and behaviors in college students’ (p. 596).”
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“…research ﬁ ndings on mental health of emerging adults over the years from 2011-2018 demonstrates that mental health appears to be worsening, and elucidates a disturbing trend of increases in depression, anxiety, non-suicidal self-injury, suicidal ideation, and suicide attempts (Duffy et al., 2019).”
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“…and important, as a recent study in approximately 800,000 adolescents and young adults from 2007 to 2018 found that while rates of depression, anxiety, nonsuicidal self-injury (NSSI), suicidal ideation, and suicide attempts increased markedly, levels of flourishing declined (Duffy et al., 2019).”
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“Poorer mental health has been a growing concern for college students due to higher rates of anxiety and depression being reported in recent years (Duffy et al., 2019).”
Background
Exposure to 1-nitropyrene after weaning induces anxiety-like behavior partially by inhibiting steroid hormone synthesis in prefrontal cortex
Chen, X., Wang, B., Cai, W., Zhang, Y.-H., Li, S., Zhu, Y.-Y., Wang, T., Meng, X., Wang, H., & Xu, D. (2024) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2024.134911 · Cited by 8

Authors: Duffy, M. E., Twenge, J. M., & Joiner, T. E.
Affiliations: Florida State University (US)
San Diego State University (US)
Corresponding author: Duffy, Mary E.
ORCID: Duffy, Mary E.
Twenge, Jean M.
Joiner, Thomas E.
Venue: Journal of Adolescent Health
Publisher: Elsevier BV
Published: 2019-11
Volume: 65
Issue: 5
Pages: 590-598
ISSN: 1054-139X (ISSN-L)
DOI: 10.1016/j.jadohealth.2019.04.033
OpenAlex: W2953777207
Cited by: 579
References: 34
Citations by year: 2026: 58 · 2025: 87 · 2024: 98 · 2023: 104 · 2022: 108 · 2021: 87 · 2020: 34 · 2019: 3
FWCI: 67.81
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, 354 d)
Locations: Journal of Adolescent Health (acceptedVersion)
PubMed (publishedVersion)
Funders: National Science Foundation (NSF 1449440)
U.S. Department of Defense (W81XWH-16-2-0003)
National Institute of Mental Health
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
Keywords: college student mental health, mood disorders, depression, anxiety, non-suicidal self-injury, suicidal ideation, suicide attempts, suicide planning, anger, eudaimonia, temporal trends, National College Health Assessment, Healthy Minds Study
MeSH terms: Adolescent, Affect, Anger, Anxiety, Cross-Sectional Studies, Depression, Female, Health Surveys, Humans, Male, Students, Suicide, Attempted, United States, Universities, Self-Injurious Behavior, Young Adult, Suicidal Ideation, Datasets as Topic

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Trends in Mood and Anxiety Symptoms and Suicide-Related Outcomes Among U.S. Undergraduates, 2007–2018: Evidence From Two National Surveys

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