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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“The article’s concern echoes a recent study by Duffy et al. (2019) that highlighted how the ‘rates of depression, anxiety, . . . and suicide attempts [amongst university students] markedly increased [from 2007 to 2018], with rates doubling over the period in many cases’ (p. 590).”
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Background

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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