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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Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765
New well-being measures: Short scales to assess flourishing and positive and negative feelings
Diener, E., Wirtz, D., Tov, W., Kim-Prieto, C., Choi, D.-W., Oishi, S., & Biswas-Diener, R. (2010) · Social Indicators Research · doi:10.1007/s11205-009-9493-y · Cited by 4,980
The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review
Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2010) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2010.03.006 · Cited by 4,057
Age of onset of mental disorders: a review of recent literature
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & ??st??n, T. B. (2007) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32816ebc8c · Cited by 3,457
Suicide and suicidal behavior
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008) · Epidemiologic Reviews · doi:10.1093/epirev/mxn002 · Cited by 2,897
WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders.
Auerbach, R. P., Collaborators, W. W.-I., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., et al. (2018) · Journal of Abnormal Psychology · doi:10.1037/abn0000362 · Cited by 2,522
The prevalence and correlates of depression, anxiety, and stress in a sample of college students
Beiter, R., Nash, R., McCrady, M., Rhoades, D., Linscomb, M., Clarahan, M., & Sammut, S. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.10.054 · Cited by 2,030
Increases in Depressive Symptoms, Suicide-Related Outcomes, and Suicide Rates Among U.S. Adolescents After 2010 and Links to Increased New Media Screen Time
Twenge, J. M., Joiner, T. E., Rogers, M. L., & Martin, G. N. (2018) · Clinical Psychological Science · doi:10.1177/2167702617723376 · Cited by 1,705
Self-citation
Mental disorders among college students in the World Health Organization World Mental Health Surveys
Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., et al. (2016) · Psychological Medicine · doi:10.1017/s0033291716001665 · Cited by 1,587

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Huff, A. E., Grigorova, B., McDermott, R. C., Graves, R., & Williams, S. G. (2025) · Journal of Advanced Nursing · doi:10.1111/jan.70363 · Cited by 3
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Yang, Y., Cao, Q., Zhao, M., & Zhuang, Q. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.985866 · Cited by 2
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Background
The Effect of Suggestopedia Method on Young Learners’ English Vocabulary Achievement at Destawan Hindu Orphanage
Kusuma, D. A. D. (2022) · Jurnal Pendidikan Multikultural Indonesia · doi:10.23887/jpmu.v5i1.50623 · Cited by 1
The Epidemiology of Nonsuicidal Self-Injury and Self-Harm in Nonclinical Samples
Staring, L., Kiekens, G., & Kirtley, O. J. (2023) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197611272.013.7 · Cited by 1
Health and Well-Being at the Transition to Adulthood Among Individuals With Disabilities: An Analysis of the Panel Study of Income Dynamics
Hotez, E., Pan, M., JACKSON, N. J., Rava, J. A., Wisk, L. E., Lei, Y. Y., Schickedanz, A. B., & Kuo, A. A. (2024) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2023.12.011 · Cited by 1
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Bhaumik, R., & Stange, J. P. (2023) · PubMed · doi:10.25417/uic.24699042 · Cited by 1
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Wilson, S., Huth, A., Lamer, S., Hammer, J. H., & Whitwer, M. D. (2024) · ASEE Annual Conference & Exposition · doi:10.18260/1-2--47692 · Cited by 1
“For instance, two studies examined rates of suicidal ideation between 2007 and 2017, with one reporting an increase from 6.4% to 15.2% of students [1], while the other reported an increase from 5.8% to 10.8% [2].”
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Gfellner, B. M., Iñesta, A. I. C., & Cordero-Hermida, M. F. (2024) · Academia Mental Health and Well-Being · doi:10.20935/mhealthwellb7328 · Cited by 3

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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