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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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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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“Layered atop these well-known developmental trajectories, a series of new findings indicate that rates of these adolescent-emergent mental health problems (depressive and anxiety disorders, NSSI, and suicidal thoughts and behaviors) have been increasing worldwide -- especially over the past decade, and most notably amongst girls.(2,20–23)”
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“Women appear to have a greater tendency toward emotional disorders, which could incur more suicide-related outcomes across the life course [ 83 ].”
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Metadata
- 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.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 65
- Issue
- 5
- Pages
- 590-598
- ISSN
- 1054-139X (ISSN-L)
- 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
- 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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