Cited by 261Mental Health Treatment and AccessStudent Stress and CopingPsychiatric care and mental health services

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Mental health care for university students: a way forward?

Duffy, Anne, Saunders, Kate E A, Malhi, Gin S, Patten, Scott, Cipriani, Andrea, McNevin, Stephen H, MacDonald, Ellie, Geddes, John·2019·The Lancet Psychiatry

DOI 10.1016/s2215-0366(19)30275-5

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Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00579-1 · Cited by 3,785
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
Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016) · JAMA · doi:10.1001/jama.2016.17324 · Cited by 2,479
Self-harm and suicide in adolescents
Hawton, K., Saunders, K. E., & O'Connor, R. C. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60322-5 · Cited by 2,306
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
Age of Onset and Timing of Treatment for Mental and Substance Use Disorders: Implications for Preventive Intervention Strategies and Models of Care
McGorry, P. D., Purcell, R., Goldstone, S., & Amminger, G. P. (2011) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283477a09 · Cited by 490
The Transitional Age Brain
Chung, W. W., & Hudziak, J. J. (2017) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2016.12.017 · Cited by 77

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“66,67 Our findings also indicate that many campus survivor advocacy programs are funded by Office on Violence Against Women (OVW) Campus Grants or Victims of Crime Assistance (VOCA) funding, which makes these programs precarious.”
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“…this learning-by-failure at a stressful time was a mental challenge, and with increasing numbers of mental health problems among HE students (Duffy et al., 2019), the introduction of an exercise that trends towards learning-by-failure should be mitigated with a supportive and holistic…”
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“Considering the elevated risk of mental disorders in the university population and the low level of help-seeking, there is growing demand for effective and early interventions that prevent the onset of different disorders (Dagani et al., 2019; Duffy et al., 2019).”
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“6,35 Integrated systems for student mental health could include triage and access to well-being support for transient conditions and situational difficulties such as isolation and loneliness.”
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“…(American Psychiatric Association, 2014) and International Classification of Diseases - 11th revision ( Studies also show an increase in the number of CMDs in university students (Duffy et al., 2019; Fórum Nacional de Pró-Reitores de Assuntos Comunitários e Estudantis, 2018; Patton et al., 2016).”
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“…of this issue into sharper relief (Amerio et al., 2022; Conrad et al., 2021; Gonzales et al., 2020; Kim et al., 2021; Penner et al., 2021; Prowse et al., 2021; Zolopa et al., 2022; see, e.g., Duffy et al., 2019; Meda et al., 2021; Sani et al., 2020; see also other contributions to this issue).”
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“For some, this results in homesickness (Thurber & Walton, 2012) and psychological distress, with global estimates of one in four to one in five university students experiencing depression, anxiety, and high levels of stress (Beiter et al., 2015; Duffy et al., 2019).”
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“4 Alternatively, a centralized system that triages students at an initial consultation could alleviate confusion and make seeking help feel less overwhelming when there are too many options available.”
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“[1] Researchers have found that the incidence of MH problems among college students (CS), the severity of symptoms, their use of college counseling services, and treatment time are all on the rise.”
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“Consequently, requests for support from mental health services have steadily increased (Duffy et al., 2019), particularly in university counseling centers (Pizzo et al., 2024; Prince, 2015; Xiao et al., 2017), where the nature and severity of mental health needs presented by students have evolved…”
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“” (Female, 32, Anonymous study).”
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“Consequently, integrating complementary strategies alongside CBT is essential to enhance treatment efficacy (9).”
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“Duffy et al. [25] describe not only negative feedback loops (from loneliness and other risk factors towards depression) but also positive loops that emphasise how adaptive coping skills, hope, support, and sense of belonging may lead to ﬂ ourishing.”
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“Addressing these multifaceted challenges requires a concerted effort to enhance mental health literacy, integrate services into primary care, and reduce stigma through community engagement and education (Lahariya et al., 2010; Duffy et al., 2019).”
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“Furthermore, given the high demand for mental health services typically observed in university settings [53,54] and the limited availability of MBI research in KSA, universities in KSA should consider initiating pilot programs to explore the feasibility, acceptability, and preliminary efficacy of…”
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Authors: Duffy, A., Saunders, K. E. A., Malhi, G. S., Patten, S., Cipriani, A., McNevin, S. H., MacDonald, E., & Geddes, J.
Affiliations: Queen's University (CA)
National Health Service (GB)
The University of Sydney (AU)
University of Calgary (CA)
University of Oxford (GB)
ORCID: Duffy, Anne
Saunders, Kate E A
Malhi, Gin S
Patten, Scott
Cipriani, Andrea
Geddes, John
Venue: The Lancet Psychiatry
Publisher: Elsevier BV
Published: 2019-11
Volume: 6
Issue: 11
Pages: 885-887
ISSN: 2215-0366 (ISSN-L)
DOI: 10.1016/s2215-0366(19)30275-5
OpenAlex: W2958666142
Cited by: 261
References: 7
Citations by year: 2026: 40 · 2025: 46 · 2024: 45 · 2023: 40 · 2022: 39 · 2021: 28 · 2020: 19 · 2019: 3
FWCI: 27.96
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Lancet Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute for Health Research (RP-2017-08-ST2-006)
NIHR (grant BRC-1215-20005)
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 › Psychiatric care and mental health services
Keywords: mental health services, university students, transition to college, student mental health services, treatment delay, psychosocial stressors, self-harm, suicide prevention, integrated care model, prevention and early intervention, medical students, mental health professionals, mental health literacy, mental health law, mental health funding
MeSH terms: Mental Disorders, Humans, Mental Health Services, Students, Universities

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