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Mental health care for university students: a way forward?
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“however, research has identified that integrated models of university-based mental health care that can meet a spectrum of student wellbeing and mental health support needs across prevention, early intervention, and treatment, rather than stand-alone interventions, are needed.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [345]
Citations
Cites
Our future: a Lancet commission on adolescent health and wellbeing
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
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-citationMental 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
McGorry, P. D., Purcell, R., Goldstone, S., & Amminger, G. P. (2011) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283477a09 · Cited by 490
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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Items 201–261 of 261
State of Mental Health of Students in Universities
Ochanda, D. A. (2023) · Advances in higher education and professional development book series · doi:10.4018/979-8-3693-2833-0.ch002
Mental Health Assessment of Medical Students in Tanta University: A Cross Sectional Study
Neanay, A. M. E., Haiba, A. A., Hasby, E. A., Eissa, M. A.-R., & Elsawy, H. E. F. (2023) · International Neuropsychiatric Disease Journal · doi:10.9734/indj/2023/v20i4413
Fuzinelli, J. P. D., & Cardoso, H. F. (2023) · Psico · doi:10.15448/1980-8623.2023.2.41563
Hamidizadeh, S., Parviniannasab, A. M., & Bagheryan, M. (2023) · Neuropsychiatria i Neuropsychologia · doi:10.5114/nan.2023.134153
“University students are entering an important phase of life characterized by their individual character, separation from the family and establishment of new social relationships, as well as increased independence and responsibility (Duffy et al .”
BackgroundA Battle in the Shadows: The Transformative Power of Empathy and a Student’s Journey of Rediscovery
Rajhans, P. (2024) · Indian Journal of Social Psychiatry · doi:10.4103/ijsp.ijsp_335_23
Building a New Sense of Belonging
Morris, J. (2024) · Cambridge University Press eBooks · doi:10.1017/9781911623847.003
NOSKOVA, M., SVISTELNYK, I., KOVTUN, I., ZHYGLO, O., & Веньгрін, М. (2024) · AD ALTA Journal of Interdisciplinary Research · doi:10.33543/j.140141.157162 · Cited by 1
“Universities often provide a range of services and resources for mental health, but these are frequently dispersed and infrequently arranged in line with a comprehensive, evidence-based, tiered care framework that takes into account all aspects of students' mental health needs [5].”
Determining the Level of Depression Stigma of University Students: A Descriptive Study
Atay, E., Olgun, N., & Boztepe, Z. (2024) · Doğu Karadeniz Sağlık Bilimleri Dergisi · doi:10.59312/ebshealth.1462815
Skinner, G., Teychenne, M. J., & Murphy, J. (2024) · Cogent Mental Health · doi:10.1080/28324765.2024.2380500
“The period of young adulthood, especially through university, is a transitionary period often met with stressors related to social situations, loneliness, academic and financial pressures (Duffy et al., 2019).”
Factors Influencing Student Well-Being Within Institutions of Higher Education
Mishra, R., Sharma, D., & Venugopal, S. (2024) · Advances in higher education and professional development book series · doi:10.4018/979-8-3693-8860-0.ch002
Validating an Internalizing Psychopathology Screener for Use with College Students
Renshaw, T. L., Anderson, J. R., Reinbergs, E. J., Farley, C. D., King, B. L., & Taylor, A. (2024) · Measurement and Evaluation in Counseling and Development · doi:10.1080/07481756.2024.2422123
“However, colleges may support students identified as at-risk for mental health concerns with less intensive services and more preventative approaches that bridge to internal or community-based care (Duffy et al., 2019).”
Funeka, L. P., & Govender, N. (2024) · Springer eBooks · doi:10.1007/978-3-031-70656-1_10
Personal extenuating circumstances processes in higher education: are they helping or hindering?
Clair‐Thompson, H. S. (2024) · Studies in Higher Education · doi:10.1080/03075079.2024.2434871
“This is important because there is clear evidence that health concerns impact academic outcomes for students (e.g. Duffy et al. 2019), and student attrition also incurs costs for higher education institutions.”
Brooke‐Sumner, C., Mahlangu, P., Dunkle, K., Mabena, N., Jewkes, R. K., Dartnall, E., Pillay, M., Duma, S. E., Khuzwayo, N., Sikweyiya, Y. M., et al. (2025) · Research Square · doi:10.21203/rs.3.rs-6353288/v1
Health-promoting lifestyle and social support in nursing students
Contreras, E. C., Mendoza, J. S., Ocampo, M. Á. L., Hernández, C. B. E., Santiago, M. D. L. Á. O., Hernández, M. E. C., Posadas, J. R. L., González-Ângulo, P., Landa, D. L. R., Onorio, M. Á. C., et al. (2025) · Salud Ciencia y Tecnología · doi:10.56294/saludcyt20251484
Mera, S., Zimmer‐Gembeck, M. J., & Conlon, E. G. (2025) · Journal of Adolescence · doi:10.1002/jad.12524
“Students often lack the considerable coping resources that might be needed and are at high ‐ risk for maladaptive coping, such as avoiding academic tasks or withdrawing from social life (Acharya et al. 2018; Duffy et al. 2019).”
Mental illness as consumer vulnerability: ambivalent attachment to the college campus
Drake, C., Mourali, M., & Pender, K. J. (2025) · Journal of Marketing Management · doi:10.1080/0267257x.2025.2547379 · Cited by 1
“Thus, resources to address students’ mental illness can have a positive effect on student enrolment and retention (Duffy et al., 2019).”
Winter, B. L., Janousch, C., Wehrli, F. S. V., Fehr, J. S., Hampel, B., & Quednow, B. B. (2025) · BMJ Public Health · doi:10.1136/bmjph-2025-002569
Ito, S., Ang, C., Kampman, O. P., Rokde, K., Buddhika, T., Heaukulani, C., Tan, Z.-W., Dewanti, F. A., Au, E. W. M., Huan, V. S. L., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-103652 · Cited by 1
“This knowledge could help identify wellness indicators among university students, allowing university mental healthcare services and providers to better detect students who are at risk and connect them with relevant resources for effective intervention.”
Fourianalistyawati, E., Akmal, S. Z., Lubis, F. H. D. S., Navyliawati, J. R., Shofiyah, S., & Kamila, S. (2025) · KnE Social Sciences · doi:10.18502/kss.v10i24.19820
Lane, J., St-Onge, J., Auger, A.-M., Collard, B., Girard, A., Carrier, J., Lauzier‐Jobin, F., Légaré, A.-A., Poitras, M.-È., Fortier, M.-È., et al. (2025) · Santé mentale au Québec · doi:10.7202/1121414ar
Crowd-Powered Discovery of Mental Health Self-Care Techniques in Higher Education
Alorwu, A., van Berkel, N., Moilanen, J., Sharmila, P., Meftahi, N., Yatani, K., Visuri, A., & Hosio, S. J. (2025) · ACM Transactions on Computer-Human Interaction · doi:10.1145/3778348
“This is exemplified with comments such as “ I learnt about microdosing, which seems like it could help out on mental health, but it would need to be regulated very carefully ”—Male, 24.”
Nagib, N., Horita, R., Fukao, T., Imamura, N., Tajirika, S., Adachi, M., Kawamoto, M., & Yamamoto, M. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.106037 · Cited by 1
Negash, A., Khan, M. A., Medhin, G., Wondimagegn, D., Pain, C., & Araya, M. (2021) · Figshare · doi:10.6084/m9.figshare.14498818
Negash, A., Khan, M. A., Medhin, G., Wondimagegn, D., Pain, C., & Araya, M. (2021) · Figshare · doi:10.6084/m9.figshare.14498821
Linden, B., Boyes, R., & Stuart, H. (2021) · Figshare · doi:10.6084/m9.figshare.14314045
Milić, J., Skitarelić, N., Majstorović, D., Zoranić, S., Čivljak, M., Ivanišević, K., Marendić, M., Mesarić, J., Puharić, Z., Neuberg, M., et al. (2024) · Figshare · doi:10.6084/m9.figshare.24995552
Bantjes, J. R., Kessler, M. J., Hunt, X., Stein, D. J., & Kessler, R. C. (2024) · Figshare · doi:10.6084/m9.figshare.26637852
Milić, J., Skitarelić, N., Majstorović, D., Zoranić, S., Čivljak, M., Ivanišević, K., Marendić, M., Mesarić, J., Puharić, Z., Neuberg, M., et al. (2024) · Figshare · doi:10.6084/m9.figshare.24995579
Milić, J., Skitarelić, N., Majstorović, D., Zoranić, S., Čivljak, M., Ivanišević, K., Marendić, M., Mesarić, J., Puharić, Z., Neuberg, M., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26667343
Linden, B., Boyes, R., & Stuart, H. (2021) · Figshare · doi:10.6084/m9.figshare.14314051
Yeravdekar, R., Singh, A., Chandak, A., & Anchala, R. (2025) · Health Education · doi:10.1108/he-07-2024-0088
Physical activity enhances university students’ subjective well-being: A moderated mediation model
Wang, Y., Zou, R., Si, W., Kang, W., Mengting, Y. I. N. G., & Hong, X. (2026) · Journal of Health Psychology · doi:10.1177/13591053251396479 · Cited by 1
“Coupled with escalating academic and employment pressures, university students are confronted with increasingly severe mental health problems (Duffy et al., 2019).”
Impact of a Leadership Program on University Students: Do Learning Modes Matter?
Li, X., Shek, E. Y. W., Shek, D. T. L., & Chen, Z. (2026) · Research on Social Work Practice · doi:10.1177/10497315261417971
Aziz, K. A., Javaid, S. F., Stip, É., Mugaddam, F. A., AlDobaee, M., AlShehhi, S. J., Alsuwaidi, S., Alyammahi, M., Kayyani, S., & Omer, S. (2026) · BJPsych International · doi:10.1192/bji.2026.10096
Mera, S., Zimmer‐Gembeck, M. J., & Conlon, E. G. (2026) · Mindfulness · doi:10.1007/s12671-025-02751-0 · Cited by 1
Akan, A., & Korkut, N. H. (2026) · Translational Behavioral Medicine · doi:10.1093/tbm/ibag010 · Cited by 1
Ovchinnikova, Y. E., & Solovova, N. A. (2026) · Journal of Modern Foreign Psychology · doi:10.17759/jmfp.2026150105
Espinoza-Gutiérrez, R., Calleja-Núñez, J. J., Corona, J. A. A., Granero‐Gallegos, A., & Baños, R. (2026) · doi:10.61728/ae20256609
Roy, A., Rani, S., & Viswanathan, P. (2026) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-026-00530-1
Mansur‐Alves, M., Franco, V. R., Menezes, M. B. D. S., & Carvalho, L. D. F. (2026) · Personality and Individual Differences · doi:10.1016/j.paid.2026.113853
Kamel, N. F., Alshowkan, A., Hitham, A., Abdulghani, S. R., AlDhafeeri, F. L., & Alanazi, B. M. M. (2026) · BMC Psychology · doi:10.1186/s40359-026-04524-3
“Lazarus and Folkman's [33] transactional model posits that psychological stress is not merely a response to an external event but results from an individual's cognitive appraisal of that event and their perceived ability to cope with it [20].”
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Duffy, A. C., Borschmann, R., O’Brien, A. A., Robinson, L. J., Sawyer, S. M., Selby, E. A., Watkins, E. R., & Kaufman, K. R. (2026) · BJPsych Open · doi:10.1192/bjo.2026.12024
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Metadata
- 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)
- Venue
- The Lancet Psychiatry
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 6
- Issue
- 11
- Pages
- 885-887
- ISSN
- 2215-0366 (ISSN-L)
- 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
- 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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