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Increased Rates of Mental Health Service Utilization by U.S. College Students: 10-Year Population-Level Trends (2007–2017)
Open accessAbstract
OBJECTIVE: This study aimed to document population-level trends in mental health service utilization by college students. METHODS: The study drew on 10 years of data from the Healthy Minds Study, an annual Web-based survey, with a sample comprising 155,026 students from 196 campuses. Analyses focused on past-year mental health treatment and lifetime diagnoses of a mental health condition. Changes in symptoms of depression and suicidal ideation and levels of stigma were hypothesized as potential explanatory factors. RESULTS: Rates of treatment and diagnosis increased significantly. The rate of treatment increased from 19% in 2007 to 34% by 2017, while the percentage of students with lifetime diagnoses increased from 22% to 36%. The prevalence of depression and suicidality also increased, while stigma decreased. CONCLUSIONS: This study provides the most comprehensive evidence to date regarding upward trends in mental health service utilization on U.S. campuses over the past 10 years. Increasing prevalence of mental health problems and decreasing stigma help to explain this trend.
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“Increased numbers of adults, particularly university students, are experiencing symptoms of stress, anxiety, and depression [1,2], which are exacerbated by the recent restrictions introduced because of the COVID-19 pandemic [3,4].”
From Engagement and effectiveness of a healthy-coping intervention via chatbot for university students during the COVID-19 pandemic: Mixed methods proof-of-concept study (2021) · cites this paper as [2]
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“According to data from the Healthy Minds Study, in 2007 about 6.6% of students received treatment at a college counseling center. In 2017, this number jumped to 11.8%.12”
From Aligning students and counseling centers on student mental health needs and treatment resources. (2022) · cites this paper as [12]
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“With the increasing number of students utilizing college counseling centers and needing services,12 it is imperative that researchers and clinicians identify strategies that will improve services and reach the large number of students in need.”
From Aligning students and counseling centers on student mental health needs and treatment resources. (2022) · cites this paper as [12]
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“When assessing the effects of perfectionism intervention research, it is pivotal to remember that students are using more and more services available on campus (Lipson et al ., 2019).”
From The impact of internet-based cognitive behavior therapy for perfectionism: a reinterpretation through the lens of the Model of Excellencism and Perfectionism (2024) · cites this paper as Lipson et al., 2019
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Metadata
- Authors
- Lipson, S. K., Lattie, E. G., & Eisenberg, D.
- Affiliations
- Boston University (US)
- Venue
- Psychiatric Services
- Published
- 2019-01-01
- Volume
- 70
- Issue
- 1
- Pages
- 60-63
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- PMC
- PMC6408297
- OpenAlex
- W2899520395
- Cited by
- 947
- References
- 11
- Citations by year
- 2026: 129 · 2025: 143 · 2024: 146 · 2023: 162 · 2022: 152 · 2021: 131 · 2020: 64 · 2019: 20
- FWCI
- 72.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K08MH112878)
- 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 › Suicide and Self-Harm Studies
- Keywords
- mental health service utilization, university students, psychotherapy, depression prevalence, suicidal ideation, mental health stigma, Healthy Minds Study, university mental health services
- MeSH terms
- Adolescent, Mental Disorders, Female, Humans, Male, Mental Health, Mental Health Services, Surveys and Questionnaires, Students, United States, Universities, Prevalence, Logistic Models, Young Adult, Social Stigma, Suicidal Ideation
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