University students’ use of mental health services: a systematic review and meta-analysis
Abstract Background International estimates suggest around a third of students arrives at university with symptoms indicative of a common mental disorder, many in late adolescence at a developmentally high-risk period for the emergence of mental disorder. Universities, as settings, represent an oppo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | International Journal of Mental Health Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13033-022-00569-0 |
| _version_ | 1797980233184313344 |
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| author | T. G. Osborn S. Li R. Saunders P. Fonagy |
| author_facet | T. G. Osborn S. Li R. Saunders P. Fonagy |
| author_sort | T. G. Osborn |
| collection | DOAJ |
| description | Abstract Background International estimates suggest around a third of students arrives at university with symptoms indicative of a common mental disorder, many in late adolescence at a developmentally high-risk period for the emergence of mental disorder. Universities, as settings, represent an opportunity to contribute to the improvement of population mental health. We sought to understand what is known about the management of student mental health, and asked: (1) What proportion of students use mental health services when experiencing psychological distress? (2) Does use by students differ across health service types? Methods A systematic review was conducted following PRISMA guidelines using a Context, Condition, Population framework (CoCoPop) with a protocol preregistered on Prospero (CRD42021238273). Electronic database searches in Medline, Embase, PsycINFO, ERIC and CINAHL Plus, key authors were contacted, citation searches were conducted, and the reference list of the WHO World Mental Health International College Student Initiative (WMH-ICS) was searched. Data extraction was performed using a pre-defined framework, and quality appraisal using the Joanna Briggs Institute tool. Data were synthesised narratively and meta-analyses at both the study and estimate level. Results 7789 records were identified through the search strategies, with a total of 44 studies meeting inclusion criteria. The majority of included studies from the USA (n = 36), with remaining studies from Bangladesh, Brazil, Canada, China, Ethiopia and Italy. Overall, studies contained 123 estimates of mental health service use associated with a heterogeneous range of services, taking highly variable numbers of students across a variety of settings. Discussion This is the first systematic quantitative survey of student mental health service use. The empirical literature to date is very limited in terms of a small number of international studies outside of the USA; studies of how services link together, and of student access. The significant variation we found in the proportions of students using services within and between studies across different settings and populations suggests the current services described in the literature are not meeting the needs of all students. |
| first_indexed | 2024-04-11T05:51:17Z |
| format | Article |
| id | doaj.art-92abcd024a7a42d8a3b38ea9861fbbfe |
| institution | Directory Open Access Journal |
| issn | 1752-4458 |
| language | English |
| last_indexed | 2024-04-11T05:51:17Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj.art-92abcd024a7a42d8a3b38ea9861fbbfe2022-12-22T04:42:03ZengBMCInternational Journal of Mental Health Systems1752-44582022-12-0116113410.1186/s13033-022-00569-0University students’ use of mental health services: a systematic review and meta-analysisT. G. Osborn0S. Li1R. Saunders2P. Fonagy3Division of Psychology and Language Sciences, Faculty of Brain Sciences, UCLDivision of Psychology and Language Sciences, Faculty of Brain Sciences, UCLDivision of Psychology and Language Sciences, Faculty of Brain Sciences, UCLDivision of Psychology and Language Sciences, Faculty of Brain Sciences, UCLAbstract Background International estimates suggest around a third of students arrives at university with symptoms indicative of a common mental disorder, many in late adolescence at a developmentally high-risk period for the emergence of mental disorder. Universities, as settings, represent an opportunity to contribute to the improvement of population mental health. We sought to understand what is known about the management of student mental health, and asked: (1) What proportion of students use mental health services when experiencing psychological distress? (2) Does use by students differ across health service types? Methods A systematic review was conducted following PRISMA guidelines using a Context, Condition, Population framework (CoCoPop) with a protocol preregistered on Prospero (CRD42021238273). Electronic database searches in Medline, Embase, PsycINFO, ERIC and CINAHL Plus, key authors were contacted, citation searches were conducted, and the reference list of the WHO World Mental Health International College Student Initiative (WMH-ICS) was searched. Data extraction was performed using a pre-defined framework, and quality appraisal using the Joanna Briggs Institute tool. Data were synthesised narratively and meta-analyses at both the study and estimate level. Results 7789 records were identified through the search strategies, with a total of 44 studies meeting inclusion criteria. The majority of included studies from the USA (n = 36), with remaining studies from Bangladesh, Brazil, Canada, China, Ethiopia and Italy. Overall, studies contained 123 estimates of mental health service use associated with a heterogeneous range of services, taking highly variable numbers of students across a variety of settings. Discussion This is the first systematic quantitative survey of student mental health service use. The empirical literature to date is very limited in terms of a small number of international studies outside of the USA; studies of how services link together, and of student access. The significant variation we found in the proportions of students using services within and between studies across different settings and populations suggests the current services described in the literature are not meeting the needs of all students.https://doi.org/10.1186/s13033-022-00569-0University studentsHealthcareUtilisationAccessibilityMental health servicesSystematic review |
| spellingShingle | T. G. Osborn S. Li R. Saunders P. Fonagy University students’ use of mental health services: a systematic review and meta-analysis International Journal of Mental Health Systems University students Healthcare Utilisation Accessibility Mental health services Systematic review |
| title | University students’ use of mental health services: a systematic review and meta-analysis |
| title_full | University students’ use of mental health services: a systematic review and meta-analysis |
| title_fullStr | University students’ use of mental health services: a systematic review and meta-analysis |
| title_full_unstemmed | University students’ use of mental health services: a systematic review and meta-analysis |
| title_short | University students’ use of mental health services: a systematic review and meta-analysis |
| title_sort | university students use of mental health services a systematic review and meta analysis |
| topic | University students Healthcare Utilisation Accessibility Mental health services Systematic review |
| url | https://doi.org/10.1186/s13033-022-00569-0 |
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