Evidence map›Paper›PMID 30188598›Full record

ArticleDepression and anxiety2019

The prevalence and predictors of mental health diagnoses and suicide among U.S. college students: Implications for addressing disparities in service use.

Cindy H Liu, Courtney Stevens, Sylvia H M Wong, Miwa Yasui, Justin A Chen

Open access · bronzeAbstract read
In one paragraph

Article in Depression and anxiety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 197 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
197citing papers in PubMed, 8 pooled it
62.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

197 citing papers in PubMed, 8 syntheses or guidelines pooled it, 587 citations in OpenAlex.

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  6. Prevalence of Anxiety in Dental Students during the COVID-19 Outbreak: A Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
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  9. Trial
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  12. Universal Suicide Screening in the Hospital Setting: Risk and Implications.The journal of behavioral health services & research · 2026
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  16. Suicidality, Psychological Inflexibility, and Emotional Resilience Among Black College Students.International journal of environmental research and public health · 2026
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137 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Cindy H LiuDepartments of Pediatric Newborn Medicine and Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-6985-5961
Courtney StevensDepartment of Psychology, Willamette University, Salem, Oregon.ORCID 0000-0001-8780-4041
Sylvia H M WongDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Miwa YasuiSchool of Social Service Administration, University of Chicago, Chicago, Illinois.ORCID 0000-0003-3162-2569
Justin A ChenDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-1504-0094
Beth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USHarvard University · USUniversity of Chicago · USWillamette University · US

Funding

Maternal Psychosis and Stress as Risks for Offspring Behavioral ImpairmentK23MH107714 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI LIU, CINDY H · 2016 to 2020
$765k
NIH HHS K23 MH 107714-01 A1NIMH NIH HHS K23 MH107714
6 · The paper itself

Abstract

backgroundThe college years represent a period of increased vulnerability for a wide range of mental health (MH) challenges. The onset of common psychiatric conditions occurs during this period of development. Increases in depression, anxiety, and suicidality among U.S. college students have been observed. This study identified prevalence and correlates of MH diagnoses and suicidality in a recent sample of U.S. college students.

methodsThe Spring 2015 American College Health Association-National College Health Assessment (ACHA-NCHA) survey assessed MH diagnoses and suicidality from U.S. undergraduate students (n = 67,308) across 108 institutions.

resultsStress was strongly associated with a greater likelihood of suicide attempts and MH diagnoses, even among students reporting 1-2 stressful events (OR [odds ratio] range 1.6-2.6, CI [confidence interval] = 1.2-3.2). Bisexual students were more likely to report MH diagnoses and suicidality, compared to heterosexual and gay/lesbian students (OR range 1.5-3.9, CI = 1.8-4.3), with over half engaging in suicidal ideation and self-harm, and over a quarter reporting suicide attempts. Transgender students reported a higher rate of MH diagnoses and suicidality relative to females (OR range 1.9-2.4, CI = 1.1-3.4). Racial/ethnic minority students were generally less likely to report MH diagnoses relative to Whites, although the likelihood for suicidality was mixed.

conclusionsThe high rate of multiple stress exposures among the U.S. college population and the high impacts of stress on MH and suicidality point to an urgent need for service utilization strategies, especially among racial/ethnic, sexual, or gender minorities. Campuses must consider student experiences to mitigate stress during this developmental period.

Indexed as

Healthcare DisparitiesSuicidal IdeationAdolescentAdultAnxietyDepressionEthnicityFemaleHealth SurveysHumansMaleMental DisordersMental HealthMinority GroupsOdds RatioPrevalenceattempted suicidemental healthminority groupssexual and gender minoritiessuicidal ideationuniversities

Identifiers

PMID30188598
PMCPMC6628691
OpenAlexW2891801059

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.