Evidence map›Paper›PMID 32479307›Full record

ArticleJournal of affective disorders2020

Sociodemographic differences in barriers to mental health care among college students at elevated suicide risk.

Adam G Horwitz, Taylor McGuire, Danielle R Busby, Daniel Eisenberg, Kai Zheng, Jacqueline Pistorello, Ronald Albucher, William Coryell, Cheryl A King

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

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  16. Psychotherapy utilization by United States college students.Journal of American college health : J of ACH · 2025
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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

9 authors at 5 institutions in 1 country.

Adam G HorwitzDepartment of Psychiatry, University of Michigan, 4250 Plymouth Rd., Ann Arbor, MI 48109, United States. Electronic address: ahor@umich.edu.
Taylor McGuireDepartment of Psychiatry, University of Michigan, 4250 Plymouth Rd., Ann Arbor, MI 48109, United States.
Danielle R BusbyDepartment of Psychiatry, University of Michigan, 4250 Plymouth Rd., Ann Arbor, MI 48109, United States.
Daniel EisenbergSchool of Public Health, Institute for Social Research, University of Michigan, United States.
Kai ZhengSchool of Information and Computer Sciences, University of California, Irvine, United States.
Jacqueline PistorelloCounseling Services, University of Nevada, Reno, United States.
Ronald AlbucherCounseling and Psychological Services, Stanford University, United States.
William CoryellDepartment of Psychiatry, University of Iowa, United States.
Cheryl A KingDepartment of Psychiatry, University of Michigan, 4250 Plymouth Rd., Ann Arbor, MI 48109, United States.
University of Michigan–Ann Arbor · USStanford University · USUniversity of California, Irvine · USUniversity of Iowa · USUniversity of Nevada, Reno · US

Funding

Electronic Bridge to Mental Health (eBridge) for College StudentsR01MH103244 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, CHERYL A. · 2014 to 2018
$3.5M
NIMH NIH HHS R01 MH103244
6 · The paper itself

Abstract

backgroundCollege student mental health (MH) problems and suicide risk have steadily increased over the past decade and a significant number of students with MH problems do not seek treatment. While some barriers to mental health care service utilization (MHSU) have been identified, very little is known regarding how these barriers differ among sociodemographic subgroups of students.

methodParticipants were 3,358 college students from four US universities who screened positive for elevated suicide risk (defined as 2 or more of: depression, alcohol misuse, suicidal ideation, suicide attempt) and were not actively receiving MH services. Reported barriers to MHSU were categorized into: Low perceived need, privacy/stigma concerns, questioning helpfulness of treatment, logistics, time constraints, finances, and cultural issues.

resultsAdjusted odds ratios indicated that finances were a greater barrier for women, sexual and gender minority students, and Black and Hispanic students. Privacy/stigma concerns were more prominent for men and young undergraduate students. White students and older undergraduate and graduate students were more likely to report a lack of time, and cultural sensitivity issues were significant barriers for sexual and gender minority, and racial/ethnic minority, students. LIMITATIONS: Participating sites were not nationally representative. The barriers assessment did not examine the degree to which a specific barrier contributed to lack of MHSU relative to others.

conclusionsIn light of the significant variation in barriers based on age, gender identity, race/ethnicity, and sexual orientation, efforts to increase MHSU should be tailored to meet the unique needs of specific sociodemographic student subgroups.

Indexed as

EthnicityMental HealthFemaleGender IdentityHumansMaleMinority GroupsStudentsUniversitiesBarriers to careCollege studentsService utilizationSociodemographic differences

Identifiers

PMID32479307
PMCPMC7266827
OpenAlexW3017208978

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.