Evidence map›Paper›PMID 39115022›Full record

ArticleThe British journal of psychiatry : the journal of mental science2024

Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales.

Ann John, Olivier Y Rouquette, Sze Chim Lee, Jo Smith, Marcos Del Pozo Baños

Abstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Ann JohnPopulation Psychiatry Suicide and Informatics, Population Data Science, Swansea University Medical School, Swansea University, Swansea, UK.ORCID https://orcid.org/0000-0002-5657-6995
Olivier Y RouquettePopulation Psychiatry Suicide and Informatics, Population Data Science, Swansea University Medical School, Swansea University, Swansea, UK.ORCID https://orcid.org/0000-0001-8088-4800
Sze Chim LeePopulation Psychiatry Suicide and Informatics, Population Data Science, Swansea University Medical School, Swansea University, Swansea, UK.
Jo SmithSchool of Allied Health and Community, University of Worcester, Worcester, UK.
Marcos Del Pozo BañosPopulation Psychiatry Suicide and Informatics, Population Data Science, Swansea University Medical School, Swansea University, Swansea, UK.ORCID https://orcid.org/0000-0003-1502-389X

Funding

Medical Research Council MR/W014386Medical Research Council MR/W014386/1Wolfson Foundation 517483
6 · The paper itself

Abstract

backgroundConcern that self-harm and mental health conditions are increasing in university students may reflect widening access to higher education, existing population trends and/or stressors associated with this setting.

aimsTo compare population-level data on self-harm, neurodevelopmental and mental health conditions between university students and non-students with similar characteristics before and during enrolment.

methodThis cohort study linked electronic records from the Higher Education Statistics Agency for 2012-2018 to primary and secondary healthcare records. Students were undergraduates aged 18 to 24 years at university entry. Non-students were pseudo-randomly selected based on an equivalent age distribution. Logistic regressions were used to calculate odds ratios. Poisson regressions were used to calculate incidence rate ratios (IRR).

resultsThe study included 96 760 students and 151 795 non-students. Being male, self-harm and mental health conditions recorded before university entry, and higher deprivation levels, resulted in lower odds of becoming a student and higher odds of drop-out from university. IRRs for self-harm, depression, anxiety, autism spectrum disorder (ASD), drug use and schizophrenia were lower for students. IRRs for self-harm, depression, attention-deficit hyperactivity disorder, ASD, alcohol use and schizophrenia increased more in students than in non-students over time. Older students experienced greater risk of self-harm and mental health conditions, whereas younger students were more at risk of alcohol use than non-student counterparts.

conclusionsMental health conditions in students are common and diverse. While at university, students require person-centred stepped care, integrated with local third-sector and healthcare services to address specific conditions.

Indexed as

Self-Injurious BehaviorStudentsAdolescentAdultCohort StudiesFemaleHumansIncidenceInformation Storage and RetrievalMaleMental DisordersNeurodevelopmental DisordersUniversitiesWalesYoung Adultelectronic health recordsmental healthneurodevelopmental disordersself-harmUniversity students

Identifiers

PMID39115022
PMCPMC11536190

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.