ArticleGeneral psychiatry2025
National trends of mental health and service utilisation among international students in the USA, 2015-2024.
Article in General psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Factors underpinning international student mental well-being: a UK and China survey.BMJ mental health · 2026Article
- The extra burden: differential somatization-moderated mediation models of anxiety, depression, and insomnia on quality of life through abnormal illness behavior in Chinese college students.BMC psychology · 2026Article
- Mental health within ESG frameworks: a narrative and descriptive cross-national analysis.Frontiers in public health · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges. Little is known about national trends in anxiety, depression, suicidal ideation and mental health service utilisation in this population. Aims: This study examined national trends in the prevalence of clinically significant anxiety, depression, suicidal ideation and service utilisation among international students in US higher education from 2015 to 2024. Methods: This repeated cross-sectional study analysed annual data from the Healthy Minds Study, a national survey of collegiate mental health, including 44 560 international students. Weighted prevalence estimates were calculated, and multivariable logistic regression models were used to examine temporal trends, controlling for demographic characteristics. Results: The weighted annual prevalence of anxiety increased by 78.25% (from 20.46% in 2015-2016 to 36.47% in 2023-2024), depression increased by 73.04% (from 20.44% to 35.37%), suicidal ideation increased by 92.52% (from 5.35% to 10.30%) and service utilisation increased by 45.82% (from 5.26% to 7.67%). In logistic models controlling for demographic characteristics, the increasing trends in anxiety (adjusted odds ratio (aOR) 2.21; 95% CI 2.07 to 2.36; p<0.001), depression (aOR 1.93; 95% CI 1.80 to 2.06; p<0.001), suicidal ideation (aOR 1.57; 95% CI 1.41 to 1.74; p<0.001) and service utilisation (aOR 2.01; 95% CI 1.79 to 2.26; p<0.001) remained statistically significant over time. Conclusions: The prevalence of anxiety, depression and suicidal ideation nearly doubled among international students from 2015 to 2024, while counselling service utilisation increased at a slower rate, indicating persistent gaps in mental healthcare. These findings suggest the need for proactive interventions, culturally competent services and expanded outreach efforts to bridge the mental health service gap for international students.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.