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Current Psychopharmacology

Editor-in-Chief

ISSN (Print): 2211-5560
ISSN (Online): 2211-5579

Review Article

Addressing Depression and Suicidality in the College Population

Author(s): Amy W. Alexander*, Marcia Morris and Mehak Chopra

Volume 10, Issue 1, 2021

Published on: 10 December, 2020

Page: [62 - 72] Pages: 11

DOI: 10.2174/2211556009999201210121049

Price: $65

Open Access Journals Promotions 2
Abstract

Background: The need for mental health care among college students has grown exponentially over the last decades; not only is the number of students needing care greater, but there is a higher acuity as well. 19.9 million students are estimated to attend college in fall 2019. Relatively few consensus guidelines exist on college mental health treatment and services.

Objective: The aim of this study is to review the current understanding of depression and suicidality in the college population, current treatment methods, and campus-wide systems considerations for addressing these issues.

Methods: Review of current literature.

Results: The increasing rates of depression and suicidality in the college student population have resulted in increased morbidity and mortality, affecting college students and campuses across the country. A comprehensive approach to address these issues includes treatment at an individual levelincluding psychopharmacological treatment and various therapies, knowledge of campus and local community resources, engaging students’ support systems including parents when appropriate, and campus-wide systems approaches and interventions for reducing depression and increasing ease of access to mental health services.

Conclusion: A comprehensive and systems approach is necessary for addressing the increased rates of depression and suicidality among college students.

Keywords: College, depression, mental health, suicidality, suicide.

Graphical Abstract
[1]
Iarovici D. Crisis on the College Campus? Mental Health Issues and the University Student. Johns Hopkins University Press 2014. Available at: https://jhupbooks.press.jhu.edu/title/mental-health-issues-and-university-student
[2]
Gallagher R. National Survey of Counseling Center Directors.. International Association of Counseling Services 2010. Available at: http://d-scholarship.pitt.edu/28173/1/2010_survey.pdf
[3]
American College Health Association. American College Health Association - National College Health Assessment spring 2007 reference group data report (abridged). J Am Coll Health 2008; 56(5): 469-79.
[http://dx.doi.org/10.3200/JACH.56.5.469-480] [PMID: 18400658]
[4]
National Center for Education Statistics. Available from: https://nces.ed.gov/programs/digest/d18/tables/dt18_105.30.asp [cited 2020 April 21]
[5]
Blanco C, Okuda M, Wright C, et al. Mental health of college students and their non-college-attending peers: results from the National Epidemiologic study on alcohol and related conditions. Arch Gen Psychiatry 2008; 65(12): 1429-37.
[http://dx.doi.org/10.1001/archpsyc.65.12.1429] [PMID: 19047530]
[6]
NIMH» Major Depression NihGov. 2019. Available from: www.nimh.nih.gov/health/statistics/major-depression.shtml
[7]
Zisook S, Lesser I, Stewart JW, et al. Effect of age at onset on the course of major depressive disorder. Am J Psychiatry 2007; 164(10): 1539-46.
[http://dx.doi.org/10.1176/appi.ajp.2007.06101757 PMID: 17898345]
[8]
Wolverton B. As students struggle with stress and depression, colleges act as counselors. The New York Times 2019. Available from: www.nytimes.com/2019/02/21/education/learning/mental-health-counseling-on-campus.html Accessed 20 Jan. 2020
[9]
Suicide Statistics American foundation for suicide prevention 2019. Available from: afsp.org/suicide-statistics Accessed 20 Jan. 2020
[10]
Burrell J. College and teen suicide statistics 2010. Available from: www.verywellmind.com/college-and-teen-suicide-statistics-3570768
[11]
Roberts LW, Ed. Student mental health: a guide for psychiatrists, psychologists, and leaders serving in higher education. Washington, DC: American Psychiatric Association Publishing 2018.
[12]
Jenkins S, Belanger A, Connally ML, et al. First-generation undergraduate students’ social support, depression, and life satisfaction. J Coll Couns 2013; 16: 129-42.
[http://dx.doi.org/10.1002/j.2161-1882.2013.00032.x]
[13]
Stebleton MJ, Soria KM, Huesman RL. First-generation students’ sense of belonging, mental health, and use of counseling services at pubic research universities. J Coll Couns 2014; 17: 6-20.
[http://dx.doi.org/10.1002/j.2161-1882.2014.00044.x]
[14]
Kessler RC, Avenevoli S, Costello EJ, et al. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry 2012; 69(4): 372-80.
[http://dx.doi.org/10.1001/archgenpsychiatry.2011.160 PMID: 22147808]
[15]
Connolly MD, Zervos MJ, Barone CJ II, Johnson CC, Joseph CL. The mental health of transgender youth: advances in understanding. J Adolesc Health 2016; 59(5): 489-95.
[http://dx.doi.org/10.1016/j.jadohealth.2016.06.012 PMID: 27544457]
[16]
Han X, Han X, Luo Qianlai, et al. Report of a mental health survey among Chinese international students at Yale University. J Am Coll Health 2013; 61(1): 1-8.
[17]
Fortney JC, Curran GM, Hunt JB, et al. Prevalence of probable mental disorders and help-seeking behaviors among veteran and non-veteran community college students. Gen Hosp Psychiatry 2016; 38: 99-104.
[http://dx.doi.org/10.1016/j.genhosppsych.2015.09.007 PMID: 26598288]
[18]
Rostenstein LS, Ramos MA, Torre M, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students, a systematic review and meta-analysis. JAMA 2016; 316(21): 2214-36.
[19]
Pulido-Martos M, Augusto-Landa JM, Lopez-Zafra E. Sources of stress in nursing students: A systematic review of quantitative studies. Int Nurs Rev 2012; 59: 15-25.
[http://dx.doi.org/10.1111/j.1466-7657.2011.00939.x]
[20]
Nett RJ, Witte TK, Holzbauer SM, et al. Risk factors for suicide, attitudes toward mental illness, and practice-related stressors among US veterinarians. J Am Vet Med Assoc 2015; 247(8): 945-55.
[http://dx.doi.org/10.2460/javma.247.8.945] [PMID: 26421408]
[21]
University of California Office of the President. 2017. Available from: http://ucop.edu/institutional-research-academic planning/_ files/graduate_well_being_survey_report.pdf cited 2020 April 22
[22]
Tupler LA, Hong JY, Gibori R, Blitchington TF, Krishnan KR. Suicidal ideation and sex differences in relation to 18 major psychiatric disorders in college and university students: anonymous web-based assessment. J Nerv Ment Dis 2015; 203(4): 269-78.
[http://dx.doi.org/10.1097/NMD.0000000000000277 PMID: 25784307]
[23]
Pedrelli P, Nyer M, Yeung A, Zulauf C, Wilens T. College students: mental health problems and treatment considerations. Acad Psychiatry 2015; 39(5): 503-11.
[http://dx.doi.org/10.1007/s40596-014-0205-9] [PMID: 25142250]
[24]
Choi A, Marcus K, Pohl D, Eyck PT, Balfour H Jr, Jackson JB. Epstein-Barr virus infection status among first year undergraduate university students. J Am Coll Health 2020; 26: 1-4.
[http://dx.doi.org/10.1080/07448481.2020.1726927] [PMID: 32101103]
[25]
Grimm-Geris JM, Dunmire SK, Duval LM, et al. Screening for Epstein-Barr virus (EBV) infection status in university freshmen: Acceptability of a gingival swab method. Epidemiol Infect 2019; 147e140
[http://dx.doi.org/10.1017/S0950268819000335] [PMID: 30869049]
[26]
Park LT, Zarate CA Jr. Depression in the primary care setting. N Engl J Med 2019; 380(6): 559-68.
[http://dx.doi.org/10.1056/NEJMcp1712493] [PMID: 30726688]
[27]
Wijkstra J, Lijmer J, Burger H, Cipriani A, Geddes J, Nolen WA. Pharmacological treatment for psychotic depression. Cochrane Database Syst Rev 2015; (7): CD004044
[http://dx.doi.org/10.1002/14651858.CD004044.pub4 PMID: 26225902]
[28]
Pandarakalam JP. Challenges of treatment-resistant depression. Psychiatr Danub 2018; 30(3): 273-84.
[http://dx.doi.org/10.24869/psyd.2018.273] [PMID: 30267518]
[29]
Ijaz S, Davies P, Williams CJ, Kessler D, Lewis G, Wiles N. Psychological therapies for treatment-resistant depression in adults. Cochrane Database Syst Rev 2018; 5CD010558
[http://dx.doi.org/10.1002/14651858.CD010558.pub2 PMID: 29761488]
[30]
Wisner KL, Zarin DA, Holmboe ES, et al. Risk-benefit decision making for treatment of depression during pregnancy. Am J Psychiatry 2000; 157(12): 1933-40.
[http://dx.doi.org/10.1176/appi.ajp.157.12.1933] [PMID: 11097953]
[31]
Hamilton JL, Buysse DJ. Reducing suicidality through insomnia treatment: critical next steps in suicide prevention. Am J Psychiatry 2019; 176(11): 897-9.
[http://dx.doi.org/10.1176/appi.ajp.2019.19080888 PMID: 31672043]
[32]
Hirshkowitz M, Whiton K, Albert SM, et al. National sleep foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health 2015; 1(1): 40-3.
[http://dx.doi.org/10.1016/j.sleh.2014.12.010] [PMID: 29073412]
[33]
Wheaton AG, Olsen EO, Miller GF, Croft JB. Sleep duration and injury-related risk behaviors among high school students-United States, 2007-2013. MMWR Morb Mortal Wkly Rep 2016; 65(13): 337-41.
[http://dx.doi.org/10.15585/mmwr.mm6513a1] [PMID: 27054407]
[34]
Keyes KM, Maslowsky J, Hamilton A, Schulenberg J. The great sleep recession: Changes in sleep duration among US adolescents, 1991-2012. Pediatrics 2015; 135(3): 460-8.
[http://dx.doi.org/10.1542/peds.2014-2707] [PMID: 25687142]
[35]
Roberts LW, Ed. Student mental health: A guide for psychiatrists, psychologists, and leaders serving in higher education. 1st ed. Washington, DC: American Psychiatric Association Publishing 2018.
[36]
Watson NF, Martin JL, Wise MS, et al. American academy of sleep medicine board of directors: delaying middle schools and high school start times promotes student health and performance: an american academy of sleep medicine position statement. J Clin Sleep Med 2017; 13(4): 623-5.
[http://dx.doi.org/10.5664/jcsm.6558] [PMID: 28416043]
[37]
Knapen J, Vancampfort D, Moriën Y, Marchal Y. Exercise therapy improves both mental and physical health in patients with major depression. Disabil Rehabil 2015; 37(16): 1490-5.
[http://dx.doi.org/10.3109/09638288.2014.972579] [PMID: 25342564]
[38]
Opie RS, Itsiopoulos C, Parletta N, et al. Dietary recommendations for the prevention of depression. Nutr Neurosci 2017; 20(3): 161-71.
[http://dx.doi.org/10.1179/1476830515Y.0000000043 PMID: 26317148]
[39]
Linehan MM, Wilks CR. The course and evolution of dialectical behavior therapy. Am J Psychother 2015; 69(2): 97-110.
[http://dx.doi.org/10.1176/appi.psychotherapy.2015.69.2.97] [PMID: 26160617]
[40]
Morris MR, Feldpausch NI, Inga Eshelman MG, Bohle-Frankel BU. Recovering in place: Creating campus models of care for the high-risk college student. Curr Psychiatry Rep 2019; 21(11): 111.
[http://dx.doi.org/10.1007/s11920-019-1101-5] [PMID: 31630268]
[41]
Kay J, Schwartz V. Mental Health Care in the College Community. United Kingdom: Wiley-Blackwell 2010.
[http://dx.doi.org/10.1002/9780470686836]
[42]
Suicide Statistics - AFSP. American Foundation for Suicide Prevention 2018. Available from: afsp.org/about-suicide/suicide-statistics/ Accessed 20 Jan. 2020
[43]
Students Helping Students. 2018; 22 Available from: Https://Www.Apa.Org www.apa.org/monitor/2018/11/students
[44]
Baumann AE. Stigmatization, social distance and exclusion because of mental illness: the individual with mental illness as a stranger. Int Rev Psychiatry 2007; 19(2): 131-5.
[http://dx.doi.org/10.1080/09540260701278739]
[45]
Soglin T. The happy school Yale Daily News 2018. Available from: https://yaledailynews.com/blog/2018/04/20/the-happy-school/ cited 2020 April 22
[46]
Garrick ML. The calendar, complementarity, pacing, and service delivery in the college mental health setting. Acad Psychiatry 2015; 39(5): 517-9.
[http://dx.doi.org/10.1007/s40596-014-0105-z] [PMID: 24664596]
[47]
Lipson SK, Lattie EG, Eisenberg D. Increased rates of mental health service utilization by U.S. college students: 10-year population-level trends (2007-2017). Psychiatr Serv 2019; 70(1): 60-3.
[http://dx.doi.org/10.1176/appi.ps.201800332] [PMID: 30394183]
[48]
Arria AM, O’Grady KE, Caldeira KM, Vincent KB, Wilcox HC, Wish ED. Suicide ideation among college students: a multivariate analysis. Arch Suicide Res 2009; 13(3): 230-46.
[http://dx.doi.org/10.1080/13811110903044351] [PMID: 19590997]
[49]
Grasgreen A. Parents: Help or Hindrance? Inside Higher EdM 2012. Accessed December 21, 2019 Available from: https://www. insidehighered.com/news/2012/03/28/naspa-survey-finds-parental-involvement-isnt-always-bad-thing
[50]
After an Attempt A guide for taking care of your family member after treatment in the emergency department Accessed December 21, 2019 Available from: https://store.samhsa.gov/system/files/sma18-4357eng.pdf
[51]
Supporting college student mental health. Parents’ perspectives Mary Christie foundation/anthem blue cross and blue shield/ MassINC Polling Group 2019. [Viewed December 20, 2019] Available from: https://files.constantcontact.com/cddbbff6501/7124ef31-f66d-41be-b187-66fbc29d753b.pdf
[52]
Healthy minds study healthy minds study 2018-2019 [Accessed December 21, 2019] Available from: https://healthymindsnetwork.org/wp-content/uploads/2019/09/HMS_national-2018-19.pdf
[53]
Czeisler MÉ, Lane RI, Petrosky E, et al. Mental health, substance use, and suicidal ideation during the COVID-19 pandemic - united states, June 24-30, 2020. MMWR Morb Mortal Wkly Rep 2020; 69(32): 1049-57.
[http://dx.doi.org/10.15585/mmwr.mm6932a1] [PMID: 32790653]
[54]
The impact of COVID-19 on college student well-being. Report from the Health Minds Network and American College Health Association 2020. [Accessed 9/11/20] Available from: https://healthymindsnetwork.org/wp-content/uploads/2020/07/Healthy_Minds_NCHA_COVID_Survey_Report_FINAL.pdf

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