David Daniel Ebert|Martin Franke|Fanny Kählke|Ann?Marie Küchler|Ronny Bruffærts|Philippe Mortier|Eirini Karyotaki|Jordi Alonso|Pim Cuijpers|Matthias Berking|Randy P. Auerbach|Ronald C. Kessler|Harald Baumeister
Increasing intentions to use mental health services among university students. Results of a pilot randomized controlled trial within the World Health Organization's World Mental Health International College Student Initiative
Friedrich-Alexander-Universität Erlangen-Nürnberg|Friedrich-Alexander-Universität Erlangen-Nürnberg|Friedrich-Alexander-Universität Erlangen-Nürnberg|University of Ulm|KU Leuven|KU Leuven|Vrije Universiteit Amsterdam|Pompeu Fabra University|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Hospital del Mar Research Institute|Municipal Institute for Medical Research|Vrije Universiteit Amsterdam|Friedrich-Alexander-Universität Erlangen-Nürnberg|Columbia University|Harvard University|University of Ulm
abstract background majority university students mental health problems untreated small empirical literature exists strategies increase mental health service use aims investigate effects moderators brief acceptancefacilitating intervention intention use mental health services among university students method within german site world health organizations world mental health international college student wmhics initiative 1374 university students randomized intervention condition ic n 664 control condition cc n 710 implemented survey conditions received questions assessing mental disorders suicidality included wmhics surveys ic group additionally received internetbased personalized feedback based subject symptom severity domains depression anxiety substance use suicidal thoughts behaviors nonsuicidal selfinjury psychoeducation tailored personal symptom profile information available university community mental health services primary outcome reported intention use psychological interventions next semester last question survey broad range potential moderating factors explored results significant main effect intervention students randomized ic reporting significantly higher intentions seek help next semester students cc condition 012 95 ci 002 023 moderator analyses indicated intervention effective among students fulfilled criteria lifetime 034 95 ci 008 07 12month panicdisorder 032 95 ci 010 074 compared without lifetime 011 95 ci 000 022 12month panic disorder 011 95 ci 000 022 students lower 037 95 ci 077 151 higher 001 95 ci 036 034 selfreported physical health students nonheterosexual 038 95 ci 008 067 compared heterosexual 006 95 ci 006 017 sexual orientation intervention effects among students reported recognized emotional problem already working actively change stage 4 stages change conclusions simple acceptancefacilitating intervention increase intention use mental health services although effects average small future studies investigate personalized approaches interventions tailored barriers clinical characteristics students order optimize intervention effects development evaluation realized designs powered allow incremental value different intervention components tailoring strategies evaluated multiphase optimization designs