TY - JOUR PY - 2022// TI - Transitions to campus mental health care in university students: determinants and predictors JO - Journal of American college health A1 - Patten, Scott B. A1 - King, Nathan A1 - Munir, Amlish A1 - Bulloch, Andrew G. M. A1 - Devoe, Dan A1 - Rivera, Daniel A1 - Byun, Jin A1 - Cunningham, Simone A1 - Dimitropoulos, Gina A1 - Bhattarai, Asmita A1 - Duffy, Anne SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Access to university mental health services is poorly characterized. Our objectives were to (1) assess patterns of access and (2) explore predictability of contact with student mental health services. Participants: Data derived from the U-Flourish study, which includes a survey of successive cohorts of incoming undergraduate students attending Queen's University, located in Ontario, Canada (Cohort 1: 2018, Cohort 2: 2019).

METHODS: Survey data sets were deterministically linked to administrative data provided by Student Wellness Services. Analyses included cross-tabulation, logistic and negative binomial regression. Predictive modeling used LASSO regression.

RESULTS: Baseline symptoms were robust determinants of access. For example, a PHQ-9 rating in the severe range (≥ 20) was associated with an OR of 9.71 (95% CI: 4.46-21.1). A predictive algorithm did not outperform cut point-based interpretation of PHQ-9 or GAD-7 ratings.

CONCLUSIONS: Self-reported symptoms are consistently associated with service use, supporting the widespread use of symptom screens.

Language: en

LA - en SN - 0744-8481 UR - http://dx.doi.org/10.1080/07448481.2022.2115303 ID - ref1 ER -