Anxious, Depressed, and Suicidal: Crisis Narratives in University Student Mental Health and the Need for a Balanced Approach to Student Wellness.

Journal: International journal of environmental research and public health

Volume: 20

Issue: 6

Year of Publication: 2023

Affiliated Institutions:  Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town , South Africa. Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Stellenbosch , South Africa. Department of Psychiatry and Mental Health, University of Cape Town, Cape Town , South Africa.

Abstract summary 

There is growing global awareness of the poor mental health of university students, as well as the need to improve students' access to services and expand the range of available evidence-based interventions. However, a crisis narrative is emerging, particularly in the wake of the COVID-19 pandemic, that runs the risk of positioning all students as potential patients in need of formal psychiatric interventions. Our aim in this commentary is to critically present the evidence that supports increased attention to student mental health, while also raising a concern that the crisis narrative may itself have unintended harmful consequences. We highlight some of the potential dangers of overtly medicalizing and thus pathologizing students' experiences of everyday distress, inadequacies of formal diagnostic categories, limitations of focusing narrowly on psychotherapeutic and psychiatric interventions, and the short-sightedness of downplaying key social determinants of students' distress. We argue for an integrative and balanced public health approach that draws on the rigor of psychiatric epidemiology and the advances that have been made to identify evidence-based interventions for students, while simultaneously being mindful of the shortcomings and potential dangers of working narrowly within the paradigm of diagnostic labels and psychotherapeutic interventions.

Authors & Co-authors:  Bantjes Jason J Hunt Xanthe X Stein Dan J DJ

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Abrams Z. Student Mental Health Is in Crisis. Campuses Are Rethinking Their Approach. [(accessed on 20 February 2023)]. Available online: https://www.apa.org/monitor/2022/10/mental-health-campus-care.
Authors :  3
Identifiers
Doi : 4859
SSN : 1660-4601
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
anxiety;college;crisis narratives;depression;medicalization;student mental health;university
Study Design
Narrative Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Switzerland