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Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales

Ann John Orcid Logo, Olivier Rouquette Orcid Logo, Jo Smith, Sze Chim Lee Orcid Logo, Marcos del Pozo Banos Orcid Logo

The British Journal of Psychiatry, Pages: 1 - 12

Swansea University Authors: Ann John Orcid Logo, Olivier Rouquette Orcid Logo, Sze Chim Lee Orcid Logo, Marcos del Pozo Banos Orcid Logo

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DOI (Published version): 10.1192/bjp.2024.90

Abstract

BackgroundConcern that self-harm and mental health conditions are increasing in university students may reflect widening access to higher education, existing population trends and/or stressors associated with this setting.AimsTo compare population-level data on self-harm, neurodevelopmental and ment...

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Published in: The British Journal of Psychiatry
ISSN: 0007-1250 1472-1465
Published: CUP / Royal College of Psychiatrists 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa66079
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fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>66079</id><entry>2024-04-18</entry><title>Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales</title><swanseaauthors><author><sid>ed8a9c37bd7b7235b762d941ef18ee55</sid><ORCID>0000-0002-5657-6995</ORCID><firstname>Ann</firstname><surname>John</surname><name>Ann John</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>0e502db88ea48ce6b053ed0eef9a54ce</sid><ORCID>0000-0001-8088-4800</ORCID><firstname>Olivier</firstname><surname>Rouquette</surname><name>Olivier Rouquette</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>10628af4988d624b49c4de7bd78b4694</sid><ORCID>0000-0001-5822-6633</ORCID><firstname>Sze Chim</firstname><surname>Lee</surname><name>Sze Chim Lee</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>f141785b1c0ab9efe45665d35c081b84</sid><ORCID>0000-0003-1502-389X</ORCID><firstname>Marcos</firstname><surname>del Pozo Banos</surname><name>Marcos del Pozo Banos</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-04-18</date><deptcode>MEDS</deptcode><abstract>BackgroundConcern that self-harm and mental health conditions are increasing in university students may reflect widening access to higher education, existing population trends and/or stressors associated with this setting.AimsTo compare population-level data on self-harm, neurodevelopmental and mental health conditions between university students and non-students with similar characteristics before and during enrolment.MethodThis cohort study linked electronic records from the Higher Education Statistics Agency for 2012–2018 to primary and secondary healthcare records. Students were undergraduates aged 18 to 24 years at university entry. Non-students were pseudo-randomly selected based on an equivalent age distribution. Logistic regressions were used to calculate odds ratios. Poisson regressions were used to calculate incidence rate ratios (IRR).ResultsThe study included 96 760 students and 151 795 non-students. Being male, self-harm and mental health conditions recorded before university entry, and higher deprivation levels, resulted in lower odds of becoming a student and higher odds of drop-out from university. IRRs for self-harm, depression, anxiety, autism spectrum disorder (ASD), drug use and schizophrenia were lower for students. IRRs for self-harm, depression, attention-deficit hyperactivity disorder, ASD, alcohol use and schizophrenia increased more in students than in non-students over time. Older students experienced greater risk of self-harm and mental health conditions, whereas younger students were more at risk of alcohol use than non-student counterparts.ConclusionsMental health conditions in students are common and diverse. While at university, students require person-centred stepped care, integrated with local third-sector and healthcare services to address specific conditions.</abstract><type>Journal Article</type><journal>The British Journal of Psychiatry</journal><volume>0</volume><journalNumber/><paginationStart>1</paginationStart><paginationEnd>12</paginationEnd><publisher>CUP / Royal College of Psychiatrists</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0007-1250</issnPrint><issnElectronic>1472-1465</issnElectronic><keywords>University students; self-harm; mental health; electronic health records; neurodevelopmental disorders</keywords><publishedDay>8</publishedDay><publishedMonth>8</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-08-08</publishedDate><doi>10.1192/bjp.2024.90</doi><url>http://dx.doi.org/10.1192/bjp.2024.90</url><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders>This study has been carried out as part of the Administrative Data Research (ADR) Wales programme of work. The ADR Wales programme of work is aligned to the priority themes identified in the Welsh Government’s national strategy, Prosperity for All. ADR Wales brings together data science experts at Swansea University Medical School (Swansea, UK), staff from the Wales Institute of Social and Economic Research, Data and Methods at Cardiff University (Cardiff, UK), and specialist teams within the Welsh Government to develop new evidence that supports Prosperity for All by using the SAIL Databank at Swansea University to link and analyse anonymised data. ADR Wales is part of the Economic and Social Research Council (part of UK Research and Innovation)-funded ADR UK (grant ES/S007393/1). This work was supported by the Adolescent Mental Health Data Platform (ADP). The ADP is funded by MQ Mental Health Research Charity (Grant Reference MQBF/3 ADP). ADP and the author(s) would like to acknowledge the data providers who supplied the datasets enabling this research study. The views expressed are entirely those of the authors and should not be assumed to be the same as those of ADP or MQ Mental Health Research Charity. This work was supported by the Wolfson Centre for Young People’s Mental Health, established with support from the Wolfson Foundation. This project was funded by UKRI – Medical Research Council through the DATAMIND HDR UK Mental Health Data Hub (MRC reference: MR/W014386)</funders><projectreference/><lastEdited>2024-09-30T17:05:53.3419000</lastEdited><Created>2024-04-18T12:28:44.6797059</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>1</order></author><author><firstname>Olivier</firstname><surname>Rouquette</surname><orcid>0000-0001-8088-4800</orcid><order>2</order></author><author><firstname>Jo</firstname><surname>Smith</surname><order>3</order></author><author><firstname>Sze Chim</firstname><surname>Lee</surname><orcid>0000-0001-5822-6633</orcid><order>4</order></author><author><firstname>Marcos</firstname><surname>del Pozo Banos</surname><orcid>0000-0003-1502-389X</orcid><order>5</order></author></authors><documents><document><filename>66079__31148__03472e7902aa430d87d1dfce5318e0ee.pdf</filename><originalFilename>66079.VoR.pdf</originalFilename><uploaded>2024-08-20T15:24:47.6022787</uploaded><type>Output</type><contentLength>466271</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© The Author(s), 2024. 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spelling v2 66079 2024-04-18 Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 0e502db88ea48ce6b053ed0eef9a54ce 0000-0001-8088-4800 Olivier Rouquette Olivier Rouquette true false 10628af4988d624b49c4de7bd78b4694 0000-0001-5822-6633 Sze Chim Lee Sze Chim Lee true false f141785b1c0ab9efe45665d35c081b84 0000-0003-1502-389X Marcos del Pozo Banos Marcos del Pozo Banos true false 2024-04-18 MEDS BackgroundConcern that self-harm and mental health conditions are increasing in university students may reflect widening access to higher education, existing population trends and/or stressors associated with this setting.AimsTo compare population-level data on self-harm, neurodevelopmental and mental health conditions between university students and non-students with similar characteristics before and during enrolment.MethodThis cohort study linked electronic records from the Higher Education Statistics Agency for 2012–2018 to primary and secondary healthcare records. Students were undergraduates aged 18 to 24 years at university entry. Non-students were pseudo-randomly selected based on an equivalent age distribution. Logistic regressions were used to calculate odds ratios. Poisson regressions were used to calculate incidence rate ratios (IRR).ResultsThe study included 96 760 students and 151 795 non-students. Being male, self-harm and mental health conditions recorded before university entry, and higher deprivation levels, resulted in lower odds of becoming a student and higher odds of drop-out from university. IRRs for self-harm, depression, anxiety, autism spectrum disorder (ASD), drug use and schizophrenia were lower for students. IRRs for self-harm, depression, attention-deficit hyperactivity disorder, ASD, alcohol use and schizophrenia increased more in students than in non-students over time. Older students experienced greater risk of self-harm and mental health conditions, whereas younger students were more at risk of alcohol use than non-student counterparts.ConclusionsMental health conditions in students are common and diverse. While at university, students require person-centred stepped care, integrated with local third-sector and healthcare services to address specific conditions. Journal Article The British Journal of Psychiatry 0 1 12 CUP / Royal College of Psychiatrists 0007-1250 1472-1465 University students; self-harm; mental health; electronic health records; neurodevelopmental disorders 8 8 2024 2024-08-08 10.1192/bjp.2024.90 http://dx.doi.org/10.1192/bjp.2024.90 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University SU Library paid the OA fee (TA Institutional Deal) This study has been carried out as part of the Administrative Data Research (ADR) Wales programme of work. The ADR Wales programme of work is aligned to the priority themes identified in the Welsh Government’s national strategy, Prosperity for All. ADR Wales brings together data science experts at Swansea University Medical School (Swansea, UK), staff from the Wales Institute of Social and Economic Research, Data and Methods at Cardiff University (Cardiff, UK), and specialist teams within the Welsh Government to develop new evidence that supports Prosperity for All by using the SAIL Databank at Swansea University to link and analyse anonymised data. ADR Wales is part of the Economic and Social Research Council (part of UK Research and Innovation)-funded ADR UK (grant ES/S007393/1). This work was supported by the Adolescent Mental Health Data Platform (ADP). The ADP is funded by MQ Mental Health Research Charity (Grant Reference MQBF/3 ADP). ADP and the author(s) would like to acknowledge the data providers who supplied the datasets enabling this research study. The views expressed are entirely those of the authors and should not be assumed to be the same as those of ADP or MQ Mental Health Research Charity. This work was supported by the Wolfson Centre for Young People’s Mental Health, established with support from the Wolfson Foundation. This project was funded by UKRI – Medical Research Council through the DATAMIND HDR UK Mental Health Data Hub (MRC reference: MR/W014386) 2024-09-30T17:05:53.3419000 2024-04-18T12:28:44.6797059 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Ann John 0000-0002-5657-6995 1 Olivier Rouquette 0000-0001-8088-4800 2 Jo Smith 3 Sze Chim Lee 0000-0001-5822-6633 4 Marcos del Pozo Banos 0000-0003-1502-389X 5 66079__31148__03472e7902aa430d87d1dfce5318e0ee.pdf 66079.VoR.pdf 2024-08-20T15:24:47.6022787 Output 466271 application/pdf Version of Record true © The Author(s), 2024. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence. true eng http://creativecommons.org/licenses/by/4.0/
title Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales
spellingShingle Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales
Ann John
Olivier Rouquette
Sze Chim Lee
Marcos del Pozo Banos
title_short Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales
title_full Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales
title_fullStr Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales
title_full_unstemmed Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales
title_sort Trends in incidence of self-harm, neurodevelopmental and mental health conditions among university students compared with the general population: nationwide electronic data linkage study in Wales
author_id_str_mv ed8a9c37bd7b7235b762d941ef18ee55
0e502db88ea48ce6b053ed0eef9a54ce
10628af4988d624b49c4de7bd78b4694
f141785b1c0ab9efe45665d35c081b84
author_id_fullname_str_mv ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
0e502db88ea48ce6b053ed0eef9a54ce_***_Olivier Rouquette
10628af4988d624b49c4de7bd78b4694_***_Sze Chim Lee
f141785b1c0ab9efe45665d35c081b84_***_Marcos del Pozo Banos
author Ann John
Olivier Rouquette
Sze Chim Lee
Marcos del Pozo Banos
author2 Ann John
Olivier Rouquette
Jo Smith
Sze Chim Lee
Marcos del Pozo Banos
format Journal article
container_title The British Journal of Psychiatry
container_volume 0
container_start_page 1
publishDate 2024
institution Swansea University
issn 0007-1250
1472-1465
doi_str_mv 10.1192/bjp.2024.90
publisher CUP / Royal College of Psychiatrists
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
url http://dx.doi.org/10.1192/bjp.2024.90
document_store_str 1
active_str 0
description BackgroundConcern that self-harm and mental health conditions are increasing in university students may reflect widening access to higher education, existing population trends and/or stressors associated with this setting.AimsTo compare population-level data on self-harm, neurodevelopmental and mental health conditions between university students and non-students with similar characteristics before and during enrolment.MethodThis cohort study linked electronic records from the Higher Education Statistics Agency for 2012–2018 to primary and secondary healthcare records. Students were undergraduates aged 18 to 24 years at university entry. Non-students were pseudo-randomly selected based on an equivalent age distribution. Logistic regressions were used to calculate odds ratios. Poisson regressions were used to calculate incidence rate ratios (IRR).ResultsThe study included 96 760 students and 151 795 non-students. Being male, self-harm and mental health conditions recorded before university entry, and higher deprivation levels, resulted in lower odds of becoming a student and higher odds of drop-out from university. IRRs for self-harm, depression, anxiety, autism spectrum disorder (ASD), drug use and schizophrenia were lower for students. IRRs for self-harm, depression, attention-deficit hyperactivity disorder, ASD, alcohol use and schizophrenia increased more in students than in non-students over time. Older students experienced greater risk of self-harm and mental health conditions, whereas younger students were more at risk of alcohol use than non-student counterparts.ConclusionsMental health conditions in students are common and diverse. While at university, students require person-centred stepped care, integrated with local third-sector and healthcare services to address specific conditions.
published_date 2024-08-08T17:05:51Z
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