University Counseling Center Study Shows More Students Seeking Help for
Depression, Thoughts of Suicide and Sexual Assault
February 3,2003

WASHINGTON -- College students frequently have more complex problems today
than they did over a decade ago, including both the typical or expected
college student problems -- difficulties in relationships and
developmental issues -- as well as the more severe problems, such as
depression, sexual assault and thoughts of suicide. That is the finding of
a study involving 13,257 students seeking help at a large Midwestern
university counseling center over a 13-year period. Some of these
increases were dramatic. The number of students seen each year with
depression doubled, while the number of suicidal students tripled and the
number of students seen after a sexual assault quadrupled.

The findings are reported on in the February issue of Professional
Psychology: Research and Practice, a journal of the American Psychological
Association (APA).

Psychologist Sherry A. Benton, Ph.D. and colleagues at Kansas State
University examined trends in counseling center clients' problems from the
perspective of the therapist at the time of therapy termination from
1988-1989 through 2000-2001. Results indicate that in 14 of the 19 problem
areas studied, counseling center clinicians reported increases in the
percentages of individuals having difficulties. Up until 1994,
relationship problems were the most frequently reported client problem,
according to the study. But since that time, stress and anxiety problems
were reported more frequently than relationship problems, with dramatic
increases seen in the number of students seeking help for depression,
suicidal thoughts and sexual assault.

The patterns of change in the students' problems over the 13-year period
were complex, according to the study. Three time periods were analyzed:
academic years 1988-1992, 1992-1996, and 1996-2001 (the study period ended
prior to the 9/11/01 terrorist attacks). Six problems areas showed steep
increases from the first time period to the second and then appeared to
stabilize from the second to the third time period. Problems following
this pattern included relationship problems, stress/anxiety, family
issues, physical problems, personality disorders, suicidal thought and
sexual assault. Other problem areas showed a steady increase in all three
time periods, including depression, grief, and academic and developmental
problems.

Some other problems, including those related to educational and vocational
choice issues declined during the middle time period and increased in the
more recent time period. Some serious problems, however, showed no
significant change over the 13 years of the study, including those seeking
help for substance abuse, eating disorders, legal problems and chronic
mental illness.

Similar studies need to be conducted at other university counseling
centers, say the authors, to verify what they believe may be a national
trend. "If these observed patterns of change prove to be consistent with
those at other counseling centers, then it is evident that therapists in
counseling centers are seeing students with more critical needs than a
decade ago." This comes at a time when students are finding fewer options
for counseling and mental health care in the community, leaving the role
of providing care primarily in the hands of university counseling center
staff, according to the researchers.

Article: "Changes in Counseling Center Client Problems Across 13 Years,"
Sherry A. Benton, Ph.D., John M. Robertson, Ph.D., Wen-Chih Tseng, M.Ed.,
Fred B. Newton, Ph.D., and Stephen L. Benton, Ph.D., Kansas State
University; Professional Psychology: Research and Practice, Vol. 34, No.
1.

Full text of the article is available at 
http://www.apa.org/journals/pro/press_releases/february_2003/pro34166.html

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