Crunching the Numbers on College Mental Health
“Even in the presence of others, he was completely alone.”
- Robert Pirsig

Alone in the Crowd by Olha Pryymak, 2009(c)
If you’re stressed, depressed, or just feeling quite overwhelmed in college, it’s important to know, that you’re not alone…
Although young adulthood is often characterized by rapid intellectual and social development, college-aged individuals are also commonly exposed to circumstances that place them at risk for developing psychiatric disorders.
~ Blanco and colleagues, 2007
Psychiatric disorders are medical conditions that can dramatically affect a person’s thoughts, feelings, judgment and ability to function. These conditions can affect people of any age, but often first appear between the ages of 18 and 24.
~ The JED Foundation, 2009
The College Campus Crunch
- There are more than 4,300 degree-granting colleges and universities in the United States, enrolling 17.8 million students in the Fall of 2006.¹ Of those students, 85% were enrolled in undergraduate programs, 13% in graduate programs, and 2% in professional programs.²
- Although the age range of the college population varies widely, the American College Health Association estimates that the vast majority of college students (87.1%) are aged 18 to 24 years.³
- Among undergraduates nationwide, approximately 30% are minorities, 20% are foreign born or first generation U.S. citizens, and 55% are female.²
Mental Health: It’s Part of College Life
- An estimated 26.2 percent of Americans ages 18 and older - about one in four adults - suffers from a diagnosable mental disorder in a given year. (NIMH, 2009)
- Epidemiological health surveys often fail to accurately gauge the extent of mental health problems among college students, both undergraduate and graduate, largely because college students straddle the conventional age-reporting categories for young adults (15-19, 20-24, 25-29 years of age).
- When we apply the “1 in 4 adults” statistic to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people suffering from a diagnosable mental disorder in a given year.
57.7 Million? According to 2008 U.S. Census data, 57.7 million equates to the collective population of all individuals residing in the states of New York, (19.5 million), California, (36.8 million), and Delaware, (870k), plus the District of Columbia, (592K).
Mental Illness & The College Set
- Most mental illnesses first emerge between the ages of 15 and 24. (6)
- In a 2008 study published in the Archives of General Psychiatry, based upon results from the National Epidemiologic Study on Alcohol and Related Conditions, (N=43,093), almost one-half of the college students and their non-college-attending peers interviewed met DSM-IV criteria for at least 1 psychiatric disorder in the previous year. (7)
- The most common disorders in college students were alcohol use disorders (20.37%) followed by personality disorders (17.68%).
- Overall, fewer than 25% of individuals interviewed within the study with a mental disorder sought treatment in the year prior to the survey.
The American College Health Association-National conducted its bi-annual College Health Assessment Reference Group¹ Survey during the Spring 2008, from January through May 2008. According to the data collected from 80,121 students enrolled at 106 institutions of higher education, many college students reported experiencing mental health difficulties, as noted in the graph below, confirming, that you are not alone:

References (in order of appearance)
1) American College Health Association (2009). The American College Health Association National College Health Assessment (ACHA-NCHA), Spring 2008 Reference Group Data Report. Journal of American College Health, 57(5), 477-488.
2) Choy, S. (2002). Access and persistence: Findings from 10 years of longitudinal research on students. Washington, D.C.: American Council on Education.
3) American College Health Association (2006). The American College Health Association National College Health Assessment (ACHA-NCHA), Spring 2008 Reference Group Data Report. Journal of American College Health, 57(5), 477-488.
3) American College Health Association. American College Health Association National College Health Assessment Spring 2006 Reference Group Executive Summary. Retrieved from: http://tinyurl.com/c7ptac
4) National Institute of Mental Health. The Numbers Count: Mental Disorders in America. Retrieved from: http://tinyurl.com/c7evb6
5) Patrick, K., Grace, T.W., and Lovato, CY. (1992). Health issues for college students. Annual Review of Public Health, 13, 253-268.
6) Kessler, R.., Berglund, P., Demler, O., Jin, R., Merikangas, K.R., & Walters, E.E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602.
7) Blanco, C., Okuda, M., Wright, C., Hasin, D.S., Grant, B.F., Shang-Min, L., Olfson, M. (2008). Mental health of college students and their non-college attending peers. Archives of General Psychiatry, 65(12), 1429-1437.