Gao Caroline X, Clarke Emily, Nicholas Jennifer, Teo Shu Mei, Koppe Caleb, Peter Gavin, Lum Alex, Barth Tamara, Farish Steve, Rudd Matthew, Gong Yiting, Gan Daniel Z Q, Browne Vivienne, Tjia Teresa, Filia Kate M, Killackey Eóin
Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia.
Orygen, Parkville, Victoria, Australia.
Early Interv Psychiatry. 2025 Jan;19(1):e13603. doi: 10.1111/eip.13603. Epub 2024 Aug 14.
Since the onset of the COVID-19 pandemic, a significant rise in mental ill health has been observed globally in young people, particularly those in their final years of secondary school. Students' negative experiences coincide with a critical transitional period which can disrupt milestones in social and educational development. This study aimed to use innovative population-level data to map the impact of the pandemic on students entering higher education.
Pre-pandemic (2019/2020) and pandemic (2020/2021) tertiary education application data were obtained from the Victorian Tertiary Admissions Centre. Prevalence of applications for special consideration related to mental ill health were compared between cohorts across various geographical areas and applicant demographic subgroups. Relative risk regression models were used to understand the role of different risk factors.
Rates of mental health-related special consideration applications increased by 38% among all applications (pre-pandemic: 7.8%, n = 56 916; pandemic: 10.8%, n = 58 260). Highest increases were observed among students in areas with both extended and close-quarter lockdown experiences, and areas impacted by 2019/2020 black summer bushfires. The increases were higher among Year 12 students and students with other special consideration needs (e.g., physical condition, learning disability). Slightly higher increases were observed in areas with higher socio-economic status, which may potentially be related to inequality in mental health service access.
As consequences of mental health difficulties and academic disruption in youth can be long lasting, it is critical to establish a mental health support framework both in and outside of higher education to facilitate young people's recovery from the pandemic.
自新冠疫情爆发以来,全球范围内年轻人的心理健康问题显著增加,尤其是那些处于中学最后一年的学生。学生们的负面经历恰逢一个关键的过渡时期,这可能会扰乱社交和教育发展的里程碑。本研究旨在利用创新的人群层面数据,描绘疫情对进入高等教育阶段学生的影响。
从维多利亚州高等教育招生中心获取疫情前(2019/2020年)和疫情期间(2020/2021年)的高等教育申请数据。比较了不同地理区域和申请人人口统计学亚组中与心理健康问题相关的特殊考虑申请的患病率。使用相对风险回归模型来了解不同风险因素的作用。
在所有申请中,与心理健康相关的特殊考虑申请率增加了38%(疫情前:7.8%,n = 56916;疫情期间:10.8%,n = 58260)。在经历了延长封锁和近距离封锁的地区以及受2019/2020年黑色夏季丛林大火影响的地区的学生中,增幅最高。12年级学生和有其他特殊考虑需求(如身体状况、学习障碍)的学生中增幅更高。在社会经济地位较高的地区观察到略高的增幅,这可能与心理健康服务获取方面的不平等有关。
由于青少年心理健康问题和学业中断的后果可能是长期的,因此在高等教育内外建立心理健康支持框架以促进年轻人从疫情中恢复至关重要。