Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study

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We aimed to investigate the prevalence of mental problems and associated factors in university students. Methods: We conducted a cross-sectional descriptive study at Supara mental health service in the Faculty of Medicine Vajira Hospital between February 2020 to June 2021. The primary outcome was the prevalence of psychiatric diagnosis according to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). The secondary assessments included the Patient Health Questionnaire-9 (PHQ-9), 8 items from the Mini International Neuropsychiatric Interview (MINI) to assess suicidal risk (8Q), , and the Thai Mental Health Indicator (TMHI-15). The prevalence of mental health problems was presented by frequency and percentage. In addition, multivariable regression analysis was used to identify potential predictors of mental health problems. Results: A total of 184 participants (62% female; mean age = 22.49 years (SD 3.93) were recruited. The depressive disorders, adjustment disorders, and anxiety disorders rates were 57.1%, 15.2% and 13.6%, respectively. Grade point averages (GPAs) below 3.0 (OR=3.09, 95%CI: 1.17-8.14) and a family history of mental disorder (OR=3.40, 95%CI: 1.10-10.48) were significant associated factors of moderate to severe mental health problems. Detecting and screening these factors may help the university to provide early detection and treatment for students. Conclusions: Depressive disorders were the most common mental health disorders. Females, low GPAs and a family history of mental disorder were predictors of moderate to severe mental health problems." } { "@context": "http://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": "1", "item": { "@id": "https://f1000research.com/", "name": "Home" } }, { "@type": "ListItem", "position": "2", "item": { "@id": "https://f1000research.com/browse/articles", "name": "Browse" } }, { "@type": "ListItem", "position": "3", "item": { "@id": "https://f1000research.com/articles/11-1107/v5", "name": "Prevalence of common mental health problems and associated factors..." } } ] } Home Browse Prevalence of common mental health problems and associated factors... ALL Metrics - Views Downloads Get PDF Get XML Cite How to cite this article Kirdchok P, Kolkijkovin V, Munsukpol W and Chinvararak C. Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.12688/f1000research.126054.5 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Research Article Revised Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] Pantri Kirdchok 1 , Varuna Kolkijkovin 1 , Wanida Munsukpol 1 , Chotiman Chinvararak https://orcid.org/0000-0001-7087-2355 1 Pantri Kirdchok 1 , Varuna Kolkijkovin 1 , Wanida Munsukpol 1 , Chotiman Chinvararak https://orcid.org/0000-0001-7087-2355 1 PUBLISHED 03 Apr 2025 Author details Author details 1 Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand Pantri Kirdchok Roles: Conceptualization, Data Curation, Formal Analysis, Investigation, Methodology, Project Administration, Software, Validation, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Varuna Kolkijkovin Roles: Conceptualization, Funding Acquisition, Methodology, Project Administration, Resources, Supervision, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Wanida Munsukpol Roles: Data Curation, Investigation, Project Administration, Resources, Writing – Original Draft Preparation, Writing – Review & Editing Chotiman Chinvararak Roles: Conceptualization, Formal Analysis, Investigation, Methodology, Software, Validation, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing OPEN PEER REVIEW DETAILS REVIEWER STATUS This article is included in the Health Services gateway. Abstract Background: Early studies found that the mental health problems rate was relatively high in university students. We aimed to investigate the prevalence of mental problems and associated factors in university students. Methods: We conducted a cross-sectional descriptive study at Supara mental health service in the Faculty of Medicine Vajira Hospital between February 2020 to June 2021. The primary outcome was the prevalence of psychiatric diagnosis according to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). The secondary assessments included the Patient Health Questionnaire-9 (PHQ-9), 8 items from the Mini International Neuropsychiatric Interview (MINI) to assess suicidal risk (8Q), , and the Thai Mental Health Indicator (TMHI-15). The prevalence of mental health problems was presented by frequency and percentage. In addition, multivariable regression analysis was used to identify potential predictors of mental health problems. Results: A total of 184 participants (62% female; mean age = 22.49 years (SD 3.93) were recruited. The depressive disorders, adjustment disorders, and anxiety disorders rates were 57.1%, 15.2% and 13.6%, respectively. Grade point averages (GPAs) below 3.0 (OR=3.09, 95%CI: 1.17-8.14) and a family history of mental disorder (OR=3.40, 95%CI: 1.10-10.48) were significant associated factors of moderate to severe mental health problems. Detecting and screening these factors may help the university to provide early detection and treatment for students. Conclusions: Depressive disorders were the most common mental health disorders. Females, low GPAs and a family history of mental disorder were predictors of moderate to severe mental health problems. READ ALL READ LESS Keywords Mental health problems, University students, Mental health service, Thailand Corresponding Author(s) Chotiman Chinvararak ( [email protected] ) Close Corresponding author: Chotiman Chinvararak Competing interests: No competing interests were disclosed. Grant information: This study received a grant from Navamindradhiraj University Research Fund. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Copyright: © 2025 Kirdchok P et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Kirdchok P, Kolkijkovin V, Munsukpol W and Chinvararak C. Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.12688/f1000research.126054.5 ) First published: 27 Sep 2022, 11 :1107 ( https://doi.org/10.12688/f1000research.126054.1 ) Latest published: 03 Apr 2025, 11 :1107 ( https://doi.org/10.12688/f1000research.126054.5 ) Revised Amendments from Version 4 We added some names to the Acknowledgement section. We added some names to the Acknowledgement section. See the authors' detailed response to the review by Pracheth Raghuveer See the authors' detailed response to the review by Thanapob Bumphenkiatikul READ REVIEWER RESPONSES Introduction Mental health issues are one of the leading global problems among university students [ Macaskill, 2013 ; Akhtar et al. , 2020 ]. Early studies found that mental health problems, especially in medical and nursing students [ MacLean et al. , 2016 , Tung et al. , 2018 ], disturbed not only the quality of life but also affected academic performance [ Bakker et al. , 2020 ] and empathic feelings for patients [ Lins et al. , 2015 ]. In addition, examples of common mental health problems in university students are stress [ Pacheco et al. , 2017 ], burnout [ Pacheco et al. , 2008 ], sleep problems [ Azad et al. , 2015 ; Chinvararak et al. , 2021 ], depression [ Tung et al. , 2018 , Pacheco et al. , 2017 ], anxiety [ MacLean et al. , 2016 ; Pacheco et al. , 2017 ], and suicidal ideation [ Pacheco et al. , 2008 ]. Prior studies showed that the prevalence of depression in medical students globally and in Thailand ranged between 2-30% [ Rotenstein et al. , 2016 ; Phomprasith et al. , 2022 ], while the anxiety rate was approximately 6-78% [ Puthran et al. , 2016 ]. Other psychiatric disorders, such as obsessive-compulsive disorder (OCD) and substance use disorder, were also found [ Pacheco et al. , 2017 ]. However, most of the results came from a community-based study. There is still limited data on mental health problems in a clinical-based study in which clients decided to consult mental health services. Furthermore, factors found to be associated with mental health problems in medical students include course year, academic pressure, relationship problems, bullying, sleep deficiency, high workload, and chronic medical diseases [ Puthran et al. , 2016 ; Firth, 1986 ]. However, there are several reports on the prevalence of mental issues; the results revealed that most medical students are more likely not to seek mental health help [ Quince et al. , 2012 ]. This cause may result from a negative attitude toward psychiatric disorders, fear of stigmatisation, or confidentiality concern about the treatment process [ Jacob et al. , 2020 ; Hankir et al. , 2014 ]. “Supara” mental health clinic is a specialised in-house clinic that provides mental health service for students and staff of Navamindradhiraj University. This clinic was established and implemented in 2020 by the department of psychiatry, Faculty of Medicine Vajira Hospital, which is affiliated with Navamindradhiraj University. The clinic intended to increase access to mental health services for university students by addressing confidentiality, privacy, and waiting time. There are psychologists, mental health nurses, and psychiatrists who provide comprehensive mental health evaluation and treatment ( Figure 1 ). Figure 1. Supara mental health service process map. Although much research has studied the prevalence and associated factors of mental health problems in students, Supara mental health clinic is a specific service model. Consequently, this study aimed to investigate the prevalence of common mental health problems among undergraduate and postgraduate students of Navamindradhiraj University who decide to seek the mental health service. The results of this study will be used to plan for further service improvements based on the prevalence of common problems and related factors. Methods Ethics and consent We obtained approval from the Ethical Committee of the Institutional Review Board of the Faculty of Medicine Vajira Hospital on June 26 th , 2021 (COA no. 111/2564). All participants were asked to provide written informed consent to complete routine patient-reported outcome measures (PROMs) when using the clinic’s service. Informed consent described the purpose of data collection, i.e. to assess treatment effectiveness in the routine clinic. They were also informed that their information might be used in the future under the supervision of the ethical committee. The data used in this study were retrospectively retrieved from the clinic’s records; participants were not directly involved. Study design, setting, and participants We conducted a cross-sectional descriptive study based on STROBE guidelines [ von Elm et al. , 2008 ]. We retrospectively investigated the mental health record form from Supara mental health service's database. The sample size was calculated according to the Cochrane formula [ Wayne, 1995 ]. The number of students visiting (N) Supara mental health service between February 2020 to June 2021 was 260. The sample size was estimated by p = 0.196 according to the study by Limsricharoen et al. [2014] . Using alpha at 0.05 and error (d) at 0.05, the required sample size was 140. Inclusion/exclusion criteria Participants were included if they: (a) were a student of Navamindradhiraj university; (b) were aged 18 years and older; (c) had a record of using the mental health service. Participants were excluded if their record data was not sufficient to be analysed. Data collection Materials Participants visiting Supara mental health service would perform the questionnaires in-person on the first visit. We explored the pre-existing database and created the data record form. The data record form comprised five sections: 1) demographic data including sex, age, admission route to the university, course year, faculty, department, underlying disease, waiting time before receiving the first evaluation, satisfactory scores which is a Likert-type scale from 0 to 10 (0 = poor, 10 = excellent); 2) clinical characteristics including diagnosis recorded according to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) [ World Health Organization, 1992 ], from a consultant psychiatrist, number of visits to the mental health service, a history of psychiatric treatment and, prescription of psychotropic medications; 3) Clinical Global Impression Scale (CGI); 4) Patient Health Questionnaire-9 (PHQ-9); 5) 8 items from the Mini International Neuropsychiatric Interview (MINI) to assess suicidal risk (8Q); and 6) Thai Mental Health Indicator (TMHI-15). CGI was used to assess the severity of the illness. It is divided into 7 levels of severity, sorted into ascending severity scores: 1) normal or not at all ill, 2) borderline mentally ill, 3) mildly ill, 4) moderately ill, 5) markedly ill, 6) severely ill, and 7) among the most extremely ill patients [ Busner and Targum, 2007 ]. PHQ-9 Thai version consists of a total of 9 questions. The total score of PHQ-9 is categorised into 4 levels of severity of depression: 1) normal (0–6), 2) mild (7–12), 3) moderate (13–18), and 4) severe (≥19). The sensitivity and specificity of PHQ-9 to distinguish depression are 84% and 77%, respectively [ Lotrakul et al. , 2008 ]. 8Q was developed to measure suicidal risk by Kittirattanapaiboon following the MINI. It is classified as suicidal risk into 1) low risk (1-8), 2) moderate risk (9-16), and 3) high risk (>17) [ Kittirattanapaiboon and Khamwongpin, 2005 ]. TMHI-15 short version was developed by Monhkol et al. and aimed to measure the mental health of Thai people. The total scores can be divided into 3 groups: 1) better than average mental health (51-60), 2) average mental health (44-50), and 3) below average mental health (<43) [ Mongkol et al. , 2013 ]. All questionnaires except CGI in this study were self-rated by participants on their first visit to the Supara mental health service. The CGI scale was rated by psychiatrists on the patient’s first visit. PK and CC extracted the record data independently. If there were any conflicts in the data, the third author would double-check the result and provide the final consensus. Statistical analyses Data were analysed using SPSS software (version 28.0; IBM, Chicago, IL, USA). The prevalence of mental health problems was presented by frequency and percentage. In addition, associated factors to the severity of mental health problems were analysed by the Independent samples t-test, Mann-Whitney U test, Chi-square test or Fisher's exact test, depending on the variable types. Finally, multivariable regression analysis (odds ratio [OR] and 95% confidence interval [CI]) was used to identify potential predictors of mental health problems. We classified the severity of mental health problems by CGI scale: normal to mild (CGI 1-3) and moderate to severe (CGI 4-7). We used the listwise deletion method for handling missing data. P < 0.05 was considered statistically significant. Results Of 184 participants recruited in this study, they had a mean age of 22.49 years old (SD 3.92). Most participants were female (62%), undergraduate (84.8%), and studied in the Doctor of Medicine programme. Most medical students were enrolled at the university through the consortium of Thai Medical Schools admission system (71.4%), and they were preclinical year students (59%). Furthermore, the participants' average grade point average (GPAs) was 3.15 (SD 0.42). The median waiting time for their first psychiatric assessment was 0 days (IQR 0-5). Lastly, the majority of participants were satisfied with the university's mental health service, with a mean score of 9.45 (SD 0.83) ( Table 1 ). Table 1. Demographic data (n=184). Variables n (%) Sex Male 70 (38.0) Female 114 (62.0) Age (years), Mean ± SD 22.49 ± 3.92 Education level Undergraduate 156 (84.8) Resident or Fellowship 26 (14.1) Unspecified 2 (1.1) Faculty of Medicine Vajira Hospital Doctor of medicine 105 (57.1) Bachelor of Science Programme in Paramedic 9 (4.9) Bachelor of Science Programme in Radiological Technology 6 (3.3) Resident or Fellowship 25 (13.6) Kuakarun Faculty of Nursing 17 (9.2) Faculty of Sciences and Health Technology 15 (8.2) Institute of Metropolitan Development 2 (1.1) Urban Community Development 3 (1.6) Unknown 2 (1.1) Course year (Doctor of Medicine, n = 105) Preclinical year 62 (59.0) Clinical year 37 (35.2) Unknown 6 (5.7) Admission route (Doctor of Medicine, n = 105) Bangkok Metropolitan Administration (BMA) School's quota 5 (4.8) Vajiravudh College's quota 3 (2.9) First-degree relatives of BMA and university officer's quota 6 (5.7) Local Government Organization School's quota 1 (1.0) Others (i.e. special English talent) 2 (1.9) The consortium of Thai Medical Schools 75 (71.4) Unknown 13 (12.4) GPA, Mean ± SD 3.15 ± 0.42 <3.0 39 (21.2) ≥3.0 99 (53.8) Unknown 46 (25.0) Underlying medical disease 37 (20.1) A family history of mental disorder 26 (14.1) Waiting time (Median, IQR) 0 (0-5) Wish to use the telemedicine service 107 (58.2) Satisfactory scores, Mean ± SD (0 = poor, 10 = excellent) 9.45 ± 0.83 Table 2 demonstrates the prevalence of psychiatric diagnoses. Among all psychiatric disorders, depressive disorders (57.1%), adjustment disorders (15.2%), and anxiety disorders (13.6%) were the top three most common diagnoses. The median number of visits to the mental health service was 7 (IRQ 3-14). Approximately 86% of participants received psychotropic medications. Table 2. Prevalence of common mental disorders and clinical characteristics. ICD-10 diagnosis n (%) Depressive disorders 105 (57.1) Adjustment disorders 28 (15.2) Anxiety disorders 25 (13.6) Attention-deficit hyperactivity disorders (ADHD) 16 (8.7) Insomnia disorder 6 (3.3) Obsessive-compulsive disorder (OCD) 5 (2.7) Post-traumatic stress disorder (PTSD) 5 (2.7) Acute stress reaction 4 (2.2) Bipolar disorder 2 (1.1) Mental disorders due to known physiological conditions 1 (0.5) Eating disorders 1 (0.5) Somatoform disorder 1 (0.5) Autistic disorder 1 (0.5) Tic disorder 1 (0.5) Clinical characteristics - Number of visits to the mental health service, Median (IQR) 7 (3-14) - Psychotropic medications 158 (85.9) - A history of psychiatric hospitalisation 2 (1.1) Table 3 reveals the measurement tools used in the mental health service. Around 38% of participants had a CGI scale of 4 (moderately ill). Most participants had mild depression (50%) and low suicidal risk (76.3%) from PHQ-9 and 8Q, respectively. Unsurprisingly, all participants had below-average mental health from TMHI-15. Table 3. PHQ-9, 8Q, TMH-15 and CGI scales. Measurement scores n (%) CGI scale (n=167) Normal, not at all ill 9 (4.9) Borderline mentally ill 8 (4.3) Mildly ill 37 (20.1) Moderately ill 70 (38.0) Markedly ill 18 (9.8) Severely ill 9 (4.9) Among the most extremely ill 3 (1.6) Unknown 30 (16.3) PHQ-9 (n = 160) - Mild (7–12) 80 (50.0) - Moderate (13–18) 52 (32.5) - Severe (≥19) 28 (17.5) 8Q (n = 160) - Low risk (0-8) 122 (76.3) - Moderate risk (9-16) 17 (10.6) - High risk (≥17) 21 (13.1) TMHI-15 (n = 156) Below average mental health (<43) 156 (100.0) - <19 26 (16.7) - 19-30 103 (66.0) - 31-43 27 (17.3) The results of multivariable regression analysis showed that GPAs below 3.0 (OR = 3.09, 95%CI: 1.17-8.14) and a family history of mental disorders (OR = 3.40, 95%CI: 1.10-10.48) were the independent predictors of moderate to severe mental health problems ( Tables 4 and 5 ). Table 4. Factors associated with mental health problems (CGI). Factors Severity of mental health problems P-value Normal to mild (n = 54) Moderate to severe (n = 100) Gender Male 26 (48.1) 29 (29.0) 0.018 Female 28 (51.9) 71 (71.0) Age (years), Mean ± SD 21.41 ± 2.75 21.88 ± 3.27 0.368 Educational level Undergraduate 47 (87.0) 89 (89.0) 0.718 Postgraduate 7 (13.0) 11 (11.0) Programme Doctor of Medicine 33 (61.1) 57 (57.0) 0.858 Resident or Fellowship 6 (11.1) 11 (11.0) Others 15 (27.8) 32 (32.0) Course year (Doctor of Medicine n = 90) Preclinical year 20 (60.6) 40 (70.2) 0.353 Clinical year 13 (39.4) 17 (29.8) Admission route (Doctor of Medicine n = 90) The consortium of Thai Medical Schools 23 (69.7) 47 (82.5) 0.397 Quota 8 (24.2) 8 (14.0) Unknown 2 (6.1) 2 (3.5) GPA, Mean ± SD 3.28 ± 0.33 3.12 ± 0.45 0.370 <3.0 6 (11.1) 28 (28.0) 0.048 ≥3.0 39 (72.2) 59 (59.0) Unspecified 9 (16.7) 13 (13.0) Medical underlying disease 9 (16.7) 25 (25.0) 0.517 Allergy 6 (11.1) 15 (15.0) 0.502 Asthma 2 (3.7) 2 (2.0) 0.612 Migraine 1 (1.9) 2 (2.0) 1.000 Others 1 (1.9) 6 (6.0) 0.422 A history of psychiatric treatment 9 (16.7) 15 (15.0) 0.506 A family history of mental disorders 4 (7.4) 22 (22.0) 0.030 Table 5. Factors associated with mental health problems (CGI) analysed by univariable and multivariable regression analysis (n=154). Factors Univariable analysis Multivariable analysis OR 1 95%CI P-value OR adj 2 95%CI P-value Sex Male 1.00 Reference 1.00 Reference Female 2.27 (1.14-4.52) 0.019 1.92 (0.94-3.94) 0.076 GPA <3.0 3.09 (1.17-8.14) 0.023 3.17 (1.18-8.56) 0.022 ≥3.0 1.00 Reference 1.00 Reference A family history of mental disorder 3.40 (1.10-10.48) 0.033 3.78 (1.18-12.04) 0.025 1 Crude Odds Ratio estimated by Binary Logistic regression. 2 Adjusted Odds Ratio estimated by Multiple Logistic regression. Discussion Mental health problems are a common issue in university students. The total number of Navamindradhiraj university students is approximately 2,500. In addition, around 260 students visited Suprara mental health clinic, so the point prevalence of mental health problems is around 10%. Moreover, this number is only for students who sought mental health treatment. Hence, the actual prevalence in a community-based setting is likely to be over 10%. The results revealed that medical students and residents of fellowship are the majority of participants in this study. We believe this is because students in the Faculty of Medicine, students are more familiar with the health service and have more exposure to the psychiatric unit due to their clinical coursework. The most common psychiatric diagnoses in our study were depressive disorders, adjustment disorders and anxiety disorders, respectively. The prevalence of common mental disorders in this study was similar to the study by MacLean et al. [2016] , Tung et al. [2018] , and Pacheco et al. [2017] . Our study is among the first to present the prevalence of common mental health problems from a university mental health service. The prevalence of depression in the present study was higher than in prior studies [ Akhtar et al. , 2020 ; Pacheco et al. , 2017 ; Rotenstein et al. , 2016 ], likely because the participants were recruited from the mental health service. However, the anxiety rate was similar to earlier studies [ Phomprasith et al. , 2022 ]. Additionally, the three most common mental health problems presented in the service are similar to those in the community-based study of Thai university students [ Chiddaycha and Wainipitapong, 2021 ]. It can also be implied that university mental health service may benefit more from improving the service for depression and anxiety; for example, through the use of standard psychotherapy (cognitive behavioural therapy, interpersonal therapy) [ Hofmann et al. , 2012 ]. The PHQ-9 and 8Q questionnaires showed most participants had mild depression and a low risk of suicide. However, the overall CGI scale at baseline is four (moderately ill), which is clinically significant and needs to be tackled to prevent further complications and disease progression. All participants had below-average mental health from TMHI-15. However, TMHI-15 could be useful for monitoring treatment improvement in mental health status. Interestingly, most clients rated our mental health service a very high satisfaction score. In addition, it can be seen that the median waiting time for the first psychiatric evaluation was zero days as the university policy intends to provide a standard of mental health care urgently and vitally for the students. Furthermore, more than half of our participants would like to use telemedicine. This is probably influenced by the COVID-19 pandemic. However, it can indicate that the clinic should implement telemedicine in the service. We will apply a full service of telemedicine to our clinic in the near future in order to increase accessibility to the service as well as avoid mental health stigma for our students. However, for high-risk cases, mental health teams should advise and convince them to come to evaluate further face-to-face. The multivariable regression analysis demonstrated that having a low GPAs and a family history of mental disorders were strong predictors of moderate to severe mental health problems. Therefore, these factors may be helpful in screening mental health problems for university students. There are several strengths in this study. First, the study was established in the specialised mental health service for university students, which is rare in Thailand. Secondly, we had planned to collect the data in all cases in our service, Finally, two authors extracted the diagnosis data following ICD-10 [ World Health Organization, 1992 ] separately in order to avoid missing data and bias. We are aware of some limitations of this study. First, due to the cross-sectional descriptive design, we can only indicate associated factors, not causal relationships. Secondly, the results of the present came from Navamindradhiraj University, so it may have a different context from other universities, which may not be representative of all university students. Finally, most of the mental health screening questionnaires were self-rated scales; therefore, the assessment must be interpreted cautiously. Future research should investigate the longitudinal data that can assess the effectiveness of our mental health service. Moreover, a study about mental health problems in university staff should be done because Supara mental health service also provides mental health consults to all university staff. Conclusions The most common mental health problems in university students were depressive disorders. Low GPAs and a family history of mental disorder were independent predictors of moderate to severe mental health problems. Screening these factors may be helpful for the university to provide early detection and management. Data availability Underlying data figshare: Data-Supara Mental Health Service. https://doi.org/10.6084/m9.figshare.21131953.v2 [ Chinvararak, 2022 ] This project contains the following underlying data: - Raw data-Pre-analysed.xlsx (Anonymised responses in excel sheet) Extended data figshare: Data-Supara Mental Health Service. https://doi.org/10.6084/m9.figshare.21131953.v2 [ Chinvararak, 2022 ] This project contains the following extended data: - Data Record Form_Supara.docx (Blank English copy of the data record form used in this study) - Figure 1.jpg Data are available under the terms of the Creative Commons Attribution 4.0 International Lisence (CC BY 4.0). 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Reference Source Comments on this article Comments (0) Version 5 VERSION 5 PUBLISHED 27 Sep 2022 ADD YOUR COMMENT Comment Author details Author details 1 Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand Pantri Kirdchok Roles: Conceptualization, Data Curation, Formal Analysis, Investigation, Methodology, Project Administration, Software, Validation, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Varuna Kolkijkovin Roles: Conceptualization, Funding Acquisition, Methodology, Project Administration, Resources, Supervision, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Wanida Munsukpol Roles: Data Curation, Investigation, Project Administration, Resources, Writing – Original Draft Preparation, Writing – Review & Editing Chotiman Chinvararak Roles: Conceptualization, Formal Analysis, Investigation, Methodology, Software, Validation, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Competing interests No competing interests were disclosed. Grant information This study received a grant from Navamindradhiraj University Research Fund. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Article Versions (5) version 5 Revised Published: 03 Apr 2025, 11:1107 https://doi.org/10.12688/f1000research.126054.5 version 4 Revised Published: 14 Mar 2025, 11:1107 https://doi.org/10.12688/f1000research.126054.4 version 3 Revised Published: 31 Mar 2023, 11:1107 https://doi.org/10.12688/f1000research.126054.3 version 2 Revised Published: 24 Mar 2023, 11:1107 https://doi.org/10.12688/f1000research.126054.2 version 1 Published: 27 Sep 2022, 11:1107 https://doi.org/10.12688/f1000research.126054.1 Copyright © 2025 Kirdchok P et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.179772.r375432 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v5#referee-response-375432 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 09 Apr 2025 Thanapob Bumphenkiatikul , Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Division of Academics Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Bangkok, Thailand Approved VIEWS 0 https://doi.org/10.5256/f1000research.179772.r375432 I approved the minor change made ... Continue reading READ ALL I approved the minor change made by the authors in the Acknowledgement section. Competing Interests: No competing interests were disclosed. Reviewer Expertise: Transgender medicine, Medical education, Reproductive medicine I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Bumphenkiatikul T. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.179772.r375432 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v5#referee-response-375432 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Version 3 VERSION 3 PUBLISHED 31 Mar 2023 Revised Views 0 Cite How to cite this report: Raghuveer P. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.146131.r168362 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v3#referee-response-168362 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 21 Apr 2023 Pracheth Raghuveer , Department of Epidemiology, National Institute of Mental Health and Neurosciences, India, Bangalore, Karnataka, India Approved VIEWS 0 https://doi.org/10.5256/f1000research.146131.r168362 I am satisfied with the changes made by the ... Continue reading READ ALL I am satisfied with the changes made by the authors. The manuscript may now be approved without reservations. Competing Interests: No competing interests were disclosed. Reviewer Expertise: Maternal Mental Health, Non-Communicable Diseases, Geriatrics. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Raghuveer P. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.146131.r168362 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v3#referee-response-168362 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Views 0 Cite How to cite this report: Bumphenkiatikul T. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.146131.r168361 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v3#referee-response-168361 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 05 Apr 2023 Thanapob Bumphenkiatikul , Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Division of Academics Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Bangkok, Thailand Approved VIEWS 0 https://doi.org/10.5256/f1000research.146131.r168361 After revision by the authors, the manuscript now includes an elaboration that satisfactory scores are assessed using a Likert-type scale ranging from 0 to 10 (0 = poor, 10 = excellent), which is a feasible measure for evaluating short-term outcomes ... Continue reading READ ALL After revision by the authors, the manuscript now includes an elaboration that satisfactory scores are assessed using a Likert-type scale ranging from 0 to 10 (0 = poor, 10 = excellent), which is a feasible measure for evaluating short-term outcomes of service provision. The service satisfaction score was rated at 9.45 ± 0.83, which could serve as an excellent key performance indicator (KPI) for the service provision. I am eagerly anticipating any subsequent reports that demonstrate the ultimate end-point of decreased prevalence of severe mental health problems among clients, which would indicate the long-term efficacy of the clinic. Competing Interests: No competing interests were disclosed. Reviewer Expertise: Transgender Healthcare, Medical Education I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Bumphenkiatikul T. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.146131.r168361 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v3#referee-response-168361 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Version 1 VERSION 1 PUBLISHED 27 Sep 2022 Views 0 Cite How to cite this report: Raghuveer P. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.138429.r162187 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v1#referee-response-162187 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 20 Mar 2023 Pracheth Raghuveer , Department of Epidemiology, National Institute of Mental Health and Neurosciences, India, Bangalore, Karnataka, India Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.138429.r162187 The study highlights the prevalence and determinants of mental health problems among university students in a specialized mental health clinic. It is a well-written paper. There is further scope for improvement. Here are my constructive comments: ... Continue reading READ ALL The study highlights the prevalence and determinants of mental health problems among university students in a specialized mental health clinic. It is a well-written paper. There is further scope for improvement. Here are my constructive comments: The authors mention that the majority of the participants were satisfied with the mental health services. But it is unclear how satisfaction was assessed. Was there a scale used? Please explain in the methods section. The discussion needs major improvement. Please compare your findings with the findings of other studies. Speculate wherever necessary. The strengths of this study or the novelty must be explained in the discussion. Most of the assessments were done using self-rated scales. This must be mentioned as a limitation. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes Competing Interests: No competing interests were disclosed. Reviewer Expertise: Maternal Mental Health, Non-Communicable Diseases, Geriatrics. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Raghuveer P. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.138429.r162187 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v1#referee-response-162187 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Author Response 03 Apr 2023 Chotiman Chinvararak , Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand 03 Apr 2023 Author Response Thank you very much for your time and valuable comment in order to improve our manuscript. We really appreciate it. We have addressed all of your comments in the 2nd version ... Continue reading Thank you very much for your time and valuable comment in order to improve our manuscript. We really appreciate it. We have addressed all of your comments in the 2nd version of the manuscript. Sincerely yours Chotiman Chinvararak Coressponding author Thank you very much for your time and valuable comment in order to improve our manuscript. We really appreciate it. We have addressed all of your comments in the 2nd version of the manuscript. Sincerely yours Chotiman Chinvararak Coressponding author Competing Interests: No competing interests were disclosed. Close Report a concern Respond or Comment COMMENTS ON THIS REPORT Author Response 03 Apr 2023 Chotiman Chinvararak , Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand 03 Apr 2023 Author Response Thank you very much for your time and valuable comment in order to improve our manuscript. We really appreciate it. We have addressed all of your comments in the 2nd version ... Continue reading Thank you very much for your time and valuable comment in order to improve our manuscript. We really appreciate it. We have addressed all of your comments in the 2nd version of the manuscript. Sincerely yours Chotiman Chinvararak Coressponding author Thank you very much for your time and valuable comment in order to improve our manuscript. We really appreciate it. We have addressed all of your comments in the 2nd version of the manuscript. Sincerely yours Chotiman Chinvararak Coressponding author Competing Interests: No competing interests were disclosed. Close Report a concern COMMENT ON THIS REPORT Views 0 Cite How to cite this report: Bumphenkiatikul T. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.138429.r152313 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v1#referee-response-152313 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 09 Nov 2022 Thanapob Bumphenkiatikul , Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Division of Academics Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Bangkok, Thailand Approved VIEWS 0 https://doi.org/10.5256/f1000research.138429.r152313 The article describes common mental health problems and associated factors among university students visiting one in-house mental health clinic that provides services for students and staff of one university in Thailand. The results show depressive disorder, adjustment disorder, and anxiety ... Continue reading READ ALL The article describes common mental health problems and associated factors among university students visiting one in-house mental health clinic that provides services for students and staff of one university in Thailand. The results show depressive disorder, adjustment disorder, and anxiety disorder as the three most common psychiatric diagnoses among participants, which are similar to those in the community-based study in another Thai medical school. The study also highlights the association between lower grade point averages and a family history of mental disorders with moderate to severe mental health problems and suggests using these factors as a screening tool for mental health problems among university students. The clinic was established and implemented in February 2020 to serve approximately 2,500 students and an additional number of all university staff. Despite caring for 260 students in 17 months, the waiting time for the first psychiatric evaluation was surprisingly reported as zero days. It would be more informative for readers if the authors mentioned the number of psychologists, mental health nurses, and psychiatrists providing care at the clinic, the total number of university staff and those seeking care at the clinic, the number of visits by several types of clients during the same 17 months period and statistics of the number of diagnoses given to each clients receiving the service. In the follow-up study, with an increasing number of clients, it would be interesting to investigate and compare the results between every subgroup, including undergraduate and postgraduate students, or medical and nursing students. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes Competing Interests: No competing interests were disclosed. Reviewer Expertise: Transgender Healthcare, Medical Education I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Bumphenkiatikul T. Reviewer Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.138429.r152313 ) The direct URL for this report is: https://f1000research.com/articles/11-1107/v1#referee-response-152313 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Author Response 17 Nov 2022 Chotiman Chinvararak , Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand 17 Nov 2022 Author Response Thank you very much for your review and suggestions for our manuscript. In the follow-up study, which will have more participants, we plan to investigate the subgroup and make ... Continue reading Thank you very much for your review and suggestions for our manuscript. In the follow-up study, which will have more participants, we plan to investigate the subgroup and make a comparison between undergraduate and postgraduate, between the faculty and the route of admission. We will design further study with the valuable recommendation from the reviewer. We appreciate your time reviewing, which assists in making the manuscript a better quality publication. Best regards Chotiman Chinvararak Thank you very much for your review and suggestions for our manuscript. In the follow-up study, which will have more participants, we plan to investigate the subgroup and make a comparison between undergraduate and postgraduate, between the faculty and the route of admission. We will design further study with the valuable recommendation from the reviewer. We appreciate your time reviewing, which assists in making the manuscript a better quality publication. Best regards Chotiman Chinvararak Competing Interests: No Close Report a concern Respond or Comment COMMENTS ON THIS REPORT Author Response 17 Nov 2022 Chotiman Chinvararak , Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand 17 Nov 2022 Author Response Thank you very much for your review and suggestions for our manuscript. In the follow-up study, which will have more participants, we plan to investigate the subgroup and make ... Continue reading Thank you very much for your review and suggestions for our manuscript. In the follow-up study, which will have more participants, we plan to investigate the subgroup and make a comparison between undergraduate and postgraduate, between the faculty and the route of admission. We will design further study with the valuable recommendation from the reviewer. We appreciate your time reviewing, which assists in making the manuscript a better quality publication. Best regards Chotiman Chinvararak Thank you very much for your review and suggestions for our manuscript. In the follow-up study, which will have more participants, we plan to investigate the subgroup and make a comparison between undergraduate and postgraduate, between the faculty and the route of admission. We will design further study with the valuable recommendation from the reviewer. We appreciate your time reviewing, which assists in making the manuscript a better quality publication. Best regards Chotiman Chinvararak Competing Interests: No Close Report a concern COMMENT ON THIS REPORT Comments on this article Comments (0) Version 5 VERSION 5 PUBLISHED 27 Sep 2022 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 2 Version 5 (revision) 03 Apr 25 read Version 4 (revision) 14 Mar 25 Version 3 (revision) 31 Mar 23 read read Version 2 (revision) 24 Mar 23 Version 1 27 Sep 22 read read Thanapob Bumphenkiatikul , Chulalongkorn University, Bangkok, Thailand; Chulalongkorn University, Bangkok, Thailand Pracheth Raghuveer , National Institute of Mental Health and Neurosciences, India, Bangalore, India Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2025 Bumphenkiatikul T. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 09 Apr 2025 | for Version 5 Thanapob Bumphenkiatikul , Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Division of Academics Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Bangkok, Thailand 0 Views copyright © 2025 Bumphenkiatikul T. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions I approved the minor change made by the authors in the Acknowledgement section. Competing Interests No competing interests were disclosed. Reviewer Expertise Transgender medicine, Medical education, Reproductive medicine I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. reply Respond to this report Responses (0) Bumphenkiatikul T. Peer Review Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.179772.r375432) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/11-1107/v5#referee-response-375432 keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2023 Raghuveer P. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 21 Apr 2023 | for Version 3 Pracheth Raghuveer , Department of Epidemiology, National Institute of Mental Health and Neurosciences, India, Bangalore, Karnataka, India 0 Views copyright © 2023 Raghuveer P. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions I am satisfied with the changes made by the authors. The manuscript may now be approved without reservations. Competing Interests No competing interests were disclosed. Reviewer Expertise Maternal Mental Health, Non-Communicable Diseases, Geriatrics. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. reply Respond to this report Responses (0) Raghuveer P. Peer Review Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.146131.r168362) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/11-1107/v3#referee-response-168362 keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2023 Bumphenkiatikul T. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 05 Apr 2023 | for Version 3 Thanapob Bumphenkiatikul , Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Division of Academics Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Bangkok, Thailand 0 Views copyright © 2023 Bumphenkiatikul T. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions After revision by the authors, the manuscript now includes an elaboration that satisfactory scores are assessed using a Likert-type scale ranging from 0 to 10 (0 = poor, 10 = excellent), which is a feasible measure for evaluating short-term outcomes of service provision. The service satisfaction score was rated at 9.45 ± 0.83, which could serve as an excellent key performance indicator (KPI) for the service provision. I am eagerly anticipating any subsequent reports that demonstrate the ultimate end-point of decreased prevalence of severe mental health problems among clients, which would indicate the long-term efficacy of the clinic. Competing Interests No competing interests were disclosed. Reviewer Expertise Transgender Healthcare, Medical Education I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. reply Respond to this report Responses (0) Bumphenkiatikul T. Peer Review Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.146131.r168361) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/11-1107/v3#referee-response-168361 keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2023 Raghuveer P. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 20 Mar 2023 | for Version 1 Pracheth Raghuveer , Department of Epidemiology, National Institute of Mental Health and Neurosciences, India, Bangalore, Karnataka, India 0 Views copyright © 2023 Raghuveer P. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (1) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions The study highlights the prevalence and determinants of mental health problems among university students in a specialized mental health clinic. It is a well-written paper. There is further scope for improvement. Here are my constructive comments: The authors mention that the majority of the participants were satisfied with the mental health services. But it is unclear how satisfaction was assessed. Was there a scale used? Please explain in the methods section. The discussion needs major improvement. Please compare your findings with the findings of other studies. Speculate wherever necessary. The strengths of this study or the novelty must be explained in the discussion. Most of the assessments were done using self-rated scales. This must be mentioned as a limitation. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes Competing Interests No competing interests were disclosed. Reviewer Expertise Maternal Mental Health, Non-Communicable Diseases, Geriatrics. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (1) Author Response 03 Apr 2023 Chotiman Chinvararak, Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand Thank you very much for your time and valuable comment in order to improve our manuscript. We really appreciate it. We have addressed all of your comments in the 2nd version of the manuscript. Sincerely yours Chotiman Chinvararak Coressponding author View more View less Competing Interests No competing interests were disclosed. reply Respond Report a concern Raghuveer P. Peer Review Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.138429.r162187) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/11-1107/v1#referee-response-162187 keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2022 Bumphenkiatikul T. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 09 Nov 2022 | for Version 1 Thanapob Bumphenkiatikul , Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Division of Academics Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok, Bangkok, Thailand 0 Views copyright © 2022 Bumphenkiatikul T. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (1) Approved info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions The article describes common mental health problems and associated factors among university students visiting one in-house mental health clinic that provides services for students and staff of one university in Thailand. The results show depressive disorder, adjustment disorder, and anxiety disorder as the three most common psychiatric diagnoses among participants, which are similar to those in the community-based study in another Thai medical school. The study also highlights the association between lower grade point averages and a family history of mental disorders with moderate to severe mental health problems and suggests using these factors as a screening tool for mental health problems among university students. The clinic was established and implemented in February 2020 to serve approximately 2,500 students and an additional number of all university staff. Despite caring for 260 students in 17 months, the waiting time for the first psychiatric evaluation was surprisingly reported as zero days. It would be more informative for readers if the authors mentioned the number of psychologists, mental health nurses, and psychiatrists providing care at the clinic, the total number of university staff and those seeking care at the clinic, the number of visits by several types of clients during the same 17 months period and statistics of the number of diagnoses given to each clients receiving the service. In the follow-up study, with an increasing number of clients, it would be interesting to investigate and compare the results between every subgroup, including undergraduate and postgraduate students, or medical and nursing students. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes Competing Interests No competing interests were disclosed. Reviewer Expertise Transgender Healthcare, Medical Education I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. reply Respond to this report Responses (1) Author Response 17 Nov 2022 Chotiman Chinvararak, Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand Thank you very much for your review and suggestions for our manuscript. In the follow-up study, which will have more participants, we plan to investigate the subgroup and make a comparison between undergraduate and postgraduate, between the faculty and the route of admission. We will design further study with the valuable recommendation from the reviewer. We appreciate your time reviewing, which assists in making the manuscript a better quality publication. Best regards Chotiman Chinvararak View more View less Competing Interests No reply Respond Report a concern Bumphenkiatikul T. Peer Review Report For: Prevalence of common mental health problems and associated factors among university students visiting Supara mental health service: A cross-sectional study [version 5; peer review: 2 approved] . F1000Research 2025, 11 :1107 ( https://doi.org/10.5256/f1000research.138429.r152313) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/11-1107/v1#referee-response-152313 Alongside their report, reviewers assign a status to the article: Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions Adjust parameters to alter display View on desktop for interactive features Includes Interactive Elements View on desktop for interactive features Competing Interests Policy Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. 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