(PS13-B41) Psychological Care in University Students: Who Seeks It and Why

Most mental health problems debut during early youth, which includes the university years. However, little is known about the characteristics of applicants in public institutions in Mexico. We analyzed data from 976 applications for psychological care from a Center on the Faculty of Business and Accounting Administration campus during 2020 and 2022. The majority were women (68%) in the first three (53%) of eight semesters, with a mean age of 21.15 years. The main reasons for care were related to the pandemic, be it the emotional distress generated by the confinement, bereavement, family conflicts arising from the return home of students who were away (outsiders), relationship problems and emotional dependency, loss of interest in school and other activities, as well as despair and loss of relevant activities due to the confinement situation. Other reasons were emotional discomfort, interaction difficulties, and academic difficulties. The most frequently mentioned emotions were: anxiety, sadness, anger, apathy, and loneliness. Most reported between two weeks and one month of discomfort. The primary triggers were conflicts with the family, frustration with their own academic performance, loss of family members, and break-ups with partners. They report worsening in the face of the impossibility of socializing, insomnia, thinking about the future, being alone, night and morning, and having free time. There is improvement in social interaction, being busy or distracted, and exercise. The primary sources of support are parents and friends; however, most prefer not to share, mainly for fear of criticism or "being weak." When seeking care, it was more common for them to assess the problem as usual or slightly better. The vital areas most affected by the reason for consultation were health, academic performance, and family. Expectations about care revolved around being listened to, learning strategies, and receiving advice or tips. Regarding permanence in care, the majority did not complete the process (85% of men and 77% of women), most of them because they reported feeling better and having difficulties with schedules and activities. Others did not want remote care (during the pandemic), and some were referred to institutions for specialized care. The findings reflect the worsening of mental health since the COVID-19 pandemic and its implications for student functioning.