{"id":"https://openalex.org/W4387936640","doi":"https://doi.org/10.3390/bs13110885","title":"Differences in Help-Seeking Behavior among University Students during the COVID-19 Pandemic Depending on Mental Health Status: Results from a Cross-Sectional Survey","display_name":"Differences in Help-Seeking Behavior among University Students during the COVID-19 Pandemic Depending on Mental Health Status: Results from a Cross-Sectional Survey","publication_year":2023,"publication_date":"2023-10-25","ids":{"openalex":"https://openalex.org/W4387936640","doi":"https://doi.org/10.3390/bs13110885","pmid":"https://pubmed.ncbi.nlm.nih.gov/37998632","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10669357"},"language":"en","primary_location":{"id":"doi:10.3390/bs13110885","doi":"https://doi.org/10.3390/bs13110885","is_oa":true,"landing_page_url":"https://doi.org/10.3390/bs13110885","pdf_url":"https://www.mdpi.com/2076-328X/13/11/885/pdf?version=1698231408","source":{"id":"https://openalex.org/S4210194710","display_name":"Behavioral Sciences","issn_l":"2076-328X","issn":["2076-328X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Behavioral Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2076-328X/13/11/885/pdf?version=1698231408","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032669498","display_name":"Lukas Guenthner","orcid":"https://orcid.org/0000-0002-7752-5951","observed_orcids":["https://orcid.org/0000-0002-7752-5951"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Lukas Guenthner","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany"],"raw_orcid":"https://orcid.org/0000-0002-7752-5951","affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033335211","display_name":"Sabrina Baldofski","orcid":"https://orcid.org/0000-0003-3175-7914","observed_orcids":["https://orcid.org/0000-0003-3175-7914"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sabrina Baldofski","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany"],"raw_orcid":"https://orcid.org/0000-0003-3175-7914","affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079734280","display_name":"Elisabeth Kohls","orcid":"https://orcid.org/0000-0001-9093-6547","observed_orcids":["https://orcid.org/0000-0001-9093-6547"]},"institutions":[{"id":"https://openalex.org/I4210125843","display_name":"University Hospital Leipzig","ror":"https://ror.org/028hv5492","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210125843"]},{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Elisabeth Kohls","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany","Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]},{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany","institution_ids":["https://openalex.org/I4210125843","https://openalex.org/I926574661"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Jan Schuhr","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jan Schuhr","raw_affiliation_strings":["Centre for Research, Further Education and Consulting, University of Applied Sciences for Social Work, Education and Nursing, 01307 Dresden, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Research, Further Education and Consulting, University of Applied Sciences for Social Work, Education and Nursing, 01307 Dresden, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042032583","display_name":"Tanja Brock","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tanja Brock","raw_affiliation_strings":["Centre for Research, Further Education and Consulting, University of Applied Sciences for Social Work, Education and Nursing, 01307 Dresden, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Research, Further Education and Consulting, University of Applied Sciences for Social Work, Education and Nursing, 01307 Dresden, Germany","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016537819","display_name":"Christine Rummel\u2010Kluge","orcid":"https://orcid.org/0000-0003-4857-8170","observed_orcids":["https://orcid.org/0000-0003-4857-8170"]},"institutions":[{"id":"https://openalex.org/I4210125843","display_name":"University Hospital Leipzig","ror":"https://ror.org/028hv5492","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210125843"]},{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Christine Rummel-Kluge","raw_affiliation_strings":["Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany","Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany"],"raw_orcid":"https://orcid.org/0000-0003-4857-8170","affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, 04103 Leipzig, Germany","institution_ids":["https://openalex.org/I926574661"]},{"raw_affiliation_string":"Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany","institution_ids":["https://openalex.org/I4210125843","https://openalex.org/I926574661"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5016537819"],"corresponding_institution_ids":["https://openalex.org/I4210125843","https://openalex.org/I926574661"],"apc_list":{"value":1800,"currency":"CHF","value_usd":2002},"apc_paid":{"value":2491,"currency":"EUR","value_usd":2686},"fwci":3.0271,"has_fulltext":true,"cited_by_count":18,"citation_normalized_percentile":{"value":0.92068658,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"13","issue":"11","first_page":"885","last_page":"885"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10168","display_name":"COVID-19 and Mental Health","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14085","display_name":"Student Stress and Coping","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/help-seeking","display_name":"help-seeking","score":0.9990000128746033},{"id":"https://openalex.org/keywords/college-students","display_name":"university students","score":0.996999979019165},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.8989999890327454},{"id":"https://openalex.org/keywords/mental-health-status","display_name":"mental health status","score":0.7990000247955322},{"id":"https://openalex.org/keywords/resilience","display_name":"resilience","score":0.8420000076293945},{"id":"https://openalex.org/keywords/treatment-gap","display_name":"treatment gap","score":0.6990000009536743},{"id":"https://openalex.org/keywords/suicidal-ideation","display_name":"suicidal ideation","score":0.8870000243186951},{"id":"https://openalex.org/keywords/help-seeking-intentions","display_name":"help-seeking intentions","score":0.699999988079071}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.835157036781311},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.7742850184440613},{"id":"https://openalex.org/C2779116948","wikidata":"https://www.wikidata.org/wiki/Q17118983","display_name":"Help-seeking","level":3,"score":0.6522402763366699},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.5858797430992126},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5591750741004944},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5078087449073792},{"id":"https://openalex.org/C2776641880","wikidata":"https://www.wikidata.org/wiki/Q944142","display_name":"Suicidal ideation","level":4,"score":0.5022921562194824},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3173888921737671},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3043622374534607},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.2176515758037567},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.181825190782547},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.17792078852653503},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.15278100967407227}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3390/bs13110885","doi":"https://doi.org/10.3390/bs13110885","is_oa":true,"landing_page_url":"https://doi.org/10.3390/bs13110885","pdf_url":"https://www.mdpi.com/2076-328X/13/11/885/pdf?version=1698231408","source":{"id":"https://openalex.org/S4210194710","display_name":"Behavioral Sciences","issn_l":"2076-328X","issn":["2076-328X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Behavioral Sciences","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10669357","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10669357","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10669357/pdf/behavsci-13-00885.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Behav Sci (Basel)","raw_type":"Text"},{"id":"pmid:37998632","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37998632","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Behavioral sciences (Basel, Switzerland)","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:c21c874ee3bc47a49d8048704a1a81b2","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/c21c874ee3bc47a49d8048704a1a81b2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Behavioral Sciences, Vol 13, Iss 11, p 885 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3390/bs13110885","doi":"https://doi.org/10.3390/bs13110885","is_oa":true,"landing_page_url":"https://doi.org/10.3390/bs13110885","pdf_url":"https://www.mdpi.com/2076-328X/13/11/885/pdf?version=1698231408","source":{"id":"https://openalex.org/S4210194710","display_name":"Behavioral Sciences","issn_l":"2076-328X","issn":["2076-328X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Behavioral Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.4156000018119812,"id":"https://metadata.un.org/sdg/4","display_name":"Quality education"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G7062049193","display_name":null,"funder_award_id":"100586917","funder_id":"https://openalex.org/F4320323644","funder_display_name":"S\u00e4chsisches Staatsministerium f\u00fcr Wissenschaft und Kunst"}],"funders":[{"id":"https://openalex.org/F4320320879","display_name":"Deutsche Forschungsgemeinschaft","ror":"https://ror.org/018mejw64"},{"id":"https://openalex.org/F4320323644","display_name":"S\u00e4chsisches Staatsministerium f\u00fcr Wissenschaft und Kunst","ror":"https://ror.org/05wnef833"},{"id":"https://openalex.org/F4320325298","display_name":"Universit\u00e4t Leipzig","ror":"https://ror.org/03s7gtk40"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387936640.pdf","grobid_xml":"https://content.openalex.org/works/W4387936640.grobid-xml"},"referenced_works_count":50,"referenced_works":["https://openalex.org/W1688632701","https://openalex.org/W1972968676","https://openalex.org/W1996299251","https://openalex.org/W2004761428","https://openalex.org/W2033442056","https://openalex.org/W2041956808","https://openalex.org/W2043705607","https://openalex.org/W2049075778","https://openalex.org/W2056499119","https://openalex.org/W2057941693","https://openalex.org/W2093628312","https://openalex.org/W2102797406","https://openalex.org/W2111101816","https://openalex.org/W2118526832","https://openalex.org/W2132322340","https://openalex.org/W2133926089","https://openalex.org/W2160828537","https://openalex.org/W2287943185","https://openalex.org/W2319443643","https://openalex.org/W2336736764","https://openalex.org/W2495215891","https://openalex.org/W2503814187","https://openalex.org/W2567038373","https://openalex.org/W2614613180","https://openalex.org/W2767088218","https://openalex.org/W2774273779","https://openalex.org/W2795888231","https://openalex.org/W2801337635","https://openalex.org/W2805509618","https://openalex.org/W2891230948","https://openalex.org/W2898323214","https://openalex.org/W2912298370","https://openalex.org/W2924243252","https://openalex.org/W2950229699","https://openalex.org/W2983147294","https://openalex.org/W2986609259","https://openalex.org/W2995431192","https://openalex.org/W2997540471","https://openalex.org/W3011262416","https://openalex.org/W3134399240","https://openalex.org/W3167715593","https://openalex.org/W3168836343","https://openalex.org/W3181583505","https://openalex.org/W4200267401","https://openalex.org/W4213428791","https://openalex.org/W4241300954","https://openalex.org/W4312067515","https://openalex.org/W4362632992","https://openalex.org/W4362671632","https://openalex.org/W4366997579"],"related_works":["https://openalex.org/W4211169341","https://openalex.org/W4401785343","https://openalex.org/W4417070356","https://openalex.org/W7204929772","https://openalex.org/W2160828537","https://openalex.org/W2767336368","https://openalex.org/W7079738088","https://openalex.org/W7028849799","https://openalex.org/W2916154891","https://openalex.org/W4407027578"],"abstract_inverted_index":{"BACKGROUND:":[0],"Current":[1],"evidence":[2],"suggests":[3],"that":[4,116,135],"a":[5,21,50,165,175],"significant":[6],"proportion":[7],"of":[8,35,99,113,121,132,154,167,207],"university":[9,179],"students":[10,59,188],"are":[11],"affected":[12],"by":[13],"mental":[14,39,73,145,171,190,210],"disorders":[15],"and":[16,32,37,42,107,130,174,182,193,212],"suicidal":[17],"ideation.":[18],"Despite":[19],"this,":[20],"treatment":[22,176],"gap":[23,177],"exists.":[24],"Therefore,":[25],"the":[26,97,111,149,204],"present":[27],"study":[28],"assessed":[29,78],"students'":[30,72],"knowledge":[31],"past":[33],"use":[34],"on-":[36],"off-campus":[38],"health":[40,74,146,172,191,211],"services":[41,173,192],"help-seeking":[43,54,102,157],"intentions.":[44],"Furthermore,":[45,127],"resilience":[46,100,155,208],"was":[47,159],"investigated":[48],"as":[49],"potential":[51],"barrier":[52],"to":[53,71,95,140,186,195,202],"behavior.":[55,103],"METHODS:":[56],"=":[57],"5510":[58],"from":[60,143],"Saxony,":[61],"Germany.":[62],"To":[63],"compare":[64],"dependent":[65],"variables,":[66],"subgroups":[67],"were":[68,77,84,93,118,137],"computed":[69],"according":[70],"status.":[75],"Variables":[76],"using":[79],"standardized":[80],"questionnaires.":[81],"Chi-square":[82],"tests":[83],"used":[85,94],"for":[86],"comparisons":[87],"between":[88,128],"groups.":[89],"Multiple":[90],"regression":[91],"models":[92],"investigate":[96],"influence":[98],"on":[101,110,156,209],"RESULTS:":[104],"Between":[105],"34":[106],"38%":[108],"(depending":[109],"subgroup)":[112],"participants":[114,133],"indicated":[115,134],"they":[117,136],"not":[119,138],"aware":[120],"their":[122],"universities'":[123,170],"psychosocial":[124],"counseling":[125],"services.":[126,147],"17":[129],"19%":[131],"willing":[139],"seek":[141],"help":[142],"professional":[144],"Finally,":[148],"previously":[150],"found":[151],"negative":[152],"effect":[153],"behavior":[158],"confirmed.":[160],"CONCLUSION:":[161],"The":[162],"results":[163],"showed":[164],"lack":[166],"awareness":[168],"regarding":[169],"among":[178],"students.":[180],"Universities":[181],"healthcare":[183],"providers":[184],"need":[185],"educate":[187],"about":[189],"how":[194],"access":[196],"them.":[197],"Further":[198],"research":[199],"is":[200],"needed":[201],"elucidate":[203],"differential":[205],"impact":[206],"help-seeking.":[213]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":5}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2023-10-26T00:00:00"}