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An Integrated Multilevel Mental Health Support System for University Students: 4-Year Longitudinal Observational
Szilvia Vincze1, Antal Bugán1, Karolina Kósa1
1Chancellery, University of Debrecen, Debrecen, Hungary.
JMIR Formative Research
|January 26, 2026
Summary
University students
Area of Science:
- Mental Health Research
- Digital Health Interventions
- Higher Education Wellbeing
Background:
- University students face significant mental health challenges due to academic and social pressures.
- The COVID-19 pandemic exacerbated existing mental health issues among students worldwide.
- The University of Debrecen implemented a novel, integrated system for student mental health support.
Purpose of the Study:
- To test an integrated, multilevel model system for screening, prevention, and treatment of student mental health problems.
- To evaluate the effectiveness of a smartphone app-based approach to mental health support.
- To assess the utility of a digital-first pathway to mental health services for university students.
Main Methods:
- A smartphone app was developed for mood reporting and accessing tiered mental health services.
- The system utilized a 2-level digital and 3-level hybrid digital-personal service model.
- Student mood reports triggered further screening for depression and peer group participation, leading to interventions.
Main Results:
- The system, operational for 45 months, engaged 29% of the student population via mood reports.
- Between 8.9% and 12.2% of students reported a bad mood, with 50% reporting a good mood.
- Mood reporting peaked during study periods and decreased during exams and recess.
Conclusions:
- The app-based mood report effectively identifies at-risk students without stigma.
- The integrated digital-to-personal service hierarchy is a unique and effective model.
- The system provides valuable data for university leadership to enhance mental health services.
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