HomePsychology and Education: A Multidisciplinary Journalvol. 46 no. 9 (2025)

Utilization of Mental Health Services among Undergraduate Students

Shaliemar Cabulay | Nathalie Mae Awingan | Janine Hanah Grace Gambol | Airiz Joy Macarubbo | Tanya Resurreccion | Joyce Anne Estrada | Jonalyn P. Santos

Discipline: Psychology and Health

 

Abstract:

Mental health services encompass a range of activities aimed at promoting mental well-being, preventing mental disorders, and providing treatment for those affected. The array of mental health programs and services encompasses a wide range of strategies and initiatives tailored to meet the intricate needs of individuals, particularly undergraduate students, to promote psychological well-being. However, a significant number of undergraduate students hesitate to access mental health services, creating a gap between the availability of resources and their utilization. This study assessed the utilization of mental health services among undergraduate students in a university in the northern part of the Philippines. This descriptive correlational research was conducted among 358 undergraduate students. The respondents were selected using a stratified random sampling method. A structured questionnaire was used to collect data. Data were analyzed using frequency and percentage, and the Chi-square test of independence was used to determine factors that may be associated with the utilization of mental health services. Results showed that the majority of students demonstrated poor health-seeking behavior towards mental health services (51.7%). Moreover, the majority of the students demonstrated a negative attitude (61%) and poor utilization of mental health services (69.3%). The students also received a poor to moderate level of social support (79.6%) towards the use of mental health services. Students' gender (p=0.043), religion (p=0.001), and attitude towards mental health services (p=0.001) were also found to be significantly associated with their utilization of these services. It can be concluded that despite the availability of mental health services in the university, the students are facing a multitude of barriers preventing them from seeking or utilizing these services. Therefore, programs to improve the utilization, attitudes, and health-seeking behaviors of the students towards mental health services must be implemented



References:

  1. Abad Santos, P. M. T., Cleofas, J. V., Austria, A. G. O., de Guzman, A. K. B., & Sarile, B. A. F. (2023). The double-edged impact of Internet use on mental health outcomes among Filipino university students: The mediating role of online social support. Frontiers in Sociology, 8. https://doi.org/10.3389/fsoc.2023.1132523
  2. Abdullah, M. Z., Jamal, A., Rashid, M. A. A., Lipa, M., & Yao, G. (2025). Exploring the Causes of Psychological Distress among University Students. International Journal of Research and Innovation in Social Science, 9(1), 2424–2437. https://www.researchgate.net/profile/Mohd-Zulkifli-Abdullah/publication/388913684_Exploring_the_Causes_of_Psychological_Distress_among_University_Students/links/67f630d59b1c6c4877851cf4/Exploring-the-Causes-of-Psychological-Distress-among-University-Students.pdf
  3. Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and Addressing Mental Health Stigma Across Cultures for Improving Psychiatric Care: A Narrative Review. Cureus, 15(5), e39549. https://doi.org/10.7759/cureus.39549
  4. Alejandria, M. C. P., Casimiro, K. M. D., Gibe, J. A. L., Fernandez, N. S. F., Tumaneng, D. C., Sandoval, E. C. A., Hernandez, P. J. S., Quan-Nalus, M. A., Alipao, F. A., & Alejandria, M. A. C. P. (2023). Attaining well-being beyond the home: A socio-cultural framing of mental health among university students in the Philippines. Health Education Journal, 82(2), 143–155. https://doi.org/10.1177/00178969221141547
  5. Aranha, P. R., Lobo, M. R., & Patil, S. (2022). Assessment of Health-Seeking Behavior among Undergraduate Students at a University. Journal of Health and Allied Sciences NU, 12, 385–391. https://doi.org/10.1055/s-0041-1741413
  6. Campbell, F., Blank, L., Cantrell, A., Baxter, S., Blackmore, C., Dixon, J., & Goyder, E. (2022). Factors that influence mental health of university and college students in the UK: A systematic review. BMC Public Health, 22(1), 1778. https://doi.org/10.1186/s12889-022-13943-x
  7. Denuwara, B., Chandrasiri, A., Wright, J., Morgan, A. J., & Reavley, N. J. (2025). The Effectiveness of Interventions to Improve Mental Health Literacy, Helping Behaviours and Stigmatizing Attitudes in Schoolteachers and Staff in Asian Countries: A Systematic Review and Meta-analysis. Journal of the College of Community Physicians of Sri Lanka, 31(1). https://doi.org/10.4038/jccpsl.v31i1.8804
  8. Ezemenaka, C. (2025). Abstract P3139: Healthcare Services Utilization Is Associated With Depression Among College Students. Circulation, 151(Suppl_1). https://doi.org/10.1161/cir.151.suppl_1.P3139
  9. Fronda, M., Villegas, K., Bacani, M. A., Coronado, E., Rivera, C., Vergara, J., Gaddi, J. A., & Popatco, E. B. (2025). Perceived Social Support as a Predictor of Mental Health among First-Year College Students at a State University. Journal of Interdisciplinary Perspectives, 3(3), Article 3. https://www.jippublication.com/index.php/jip/article/view/567
  10. Hwang, S. H. J., Kieffer, M. J., & Cappella, E. (2024). The role of supportive relationships in academic performance and personal well-being: Results from a U.S. national sample of early adolescents. Journal of Applied Developmental Psychology, 95, 101721. https://doi.org/10.1016/j.appdev.2024.101721
  11. Iqra. (2024). A systematic – Review of academic stress intended to improve the educational journey of learners. Methods in Psychology, 11, 100163. https://doi.org/10.1016/j.metip.2024.100163
  12. Janota, M., Kovess-Masfety, V., Gobin-Bourdet, C., & Husky, M. M. (2022). Use of mental health services and perceived barriers to access services among college students with suicidal ideation. Journal of Behavioral and Cognitive Therapy, 32(3), 183–196. https://doi.org/10.1016/j.jbct.2022.02.003
  13. Kashif, M. F., Tabassum, R., & Bibi, S. (2024). EFFECTS OF ACADEMIC STRESS ON MENTAL HEALTH ISSUES AMONG UNIVERSITY STUDENTS. JOURNAL OF SOCIAL SCIENCES DEVELOPMENT, 3(2), Article 2. https://doi.org/10.53664/JSSD/03-02-2024-14-170-182
  14. Khouri, M., Lipka, O., & Shecter-Lerner, M. (2022). University faculty perceptions about accommodations for students with learning disabilities. International Journal of Inclusive Education, 26(4), 365–377. https://doi.org/10.1080/13603116.2019.1658812
  15. Kukoyi, O., Orok, E., Oluwafemi, F., Oluwadare, T., Oni, O., Bamitale, T., Jaiyesimi, B., Ojo, T., & Eze, H. (2022). Factors affecting the utilization of mental health services among undergraduate students in a Nigerian University. Heliyon, 8(11). https://doi.org/10.1016/j.heliyon.2022.e11476
  16. Lefevor, G. T., Paiz, J. Y., Milburn, H. E., Sheffield, P. E., & Tamez Guerrero, N. A. (2022). Religiousness and help seeking: Individual, congregational, and clergy factors. Counselling Psychology Quarterly, 35(1), 89–109. https://doi.org/10.1080/09515070.2021.1874297
  17. Limone, P., & Toto, G. A. (2022). Factors That Predispose Undergraduates to Mental Issues: A Cumulative Literature Review for Future Research Perspectives. Frontiers in Public Health, 10, 831349. https://doi.org/10.3389/fpubh.2022.831349
  18. Lipson, S. K., Zhou, S., Abelson, S., Heinze, J., Jirsa, M., Morigney, J., Patterson, A., Singh, M., & Eisenberg, D. (2022). Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013–2021. Journal of Affective Disorders, 306, 138–147. https://doi.org/10.1016/j.jad.2022.03.038
  19. McKenzie, S. K., Oliffe, J. L., Black, A., & Collings, S. (2022). Men’s Experiences of Mental Illness Stigma Across the Lifespan: A Scoping Review. American Journal of Men’s Health, 16(1), 15579883221074789. https://doi.org/10.1177/15579883221074789
  20. Mulaudzi, I. C. (2023). Challenges faced by first-year university students: Navigating the transition to higher education. Journal of Education and Human Development, 12(2), 79–87. https://jehd.thebrpi.org/journals/jehd/Vol_12_No_2_December_2023/8.pdf
  21. Osborn, T. G., Li, S., Saunders, R., & Fonagy, P. (2022). University students’ use of mental health services: A systematic review and meta-analysis. International Journal of Mental Health Systems, 16(1), 57. https://doi.org/10.1186/s13033-022-00569-0
  22. Pantaleon, J. A., Uy, L. L., & Dino, E. V. (2022). Understanding Help-Seeking Behavior Among Filipino University Students. The IAFOR Conference on Educational Research & Innovation, 2435–1202. https://papers.iafor.org/wp-content/uploads/papers/eri2022/ERI2022_63295.pdf
  23. Radez, J., Reardon, T., Creswell, C., Lawrence, P. J., Evdoka-Burton, G., & Waite, P. (2021). Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies. European Child & Adolescent Psychiatry, 30(2), 183–211. https://doi.org/10.1007/s00787-019-01469-4
  24. Rickwood, D. (2022). Help-seeking. In Understanding youth mental health: Perspectives from theory and practice. Open University Press Maidenhead. https://books.google.com/books?hl=en&lr=&id=KOmCEAAAQBAJ&oi=fnd&pg=PA75&dq=19.%09Rickwood,+D.+(2022).+Help-seeking.+In+Understanding+youth+mental+health:+Perspectives+from+theory+and+practice.+Maidenhead:+Open+University+Press.&ots=00NS5sL9NO&sig=MZcGeWKzw3xd1PBTXBxTwtmm77E
  25. Rodríguez-Romo, G., Acebes-Sánchez, J., García-Merino, S., Garrido-Muñoz, M., Blanco-García, C., & Diez-Vega, I. (2022). Physical Activity and Mental Health in Undergraduate Students. International Journal of Environmental Research and Public Health, 20(1), 195. https://doi.org/10.3390/ijerph20010195
  26. Sakız, H., & Jencius, M. (2024). Inclusive mental health support for international students: Unveiling delivery components in higher education. Cambridge Prisms: Global Mental Health, 11, e8. https://doi.org/10.1017/gmh.2024.1
  27. Satriono, F. D., Seghatoleslam, T., Habil, H., & Wishwadewa, W. N. (2025). The Role of University Support Services in Addressing Mental Health Challenges: A Narrative Review. Advances in Psychological Sciences and Applications, 1(02), Article 02. https://doi.org/10.56741/apsa.v1i02.1133
  28. Staff, A. B. H. (2024, July 3). Significance of Mental Health Education in Schools. Alis Behavioral Health. https://www.alisbh.com/blog/importance-of-mental-health-education-in-schools/
  29. Tan, A. B. G., Canda, A., Mutuc, R., Ongkengco, P. N. D., Reniva, D. C., Vergara, J., & Francisco, S. P. (2025). Self-Stigma of Seeking Help as a Predictor of Mental Well-Being Among Filipino College Students. Journal of Interdisciplinary Perspectives, 3(2), Article 2. https://www.jippublication.com/index.php/jip/article/view/702
  30. Theurel, A., & Witt, A. (2022). Identifying Barriers to Mental Health Help-Seeking in French University Students during the Covid-19 Pandemic. Creative Education, 13(2), Article 2. https://doi.org/10.4236/ce.2022.132025
  31. Verdugo-Castro, S., García-Holgado, A., & Sánchez-Gómez, M. C. (2022). The gender gap in higher STEM studies: A systematic literature review. Heliyon, 8(8), e10300. https://doi.org/10.1016/j.heliyon.2022.e10300
  32. Vicary, E., Kapadia, D., Bee, P., Bennion, M., & Brooks, H. (2024). The impact of social support on university students living with mental illness: A systematic review and narrative synthesis. Journal of Mental Health, 0(0), 1–13. https://doi.org/10.1080/09638237.2024.2408237
  33. Wang, D., & Gupta, V. (2025). Crisis Intervention. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK559081/
  34. Wang, H., Ding, Y., Dai, Y., Fan, Z., Wen, S., Wang, X., Yuan, J., Wu, Y., & Yu, L. (2025). Associations of physical activity and sleep with mental health during and post-COVID-19 pandemic in chinese college students: A longitudinal cohort study. Comprehensive Psychiatry, 139, 152591. https://doi.org/10.1016/j.comppsych.2025.152591
  35. Yang, Y., Zhang, Z., Liu, J., & Cao, H. (2023). Interactive effects of sleep and physical activity on depression among rural university students in China. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1240856.
  36. Zou, D., Lin, Z., Chen, C., & Yu, H. (2024). Factors affecting the well-being of mid-achieving university students: A case study from China. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1465209