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These common mental health difficulties clearly present considerable threat to the mental health and wellbeing of students but their impact also has educational, social and economic consequences such as academic underperformance and increased risk of dropping out of university. A UK cohort study found that levels of psychological distress increase on entering university, and recent evidence suggests that the prevalence of mental health problems among university students, including self-harm and suicide, is rising, with increases in demand for services to support student mental health and reports of some universities finding a doubling of the number of students accessing support. Depression and anxiety were both prevalent and widespread in students all colleges reported students experiencing depression and 99% reported students experiencing severe anxiety. A review of 105 Further Education (FE) colleges in England found that over a three-year period, 85% of colleges reported an increase in mental health difficulties.

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A 2020 Insight Network survey of students from 10 universities suggests that “1 in 5 students has a current mental health diagnosis” and that “almost half have experienced a serious psychological issue for which they felt they needed professional help”-an increase from 1 in 3 in the same survey conducted in 2018. Poor mental health of students in further and higher education is an increasing concern for public health and policy. Improved knowledge of factors associated with poor mental health and also those that increase mental wellbeing can provide a foundation for designing strategies and specific interventions that can prevent poor mental health and ensuring targeted support is available for students at increased risk. Some behaviours that are associated with poor mental health include lack of engagement both with learning and leisure activities and poor mental health literacy. Students who are prepared and able to adjust to the changes that moving into higher education presents also experience better mental health.

Factors that promote wellbeing include developing strong and supportive social networks. Those factors most strongly and consistently associated with increased risk of developing poor mental health included students with experiences of trauma in childhood, those that identify as LGBTQ and students with autism. We included 31 studies, most of which were cross sectional in design. Due to heterogeneity of factors, and diversity of outcomes used to measure wellbeing and poor mental health the findings were analysed and described narratively. We included studies undertaken in the UK and published within the last decade (2010–2020). Extensive searches were undertaken across five databases. We undertook a systematic review of observational studies that measured factors associated with student mental wellbeing and poor mental health. To identify factors associated with mental health of students in higher education. Preventing poor mental health and supporting positive mental wellbeing needs to be based on an evidence informed understanding what factors influence the mental health of students. It does not store any personal data.Worsening mental health of students in higher education is a public policy concern and the impact of measures to reduce transmission of COVID-19 has heightened awareness of this issue. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category 'Performance'. This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category 'Other. The cookies is used to store the user consent for the cookies in the category 'Necessary'. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category 'Functional'. The cookie is used to store the user consent for the cookies in the category 'Analytics'. These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly.