WATCH | Surge in university students needing mental health help: advice on how to cope

Healthy eating, exercise and financial savvy can help protect students' mental health.

Discovery Health Medical Scheme says its claims data shows a 120% increase in the prevalence of mental health conditions among young people (aged 18-24) from 2012 to 2022, compared with an average increase of 44% in older age groups.

Globally, an average of about 21% of university students have major depressive disorder, according to a World Health Organisation study. Domestically, the South African Depression and Anxiety Group (Sadag) reports one in four university students have a mental health condition.

The transition from school to tertiary learning institutions can be a high-risk period for the development of significant mental health problems, the scheme said. Students starting out are often away from their families, must make new friends and bear more responsibility, such as financing their studies or managing an allowance, and juggling their schedules and lifestyle. They also have to adjust to a new learning environment and academic requirements.

“The pressures of university life and studies can cause latent mental health conditions to emerge or worsen existing mental health conditions,” said Discovery Health chief clinical officer Dr Noluthando Nematswerani.

“If young adults don’t have a strong support system and coping skills during this transition it can lead to mental disorders.

“Loneliness or homesickness, financial issues, academic strain, adjusting socially and lack of support are some of these pressures. Young adults also face pressures related to social media and having to always be online. Problems such as load-shedding, unreliable water supply and poverty can also affect mental health.”

According to Sadag, many students don’t open up about their mental health struggles until there is a crisis or an intervention is needed. The organisation regularly receives calls from university students experiencing significant mental distress.

Nematswerani said students can protect themselves through good nutrition, which affects their cognitive function, immune system and mental health. This includes foods high in vitamins, minerals, complex carbohydrates, lean protein and healthy fats.

Physical activity can also improve brain health, help to manage weight, improve short and long-term physical health and improve sleep, as well as the ability to do everyday activities. Discovery said increasing steps from 5,000 one day a week to 10,000 can significantly reduce incidences of depression among women, according to a study.

Developing a good sleep habit also has multiple health benefits in the short-term and long-term. These include improved concentration levels and productivity. Adults should aim to get seven or more hours of sleep per night.

Students are encouraged to learn how to manage an allowance and draw up a budget. This can be tough, as it means prioritising needs over wants, but is essential to minimise stress.

Getting help early for mental health conditions is encouraged.

Most universities have free counselling services accessible to all students in-person or over the phone. Sadag also has dedicated helplines for various tertiary institutions and peer support groups.

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