Mental Health Services for Medical Students in Poland: 2025 Update of a National Evaluation

Background: The mental health of medical students is a global concern, with high rates of depression, anxiety, burnout, and suicidal ideation. Despite growing awareness, mental health services in higher education remain inconsistent and underfunded in many countries. Poland represents a particularly vulnerable case, with a rapidly expanding medical education sector, limited public investment in student mental health. This study presents the third edition of a nationwide assessment evaluating psychological support services for medical students across all accredited Polish medical universities in 2025. Methods: An 11-item questionnaire was administered to all 33 Polish universities offering medical degree programmes. The questionnaire assessed service availability, delivery modalities, language accessibility, funding, communication strategies, crisis response, and targeted support for vulnerable student groups. Data collection took place between January and March 2025, with a response rate of 79% (N = 26). Results: Out of 26 institutions, 25 reported offering some form of psychological support for medical students. Services were free of charge at most universities and typically managed by internal university units. Hybrid delivery models were predominant (84%), while only 48% imposed no limit on the number of consultations. Multilingual support was available at 84% of institutions, and 80% provided supplementary mental health initiatives, such as workshops and mindfulness sessions. However, only 36% offered targeted services for at-risk groups, and just one institution published data on service utilization. Significant disparities were observed in funding, scope, accessibility, and evaluation practices. While some institutions demonstrated innovative and inclusive approaches, many lacked integration, transparency, and sustainability. Conclusions: Despite measurable progress since 2019, psychological support for Polish medical students remains fragmented and reactive. While many academic institutions have taken meaningful steps to support student mental health, lasting and equitable change might require systemic coordination and long-term investment. Without it, even the most dedicated local efforts risk being insufficient- ultimately undermining not only students’ well-being, but also the quality, safety, and sustainability of the future healthcare workforce.