An Integrated Multilevel Mental Health Support System for University Students: 4-Year Longitudinal Observational Study

The 4-year trial period demonstrated that the mood report embedded in the mobile app can identify students with a potentially increased risk of mental health problems in need of support without stigmatization. The unique feature of our model seems to be its app-based screening at the first level and its hierarchy integrating digital and personal services. The system provides an easy-to-follow path from digital to personal services, along with time-specific data on the mental health of students for university leadership to facilitate the development of new services.