II. Epidemiology

  1. U.S. college students: 20 Million (12 million under age 24 years)
  2. Uninsured college students: 9%

III. Associated Conditions

  1. Attention Deficit Disorder (ADHD)
    1. IncidenceADHD: 2-8% among college students
    2. Screen with Adult ASRS
      1. http://webdoc.nyumc.org/nyumc/files/psych/attachments/psych_adhd_checklist.pdf
    3. Consider allowing additional time for classroom tests (however minimal evidence of benefit)
    4. Stimulant misuse or diversion in up to 35% of college students receiving these prescriptions
  2. Alcohol Abuse
    1. Screen with AUDIT-C (Alcohol Use Disorders Identification Test - Consumption Items)
    2. Increased risk of binge drinking (especially among Fraternities and similar groups)
    3. Increased risk in women who self-treat distress with Alcohol
      1. Associated with increased Sexual Assault risk
  3. Tobacco Abuse
  4. Chemical abuse
    1. Cocaine Abuse
    2. Flunitrazepam (Rohypnol)
    3. Gamma-hydroxybutyrate (GHB)
    4. Ketamine
    5. Marijuana
    6. Methamphetamine
    7. Methylenedioxy-Methamphetamine (MDMA or Ecstasy)
  5. Eating Disorder
    1. Incidence: 1% of college students
    2. Anorexia Nervosa
    3. Bulimia Nervosa
    4. Binge Eating Disorder
  6. Major Depression
    1. Incidence: 30% with depressed mood episode interfering with function in prior year
    2. Suicidal Ideation in 7%, plan in 2%, attempt in 0.5%
      1. War veteran students have Suicidal Ideation in 46%, plan in 20%, attempt in 4%
    3. Resources: Suicide prevention
      1. http://www.sprc.org/collegesanduniversities
  7. Anxiety Disorder
    1. Incidence: 48% with episode of overwhelming anxiety episode in prior year
  8. Post-Traumatic Stress Disorder
    1. Commonly associated with Sexual Assault, returning war veterans
    2. Screen with Primary Care PTSD Screen (PC-PTSD)
  9. Sleep Disorder
    1. Incidence: 20% with poor sleep that interferes with academic performance

IV. Prevention: Immunizations

  1. Influenza Vaccine annually
  2. Meningococcal Vaccine (after 16 year birthday)
  3. Pertussis Vaccine (e.g. Adacel)

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