Acknowledgments

  NIH grants DA019606, DA023200, MH082773

  New York State Office of Alcohol and Substance

Abuse Services (OASAS)

  American Foundation for Suicide Prevention

  New York State Psychiatric Institute

Diagnosis Prevalence (95% CI) In College (n=2188)

Prevalence (95% CI) Not in College (n=2904)

Adjusted OR (95% CI)

Any psychiatric diagnosis

45.79 (42.99-48.61)

47.74 (44.72-50.78)

0.87 (0.75-1.00)

Any alcohol use disorder

20.37 (18.14-22.79)

16.98 (15.21-18.91

Any drug use disorder

5.08 (4.08-6.29) 6.85 (5.60-8.35)

Nicotine dependence

14.55 (12.96-16.31 20.66 (18.41-23.11)

0.60 (0.50-0.73)

Diagnosis Prevalence (95% CI) In College (n=2188)

Prevalence (95% CI) Not in College (n=2904)

Adjusted OR (95% CI)

Any mood disorder

10.62 (9.10-12.35)

11.86 (10.31-13.60)

0.81 (0.64-1.02)

Any anxiety disorder

11.94 (10.28-13.82

12.66 (11.06-14.47)

Any personality disorder

17.68 (15.83-19.70)

21.55 (19.41-23.85)

0.82 (0.67-1.00)

Pathological gambling

0.35 (0.14-0.88) 0.23 (0.10-0.55) 1.27 (0.40-3.99)

Past-Year Mental Health Treatment

Prevalence of mental health service use (95%CI) In College

Prevalence of mental health service use (95%CI) Not in College

Adjusted OR (95% CI)

For any disorder 18.45 (15.49-21.83)

21.49 (18.46-24.87)

For mood disorder 34.11 (27.31-41.62)

34.80 (28.71-41.43)

For anxiety disorder 15.93 (11.48-21.68)

12.37 (9.10-16.60)

For alcohol or drug disorder

5.36 (3.59-7.94) 9.82 (7.25-13.17)

  Loss of social support was associated with increased risk for psychiatric disorders. This may be a target for interventions.

  Identification of mechanisms underlying on the protective effect of ethnic minority status may help to develop new strategies.

  Early treatment is crucial, as failure to seek early treatment often leads to a recurrent or chronic course.

  Prevalence of PG over time has increased, although most accounted by adults. However, legal and social changes may have more effect on non-risk population than in at risk population: adolescents, college students, psychiatric patients and prisoners.

  Screening among college aged students are encouraged through in detection of early signs and risk factors. Adapted valid and reliable scales available (Fisher, 2000).