Trends in clinically significant anxiety, depression, suicidal ideation and service utilisation among US medical students, 2018–2023
Background Medical students experience disproportionately high rates of anxiety and depression, and treatment gaps may exist. To date, little is known about how these mental health outcomes have changed over time.Objective To examine recent trends in clinically significant anxiety, depression, suicidal ideation, and counselling service utilisation among US medical students.Methods We analysed five waves of the Healthy Minds Study throughout the academic years between 2018 and 2023. The analytic sample comprised 5313 students enrolled in MD programmes from diverse US universities. Study outcomes included clinically significant anxiety, depression, past-year suicidal ideation, and current counselling use. Weighted prevalences were calculated, and sample-weighted multivariable logistic regression, adjusted for age, sex, race/ethnicity, international status, and socioeconomic status, estimated temporal trends.Findings Between 2018 and 2023, the prevalence of anxiety increased by 12.3 perce
