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In the face of systemic neglect of low-income urban neighborhoods, Hip Hop was much more than entertainment: it was a countercultural revolution embodied as a way of life bound to community action and social change. Hip Hop represents resilience, resistance, and redemption for those living on the margins; to this day, it is an art form for the underdog and is used in social action and political protest all over the world. Given their drastically different cultural underpinnings, it might seem counterintuitive to merge Hip Hop and therapy. In both, however, people are partaking in expressive practices to help them release, communicate, and connect. This article discusses the author's use of Hip Hop therapy (HHT) in a Bronx transfer school.

Young adults today are the least happy demographic group, departing from a long-established U-shaped relationship between life satisfaction and age in many countries worldwide. The longstanding U-curve reflects the unhappiness and stress that most people experience in the midlife years as they juggle financial and family constraints while both the young and the old exhibit higher life satisfaction and lower stress, anxiety, and depression. But now, youth in the United States are faring worse than their stressed-out parents. Most suggested policies to remedy this problem focus on better regulation of social media and increased access to mental health care. While both of these things are important, they will not address the deeper economic, climate, and civil discourse challenges that precipitated the well-being crisis. An important and underreported solution to the crisis lies in restoring hope. While hope resembles optimism--as individuals believe things will get better--an equally important part of hope is that individuals can do things that improve their lives and thereby demonstrate agency over their futures. Helping the young form a vision of what their futures can look like will help them have hope and aspirations. This is crucial because, as Carol Graham's research has found, there are strong linkages between hope and long-term outcomes in education, health, and mental well-being, with hope more important to the outcomes of youth with limited access to education and mentorship

In Latin America, higher education inequality disproportionately affects individuals from low socioeconomic backgrounds, and Peru is no exception. Since 2012, the National Scholarship and Student Loan Programme (PRONABEC) has disbursed grants, aiming to enhance access to higher education for impoverished Peruvian young people. However, the unprecedented global health crisis in 2020 significantly affected the university experiences of scholarship recipients, introducing new challenges to their experience of higher education. This study, conducted in 2021, explores the factors influencing the persistence, retention and interruption of university studies among scholarship recipients. This qualitative, biographical study, based on the ecological model of higher education, involved 60 current and former scholarship students from public and private universities in three regions. Findings reveal that scholarships played a financial crucial role in supporting educational goals and institutional supports were pivotal in maintaining student retention. While personal motivation and family support contributed to student persistence overall, certain scholarship recipients faced challenges related to work and family demands.

The rise and growing prevalence of juvenile delinquency is a matter of concern for many parties. This study aims to establish a research instrument in the form of a questionnaire that can be deployed to assess the learning environment perceived by high school students. This research endeavor constitutes a developmental study, wherein the outcomes are a single survey instrument encompassing six variables, nineteen indicators, and forty questions. The data-collecting process involved the utilization of a Google Form across five schools in five districts, containing a total of 1615 participants. The analysis of expert data was conducted utilizing V. Aiken and field trials employing confirmatory factor analysis (CFA) Second Order. The findings of this study indicate that the diagnostic survey instrument used to assess the learning environment's impact on the mental health of high school students demonstrated validity, as evidenced by loading factor values exceeding the established minimal threshold. The reliability of the instrument remains insufficient. This survey can be utilized to detect adolescent persistent tendencies carried out by students or other school members that interfere with mental health: the emergence and significant raising of juvenile delinquency.

Students' sense of school belonging is associated with healthier psychological functioning and improved academic outcomes. Currently, most research on school belonging has been conducted in the United States, United Kingdom, Australia, and New Zealand, resulting in school belonging practices and interventions largely biased towards Western school systems and cultures. This study sought to identify Indian students' perceptions of teacher-level and school-level factors that could contribute to a sense of school belonging. Open-ended survey questions were used to qualitatively explore how teacher- and school-level practices contributed to the school belonging of 93 Indian students aged 12-19. Data analysis followed manifest content analysis, identifying themes within teacher-level and school-level domains of enquiry. Results reveal valuable insights into factors influencing school belonging from the students' perspective. These findings can inform the development of targeted interventions to support Indian students in rebuilding their sense of school belonging, improving their wellbeing, and enhancing their academic success. The research also contributes to a broader understanding of school belonging practices and their cultural sensitivity, benefiting educators, policymakers, and researchers worldwide.

Eating disorders have substantially risen in school-aged youth, especially in a post-pandemic world. Impacting children and adolescents across races, ethnicities, genders, and sexual orientations, prevalence rates suggest that eating disorders do not discriminate. Interestingly, despite the rising prevalence rates and increase of eating disorders, many school-based mental health providers feel ill-equipped to support children, adolescents, and their families seeking eating disorder treatment due to lack of knowledge or skill. Given the evidence-based focus on family-based treatment, many school-based providers wonder what is best approach to support individuals within a school-system, for how to best intertwine family-based recommendations and collaboration with relevant outside clinicians. Given this uncertainty, this piece explores the role of school-based mental health in supporting family-based treatment, exploring two prominent systems theories and how providers within schools can adopt these approaches to most ethically aid students within the bounds of competence within a school setting.

Objective: To evaluate care transition and medication use in young adults with ADHD in Sweden. Method: Observational retrospective study of patients with ADHD from the Swedish National Patient Register, Prescribed Drug Register, and Cause of Death Register (2018-2020). Last contact with pediatric psychiatric care, first contact with adult psychiatric care, and medication use were described for ages 18 to 21 years, inclusive. Results: Of 19,233 patients who had dispensed ADHD treatment, 85.8% had received adult psychiatric care by 21 years of age. The proportion of patients on medication was highest at age 18 years (80.1%), decreasing to 36.1% by age 21 years. By 21 years, there were significantly more patients on versus off ADHD medication who had received healthcare for autism, been prescribed selective serotonin re-uptake inhibitors, and received adult psychiatric outpatient visits (all p < 0.0001). Conclusion: This study demonstrates declining ADHD medication use during the pediatric-to-adult care transition for patients in Sweden.

The majority of college students work, and there are well-documented findings about the impacts of student work on academic performance. However, there is little research on the impacts of this work on other aspects of students' lives. In this study we ask: What are the impacts of student employment beyond academic performance? Using our methodological approach of student-driven research and a mix of quantitative and qualitative analysis, we find that work has four main impacts on students' lives: it limits flexibility in students' schedules, leaving them vulnerable in emergencies; it requires students to make difficult financial calculations; it can cause students' social lives and mental health to suffer; and, despite these negative impacts, students find work to be fulfilling. With these understandings, we propose ways that university programs, faculty, and academic staff can support working students by accommodating students' time and financial constraints.

The COVID-19 pandemic was a primary cause for the decline in college enrollment rates for Latino/x college men over the last two years. The aim of this qualitative study was to explore how these students discussed their decisions to attend and enroll college since the onset of the pandemic. Using the Theory of planned behavior (Azjen, 1991), we tried to understand how Latino/x college men, who were first time in enrolled in college, navigated their educational experiences in South Texas Hispanic Serving Institutions. The findings revealed sobering realities that these students faced uncertainty, isolation, mental health concerns, but they also relied on faculty members, staff, and student peer groups to survive the pandemic. We conclude with recommendations that educational leaders, faculty members, and professional staff should consider to develop a college climate and classroom environment which values Latino/x college men and improves their educational outcomes.

Objective: To examine providers' perceptions of integrated care prior to the merger of a university's student health center and counseling services. Participants: Seventeen providers across student health services (n = 9) and counseling (n = 8) agreed to participate in the qualitative study. Method: Semi-structured individual interviews that focused on the perceived benefits and challenges of the merger were conducted in December 2019. Following the interviews, a thematic analysis was completed. Results: The perceived benefits noted by providers centered on the ability of an interdisciplinary team to improve the coordination of, access to, and quality of care delivered to students. However, more anticipated challenges were reported by providers (e.g., differences in training and care protocols, losing one's autonomy as a provider). Conclusions: This qualitative study provides a more in-depth analysis of providers' perceptions of integrated care prior to implementation in a university setting and may have implications for model adoption.

Objective: Empathic concern (EC) for others may be related to COVID-19 pandemic responses. Participants and methods: The purpose of this survey study was to examine differences in pandemic responses in 1,778 college students rated as low (LE) versus high (HE) on the EC subscale of the Interpersonal Reactivity Index. Results: HE participants reported greater concerns in numerous pandemic-related domains, including acquiring COVID-19; access to COVID-19 treatment; number of COVID-19 cases, hospitalizations, and deaths reported; staying employed; and being isolated for long periods of time. Generalized anxiety symptoms, depressive symptoms, and perceived stress scores were significantly higher for individuals in the HE group compared to the LE group. The HE group reported being significantly more adherent to health and safety recommendations than the LE group. Conclusions: Empathic concern for others is important for promoting college student prosocial behavior but is associated with anxiety and depression symptomatology during times of traumatic stress.

Objective: The purpose of these studies was to examine whether college students' beliefs about themselves (i.e., self-compassion and beliefs about emotions) could be mechanisms explaining the relationship between problematic parenting behaviors (helicopter parenting and parental invalidation) and outcomes including perfectionism, affective distress, locus of control, and distress tolerance. Participants: Respondents included 255 (Study 1) and 277 (Study 2) college undergraduates. Methods: Simultaneous regressions and separate path analyses with helicopter parenting and parental invalidation as predictors, with self-compassion and emotion beliefs as mediators. Results: Across both studies, parental invalidation predicted perfectionism, affective distress, distress tolerance, and locus of control, and these links were often mediated by self-compassion. Self-compassion emerged as the most consistent and strongest link between parental invalidation and negative outcomes. Conclusion: People who internalize their parents' criticism and invalidation such that they hold negative beliefs about themselves (i.e., low self-compassion) may be vulnerable to negative psychosocial outcomes.

Objective: Although there has been increased attention to campus interpersonal violence, there is limited information on survivor advocacy services. Participants: We recruited participants from 155 U.S. institutions of higher education responsible for advocacy services on their campus. Methods: We used a community participatory action approach in partnership with the Campus Advocacy and Prevention Professionals Association to develop and disseminate a survey regarding campus advocacy services. Results: Participants shared critical insights about (a) advocacy staffing/caseload, (b) program structure, (c) advocacy practices, and (d) connection to services for people who had caused harm. We found that advocacy programs are often providing best practice services for survivors of violence but operating with few staff and unclear privacy protections. Conclusions: This study provided crucial preliminary information about how campuses provide advocacy services, but more researcher-practitioner engagement is needed to build on this study and establish clear practice guidelines.

Objective: To examine the impact of the novel coronavirus SARS-CoV2 (COVID-19) pandemic on Residents Assistants (RA) at a public university in the Midwest. Participants: Sixty-seven RAs that had been offered an RA position for the '20-'21 academic year. Methods: An online cross-sectional survey measuring socio-demographics, stress, and well-being was fielded. MANCOVA models evaluated the impact of COVID-19 on well-being of Current RAs and compared to the non-current RA groups. Results: Sixty-seven RAs provided valid data. Overall, 47% of RAs had moderate-severe anxiety and 86.3% had moderate-high level of stress. Current RAs perceiving a great impact of COVID on life had significantly more stress, anxiety, burnout, and secondary traumatic stress than those who did not. RAs who started then quit experienced significantly higher secondary trauma compared to Current RAs. Conclusions: Further research is needed to better understand the experiences and of RAs and to develop policies and programs to support RAs.

School social workers provide mental health services to millions of students each year. However, few studies focus on how social workers generate funding and other support for school mental health. The purpose of this study is to identify the continuum of school mental health supports and how social workers advocate for and generate these supports. This study examines variation in school social worker experiences across three school types: Chicago neighborhood schools, Chicago charter schools, and Chicago-area suburban schools. This study uses the ecological systems framework to structure the interview guide and inform coding. This study finds three major themes: (1) schools improve student access to mental health services, (2) social workers advocate for mental health supports differently depending on their school type, and (3) schools sideline social workers through inadequate support of their positions. Findings suggest greater support for school social work positions and greater collaboration between administrators and school social workers to fully leverage available resources and meet student mental health needs.

Forcibly displaced youth (FDY) are young people who have resettled in the United States as refugees, asylees, or asylum seekers. FDY access schools almost immediately upon their arrival, which creates an opportunity to address social-emotional needs while providing instruction in the English language and academic content (Fazel et al., 2016; Tyrer & Fazel, 2014). Despite their resiliency, the growing population of forcibly displaced youth in U.S. schools experience high rates of psychological disorders, can lack a sense of school belonging, and may have difficulty connecting with peers. As such, schools may be the institutions with the most potential to influence FDY outcomes (Kia-Keating & Ellis, 2007). School-based social-emotional interventions have demonstrated positive effects on well-being by reducing negative mental health symptoms and increasing resilience and sense of belonging for FDY (Sullivan & Simonson, 2016). This article examines how school psychologists can support positive psychosocial outcomes for these youth through consultation and intervention within a Multi-Tiered System of Supports (MTSS) framework.

Immigration at the southern border of the United States has a complicated history. This article focuses on youth who have arrived in the United States via the southern border. It is important to note that within that population, youth will have a wide variety of experiences with immigration depending on their family, community, and personal histories. Some will have their own personal immigration experiences. Others may be more affected by witnessing adults in their lives navigate immigration. Some young people may have faced increased levels of scrutiny and even legal consequences (Jones et al., 2017). School psychologists should understand how immigration experiences may have affected the youth they work with in schools and have knowledge of strategies for supporting students with this background. They should also be aware that no two students' experiences and histories are the same and need to carefully assess each individual's circumstances as they work with students and their families.

Suicide is a global mental health problem. In recent years, suicidal ideation, suicide attempts and suicides have increased in children and adolescents. In this population, cyberbullying is a public health problem that has grown along the increase in use of devices with internet access. Cybervictimization is related to negative health effects, even including suicidal ideation or suicide in cyberbullied individuals. This study is the first bibliometric analysis on scientific literature related to cyberbullying and suicide based on the traditional laws of bibliometrics. The aim was to generate a global overview of the research related to this object of study. We analysed 242 documents published in journals indexed in the Web of Science, examining the trend followed by annual publications, identifying the prolific (most productive) and prominent (prolific co-authors with one or more papers between most cited papers) co-authors, leading countries and journals, the most cited documents and the most used author keywords. Annual publications followed an exponential growth trend (R[superscript 2] = 89.2%), meaning that there is a great interest in the scientific community for this study object. International Journal of Environmental Research and Public Health and Psychiatry Research were the journals with most document published. Baiden, P. (prolific), Kowalski, R. (most cited), Hinjuja, S. and Patchin, J. (prominents) were the most highlighted co-authors, reference authors on the subject. Most scientific output originated in the USA. Five thematic lines were identified among the author keywords. The results of this research show the growing interest of the scientific community in this topic, along with useful information for researchers and publishers, identifying relevant co-authors, journals interested in the topic and emerging lines of research, highlighting self-harm, cyber-victimisation, suicide risks and suicidal behaviours as the most recent thematic lines.

The student check-up (SCU) is a brief school-based motivational interviewing intervention developed to promote academic-related behavioral changes and to increase accessibility to mental health services. Despite published randomized controlled trials demonstrating SCU's effectiveness in promoting student self-efficacy in academic efforts, the SCU's impact on student grade outcome has been inconsistent across studies. This study examines whether student participants' written statements that represent change talk and sustain talk predict differences in post-treatment grade outcomes and whether these effects are moderated by students' pre-treatment academic achievement. In addition, we examine whether change and sustain statements mediate the relationship between study sites and grade outcomes. A two-level linear regression controlling for pre-treatment grades indicated that as the frequency of change statements increases, students' post-treatment grades in English Language Arts decrease (B = -0.62, p = 0.03), suggesting that "the more" is not always "the merrier" when it comes to evoking change statements related to academic goals that require multiple behavioral changes for attainment.

The mental health of college students in the United States has been a longstanding national concern, which has only been exacerbated by the ongoing COVID-19 pandemic. The Journey to Wellness Scale (JWS) is a newly developed instrument grounded in empirical research in prevention, positive psychology, resilience, and social-emotional learning, designed to measure psychological wellbeing in adults, including college students, across 10 dimensions: Adaptability, Initiative, Conscientiousness, Connectedness, Social Competence, Empathy, Optimism, Emotional Self-Regulation, Mindfulness, and Self-Efficacy. The JWS, a 60-item self-report instrument, requires participants to rate their endorsement of the items on a Likert-type scale. The current study explored the adequacy of the JWS in measuring psychological wellness by confirmatory factor analysis with a sample of 722 college students. Results indicated that the JWS reliably captured the 10 dimensions and effectively measured overall psychological wellness. These findings support the JWS as a valid tool for assessing psychological wellness in the college student population. Future research directions and implications of the study were discussed.

Bullying victimization is a significant public health concern and has been associated with various mental health problems. This study aims to investigate the heterogeneity and transition patterns of bullying victimization among Chinese adolescents, and the influence of interpersonal relationships on the dynamic process of victimization over a 12-month period. The valid sample consists of 1246 adolescents (51.8% girls) in seventh-eighth grade, aged 11-15 years (M[subscript age] = 13.58, SD = 0.75) at the first measurement. Latent profile analysis and latent transition analysis were utilized to identify latent profiles and transition patterns of victimization among adolescents. The results revealed three subgroups based on the forms and severity of victimization: the high victimized group, the moderately victimized group, and the low victimized group. The low victimized group is the most stable. Individuals who initially belong to low victimized group rarely transition into moderately or high victimized groups over time. The moderately and high victimized groups changed greatly, with both showing a trend of decreasing levels of victimization. Peer relationships played an important role in preventing victimization, but it was not found that teacher-student relationships had a significant predictive effect.

Objective: People with intellectual disabilities have historically often been excluded from cognitive based therapies, due to their cognitive deficits. However, adults with intellectual disabilities have been found to have the core cognitive abilities necessary to engage in Cognitive Behaviour Therapy. Despite this emerging evidence, the capacity for children with intellectual disabilities to engage with cognitive based therapies has not been fully explored. Method: Fourteen children, between the ages of 8 and 17 with intellectual disabilities, completed cognitive mediation tasks and a discrimination task. Five had a moderate intellectual disability, six had a mild intellectual disability and three had intellectual functioning in the borderline range. Inclusion criteria: These tasks completed assessed children's ability to identify, discriminate between, and link thoughts, emotions and behaviours. Results: Potential correlates of intelligence, verbal abilities and age were investigated. Participants' performance on the discrimination task was varied. High accuracy was seen in the cognitive mediation tasks. Conclusion: Results from this pilot study demonstrate that children with intellectual disabilities may have some of the skills required for Cognitive Behaviour Therapy, however children may require some training in cognitive mediation tasks before completing Cognitive Behaviour Therapy. As children have the foundational skills to engage in cognitive based therapies, this supports the need for future research trials investigating the use of adapted Cognitive Behaviour Therapy for children with intellectual disabilities.

Objective: Adolescents and young adults are at risk for non-suicidal self-injury (NSSI) and suicidal behavior. This study examined intrapersonal (depressive symptoms, self-criticism) and family (perceived family functioning, parenting style, parental attachment) factors associated with reported history of NSSI in a college sample. Method: Participants included 111 undergraduate students (M[subscript age] = 20.2) from a private, nonprofit university. Data were collected via online survey. Hierarchical logistic regression analysis was conducted. Results: The final model was statically significant, Nagelkerke R[superscript 2] = 0.40, suggesting a robust association between the predictors and history of NSSI. Self-criticism and unhealthy family functioning were significant predictors of NSSI behaviors after controlling for study variables and demographic characteristics. Reported history of engaging in NSSI was positively correlated with parent alienation, unhealthy family functioning, self-criticizing behaviors, and depressive symptoms. Conclusion: College mental health providers should be familiar with risk factors of NSSI as well as strategies to address self-criticism.

Objective: This study investigated differences in stress, anxiety, and social support between collegiate student-athletes and nonathletes during the COVID-19 pandemic. Participants: College students enrolled at a NCAA Division III private liberal arts college in the Midwest. Methods: Participants (n = 58) completed a series of surveys each month for 4 months that included the Generalized Anxiety Disorder Questionnaire, Perceived Stress Scale Questionnaire, and Multidimensional Scale of Perceived Social Support Questionnaire. Results: There were significant main effects of time for stress and social support across the 4 months (p < 0.05), but not for anxiety. There was a significant difference in anxiety levels between athletes and nonathletes (p < 0.01), but not for social support or stress (p > 0.05). Conclusions: Nonathletes maintained support networks, or found alternate outlets of support, in addition to coping with anxiety and stress levels when compared to athletes.

Objective: To assess athletic trainers' (ATs) perceptions regarding the importance of athletes' beliefs and athletic department stakeholders in facilitating help-seeking for mental health (MH) care. Participants: 534 ATs within collegiate athletic departments (M[subscript age] = 35.50 years; 64.2% women; 87.3% White). Methods: ATs were asked to indicate the extent to which they believed 10 student-athlete beliefs about MH (e.g. confidence MH treatments work) and 10 stakeholders (e.g. teammate) would facilitate student-athletes' help-seeking for MH care (1, "Strongly Disagree," to 5, "Strongly Agree"). Results: We conducted separate two-way mixed design ANOVAs, one for each set of 10 beliefs and 10 stakeholders; each was significant (p's < 0.002). The ATs perceived confidentiality as the most facilitative belief and viewed ATs as the most facilitative stakeholder. Conclusions: ATs differentiate among student-athletes' beliefs and stakeholders on how facilitative each might be in help-seeking, suggesting pathways for improving MH climate within athletic departments through education and policies.

Objective: To evaluate the association between health behaviors with mental health among tertiary education students. Methods: Six databases were searched until September 2021 for prospective cohort studies evaluating the association between health behavior(s) (dietary intake, physical activity, sedentary behavior, alcohol intake, sleep, smoking or illicit drug use) and mental health. Two independent reviewers screened records for inclusion, extracted data and completed risk of bias assessments. Results: 33 studies were included (14 assessed sleep, 14 alcohol intake, 13 physical activity, 8 smoking, 6 sedentary behavior, 4 diet, 1 illicit drug use). A consistent association between poor sleep, and physical inactivity with increased risk of poor psychological wellbeing, and between poor sleep and increased mental ill-health related outcomes was demonstrated. Conclusion: Findings suggest interventions to address poor sleep and physical inactivity among students may positively impact mental health. Further research of other health behaviors, and their association with mental health, is required.

Objective: To increase our knowledge related to student wellness programs, the current studies examined interest in wellness and wellness programs among university students and piloted a newly developed wellness program targeting students in higher education. Participants/Methods: In Study 1, 93 undergraduate students answered questions related to their wellness and mental health (e.g. psychological wellbeing, satisfaction with life, optimism, and stress) and to wellness programs (e.g. interest, barriers, duration, and topics). In Study 2, 13 undergraduate and graduate students participated in a 9-week pilot wellness program focused on specific wellness topics (e.g. relaxation, yoga, gratitude and self-compassion, and emotion regulation). Results/Conclusions: Study 1 results support a strong interest in wellness and wellness programs among undergraduate students. Study 2 results suggest that students who participated in an on-campus wellness program reported higher levels of overall psychological wellbeing and optimism and lower levels of mental health issues relative to baseline.

Objective: To compare the experiences of Imposter Phenomenon and discrimination among non-Hispanic White (NHW) and racial and ethnic minority (REM) students at a predominantly White Institution (PWI). Participants: 125 undergraduate students (89.6% women, 68.8% NHW, and 31.2% REM). Methods: Participants completed an online questionnaire including the Clance Imposter Phenomenon Scale (CIPS), Everyday Discrimination Scale (EDS), demographic variables (class year, gender, first generation student status), and 5 items assessing students' feelings of belonging and support. Descriptive statistics and bivariate analyses were performed. Results: Mean CIPS scores were similar for NHW (64.05 ± 14.68) and REM students (63.62 ± 15.90, P = 0.882), but EDS scores were significantly higher among REM students (13.00 ± 9.24 vs. 8.00 ± 5.21, P = 0.009). REM students more frequently felt that they don't belong, are excluded, and lack resources to succeed. Conclusions: Racial and ethnic minority students at PWIs may need additional resources and social support.

Background: Given the body image and disordered eating struggles prevalent in young adults, weight-inclusive anti-diet programs are needed on college campuses. Such programs replace weight loss advice with changes that center physical and mental well-being. Methods/Program Design: University health and wellness programs such as University Coaching for Activity and Nutrition (UCAN) is a novel weight-inclusive health and wellness coaching program designed to support university students and faculty/staff in their development and maintenance of self-care behaviors related to physical activity, nutrition, sleep, and stress management. Specifically, we describe the program's mechanisms for participant recruitment, health coach training, session protocol, program evaluation, and supervision so other campuses can replicate the program model at their respective universities. Discussion: This work can help campuses cultivate positive self-care habits that improve physical and mental health through the lens of a weight-inclusive paradigm while also creating research and service-learning experiences for pre-health professionals.

Objective: Limited research exists on the simultaneous effects of family functioning, social competence, and social support on the well-being and depression, anxiety, and stress of college students and the power of these effects. We examined these predictors in two models to determine each variable's impact on students' mental health. Participants: From October 2018 to November 2018, 726 students from 18 institutions of varying sizes across the United States participated in an online survey. Methods: Stratified random sampling with institution size and setting as the strata; descriptive statistics, Pearson correlation, and multiple linear regression to test study hypotheses. Results: Variables predicted mental well-being and symptoms across both models, with social competence being the largest predictor, followed by perceived social support and family functioning. Conclusions: Practitioners should consider the impact of social influences on student mental health and design interventions to strengthen social competence and support.