We will recruit 600 participants (100 per university site) to take part in a survey of general mental health-related symptoms, including depression, anxiety, and stress (DASS-21), stigma of mental illness (CAMI), mental health literacy (MHKQ), and mental health resources. Other measures evaluating clinical mental health symptomology were not included, as the purpose of the contextual analysis is to observe trends in mental health and resources supporting mental well-being. Inclusion criteria for participation include students, self-identified as 18 years of age or older, and attending 1 of the 6 partnering universities in Jinan (Table 1). They will also be asked complete the qualitative data collection tool to identify concerns and needs in mental health care. Survey participants interested in taking part in the follow-up focus group will be entered into a database. We will select 144 participants (24 per university site) to take part in focus groups to gain a deeper understanding of the complex contexts and factors of mental health issues among university students, including social structures and networks of access.

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