The long reach of youthful angst

A troubled, gun-wielding 23-year-old student at Virginia Polytechnic Institute goes on a campus rampage, killing 32 people and eventually himself. An MIT student commits suicide by ingesting cyanide, and another dies in a fire after an overdose.

Such highly publicized occurrences underscore the sense of personal angst on today’s college campuses. But contrary to popular belief, the stress young people experience has nothing to do with meeting the demands of higher education.

It comes simply with being a newly minted adult.

Whether in college or not, almost half of this country’s 19-to-25-year-olds meet standard criteria for at least one psychiatric disorder, although some of the disorders, such as phobias, are relatively mild, according to a government-funded survey of more than 5,000 young adults, published in December in the Archives of General Psychiatry.

The study, done at Columbia University and called the National Epidemiologic Study on Alcohol and Related Conditions, found more alcohol use disorders among college students, while their noncollege peers were more likely to have a drug use disorder.

But, beyond that, misery is largely an equal-opportunity affliction: Across the social spectrum, young people in America are depressed. They’re anxious. They regularly break one another’s hearts. And, all too often, they don’t get the help they need as they face life’s questions:

“Who will I be? Will I make friends? The romantic relationships, planning for the future . . . there is all kinds of stuff going on at the same time, including raging hormones,” says Ronald Kessler, a medical sociologist at Harvard Medical School.

Some evidence suggests that college students may even be less miserable than their nonstudent-age-mates.

Suicide – the third leading cause of death for teenagers and young adults, according to the Centers for Disease Control and Prevention – is one-third lower among the college than noncollege set, says Dr. Paul Barreira, a psychiatrist who is director of Behavioral Health and Academic Counseling at Harvard University Health Services.

The reason is not well understood. One possible explanation, according to Barreira, is that most residential colleges don’t allow firearms. Firearms are still the most likely way young people kill themselves.

Mood disorders such as depression and anxiety affect slightly fewer college students than noncollege peers, researchers say.

And the biggest cause of despair? Even among college students, it’s not academics, but love that hurts most.

Emotional problems were more than twice as common among students who had recently had a major loss – typically a romantic breakup – than among those who had not, says Dr. Mark Olfson, the Columbia University psychiatrist who led the National Epidemiologic Study on Alcohol and Related Conditions study.

The universality of youthful angst may come as a surprise in light of tragic college occurrences. But to the specialists, it makes perfect sense.Continued…

The long reach of youthful angst – The Boston Globe.

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