{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T21:23:17Z","timestamp":1783718597072,"version":"3.55.0"},"reference-count":38,"publisher":"National Athletic Trainers' Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,5]]},"abstract":"\n Context: <\/jats:bold>Universal screening for mental health concerns, as part of the preparticipation examination in collegiate sports medicine settings, can be an important and feasible strategy for facilitating early detection of mental health disorders.<\/jats:p>\n \n Objective: <\/jats:bold>To assess whether sports medicine departments at National Collegiate Athletic Association (NCAA) member colleges have policies related to identifying student-athlete mental health problems, the nature of preparticipation examination screening related to mental health, and whether other departmental or institutional screening initiatives are in place. I also aimed to characterize the variability in screening by institutional characteristics.<\/jats:p>\n \n Design: <\/jats:bold>Cross-sectional study.<\/jats:p>\n \n Setting: <\/jats:bold>College sports medicine departments.<\/jats:p>\n \n Patients or Other Participants: <\/jats:bold>Team physicians and head athletic trainers at NCAA member colleges (n = 365, 30.3% response rate).<\/jats:p>\n \n Main Outcome Measure(s): <\/jats:bold>Electronic survey of departmental mental health screening activities.<\/jats:p>\n \n Results: <\/jats:bold>A total of 39% of respondents indicated that their institution had a written plan related to identifying student-athletes with mental health concerns. Fewer than half reported that their sports medicine department administers a written or verbal screening instrument for symptoms of disordered eating (44.5%), depression (32.3%), or anxiety (30.7%). The strongest predictors of mental health screening were the presence of a written plan related to identifying student-athlete mental health concerns and the employment of a clinical psychologist. Additionally, Division I institutions and institutions with a greater ratio of athletic trainers to student-athletes tended to engage in more screening.<\/jats:p>\n \n Conclusions: <\/jats:bold>The substantial among-institutions variability in mental health screening suggests that opportunities exist to make these practices more widespread. To address this variability, recent NCAA mental health best-practice guidelines suggested that institutions should screen for a range of mental health disorders and risk behaviors. However, at some institutions, staffing deficits may need to be addressed to allow for implementation of screening-related activities.<\/jats:p>","DOI":"10.4085\/1062-6050-51.5.07","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T17:45:55Z","timestamp":1474307155000},"page":"389-397","source":"Crossref","is-referenced-by-count":39,"title":["Variability in Institutional Screening Practices Related to Collegiate Student-Athlete Mental Health"],"prefix":"10.4085","volume":"51","author":[{"given":"Emily","family":"Kroshus","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Washington; Seattle Children's Research Institute, Center for Child Health, Behavior, and Development"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"key":"i1062-6050-51-5-389-b01","series-title":"Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, June 19\u201322, 1946; signed on July 22, 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on April 7, 1948","unstructured":"World Health Organization (WHO). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, June 19\u201322, 1946; signed on July 22, 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on April 7, 1948. Geneva, Switzerland: WHO."},{"issue":"suppl 2","key":"i1062-6050-51-5-389-b02","series-title":"Scand J Med Sci Sports","first-page":"103","article-title":"Psychology and socioculture affect injury risk, response, and recovery in high-intensity athletes: a consensus statement","volume":"20","author":"Wiese-Bjornstal \n DM.","year":"2010","unstructured":"Wiese-Bjornstal \n DM. \n \n \n Psychology and socioculture affect injury risk, response, and recovery in high-intensity athletes: a consensus statement. Scand J Med Sci Sports. 2010;20(suppl 2):103\u2013111."},{"issue":"2","key":"i1062-6050-51-5-389-b03","series-title":"Res Sports Med","first-page":"147","article-title":"Influence of symptoms of depression and anxiety on injury hazard among collegiate American football players","volume":"22","author":"Yang \n J,","year":"2014","unstructured":"Yang \n J, \n \n \n Cheng \n G, \n \n \n Zhang \n Y, \n \n \n Covassin \n T, \n \n \n Heiden \n EO, \n \n \n Peek-Asa \n C. \n \n \n Influence of symptoms of depression and anxiety on injury hazard among collegiate American football players. Res Sports Med. 2014;22(2):147\u2013160."},{"issue":"7","key":"i1062-6050-51-5-389-b04","series-title":"Br J Sports Med","first-page":"491","article-title":"The IOC consensus statement: beyond the Female Athlete Triad\u2014Relative Energy Deficiency in Sport (RED-S)","volume":"48","author":"Mountjoy \n M,","year":"2014","unstructured":"Mountjoy \n M, \n \n \n Sundgot-Borgen \n J, \n \n \n Burke \n L, \n \n et al. \n The IOC consensus statement: beyond the Female Athlete Triad\u2014Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014;48(7):491\u2013497."},{"issue":"3","key":"i1062-6050-51-5-389-b05","series-title":"Clin Sports Med","first-page":"491","article-title":"The preparticipation physical examination: an update","volume":"30","author":"Seto \n CK.","year":"2011","unstructured":"Seto \n CK. \n \n \n The preparticipation physical examination: an update. Clin Sports Med. 2011:30(3):491\u2013501."},{"issue":"6","key":"i1062-6050-51-5-389-b06","series-title":"Br J Sports Med","first-page":"351","article-title":"Psychological predictors of injury among elite athletes","volume":"39","author":"Galambos \n SA,","year":"2005","unstructured":"Galambos \n SA, \n \n \n Terry \n PC, \n \n \n Moyle \n GM, \n \n \n Locke \n SA, \n \n \n Lane \n AM. \n \n \n Psychological predictors of injury among elite athletes. Br J Sports Med. 2005;39(6):351\u2013354."},{"issue":"3","key":"i1062-6050-51-5-389-b07","series-title":"J Subst Abuse Treat","first-page":"305","article-title":"A systematic review of college student-athlete drinking: prevalence rates, sport-related factors, and interventions","volume":"31","author":"Martens \n MP,","year":"2006","unstructured":"Martens \n MP, \n \n \n Dams-O'Connor \n K, \n \n \n Beck \n NC. \n \n \n A systematic review of college student-athlete drinking: prevalence rates, sport-related factors, and interventions. J Subst Abuse Treat. 2006;31(3):305\u2013316."},{"issue":"suppl 2","key":"i1062-6050-51-5-389-b08","series-title":"Scand J Med Sci Sports","first-page":"112","article-title":"Aspects of disordered eating continuum in elite high-intensity sports","volume":"20","author":"Sundgot-Borgen \n J,","year":"2010","unstructured":"Sundgot-Borgen \n J, \n \n \n Torstveit \n MK. \n \n \n Aspects of disordered eating continuum in elite high-intensity sports. Scand J Med Sci Sports. 2010;20(suppl 2):112\u2013121."},{"issue":"4","key":"i1062-6050-51-5-389-b09","series-title":"J Appl Sport Psychol","first-page":"279","article-title":"The emotional response to the injury and rehabilitation process","volume":"15","author":"Tracey \n J.","year":"2003","unstructured":"Tracey \n J. \n \n \n The emotional response to the injury and rehabilitation process. J Appl Sport Psychol. 2003;15(4):279\u2013293."},{"issue":"1","key":"i1062-6050-51-5-389-b10","series-title":"Rehabil Psychol","first-page":"74","article-title":"Fear of reinjury, negative affect, and catastrophizing predicting return to sport in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery","volume":"52","author":"Tripp \n DA,","year":"2007","unstructured":"Tripp \n DA, \n \n \n Stanish \n W, \n \n \n Ebel-Lam \n A, \n \n \n Brewer \n BW, \n \n \n Birchard \n J. \n \n \n Fear of reinjury, negative affect, and catastrophizing predicting return to sport in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery. Rehabil Psychol. 2007;52(1):74\u201381."},{"key":"i1062-6050-51-5-389-b11","article-title":"Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings","unstructured":"Substance Abuse and Mental Health Services Administration. Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2012. NSDUH Series H-42, HHS Publication No. (SMA) 11-4667."},{"issue":"3","key":"i1062-6050-51-5-389-b12","series-title":"Sports Health","first-page":"263","article-title":"Susceptibility for depression in current and retired student athletes","volume":"5","author":"Weigand \n S,","year":"2013","unstructured":"Weigand \n S, \n \n \n Cohen \n J, \n \n \n Merenstein \n D. \n \n \n Susceptibility for depression in current and retired student athletes. Sports Health. 2013;5(3):263\u2013266."},{"issue":"6","key":"i1062-6050-51-5-389-b13","series-title":"Clin J Sport Med","first-page":"481","article-title":"Prevalence of and risk factors associated with symptoms of depression in competitive collegiate student athletes","volume":"17","author":"Yang \n J,","year":"2007","unstructured":"Yang \n J, \n \n \n Peek-Asa \n C, \n \n \n Corlette \n JD, \n \n \n Cheng \n G, \n \n \n Foster \n DT, \n \n \n Albright \n J. \n \n \n Prevalence of and risk factors associated with symptoms of depression in competitive collegiate student athletes. Clin J Sport Med. 2007;17(6):481\u2013487."},{"issue":"5","key":"i1062-6050-51-5-389-b14","series-title":"J Am Coll Health","first-page":"489","article-title":"Female collegiate athletes: prevalence of eating disorders and disordered eating behaviors","volume":"57","author":"Greenleaf \n C,","year":"2009","unstructured":"Greenleaf \n C, \n \n \n Petrie \n TA, \n \n \n Carter \n J, \n \n \n Reel \n JJ. \n \n \n Female collegiate athletes: prevalence of eating disorders and disordered eating behaviors. J Am Coll Health. 2009;57(5):489\u2013495."},{"issue":"2","key":"i1062-6050-51-5-389-b15","series-title":"Eat Behav","first-page":"143","article-title":"Anxiety of young female athletes with disordered eating behaviors","volume":"8","author":"Vardar \n E,","year":"2007","unstructured":"Vardar \n E, \n \n \n Vardar \n SA, \n \n \n Kurt \n C. \n \n \n Anxiety of young female athletes with disordered eating behaviors. Eat Behav. 2007;8(2):143\u2013147."},{"issue":"1","key":"i1062-6050-51-5-389-b16","series-title":"J Drug Educ","first-page":"41","article-title":"Alcohol misuse among college athletes: self-medication for psychiatric symptoms?","volume":"32","author":"Miller \n BE,","year":"2002","unstructured":"Miller \n BE, \n \n \n Miller \n MN, \n \n \n Verhegge \n R, \n \n \n Linville \n HH, \n \n \n Pumariega \n AJ. \n \n \n Alcohol misuse among college athletes: self-medication for psychiatric symptoms?\n J Drug Educ. 2002;32(1):41\u201352."},{"issue":"3","key":"i1062-6050-51-5-389-b17","series-title":"Arch Pediatr Adolesc Med","first-page":"252","article-title":"National health care visit patterns of adolescents: implications for delivery of new adolescent vaccines","volume":"161","author":"Rand \n CM,","year":"2007","unstructured":"Rand \n CM, \n \n \n Shone \n LP, \n \n \n Albertin \n C, \n \n \n Auinger \n P, \n \n \n Klein \n JD, \n \n \n Szilagyi \n PG. \n \n \n National health care visit patterns of adolescents: implications for delivery of new adolescent vaccines. Arch Pediatr Adolesc Med. 2007;161(3):252\u2013259."},{"issue":"5","key":"i1062-6050-51-5-389-b18","series-title":"J Athl Train","first-page":"716","article-title":"Inter-association recommendations for developing a plan to recognize and refer student-athletes with psychological concerns at the collegiate level: an executive summary of a consensus statement","volume":"48","author":"Neal \n TL,","year":"2013","unstructured":"Neal \n TL, \n \n \n Diamond \n AB, \n \n \n Goldman \n S, \n \n et al. \n Inter-association recommendations for developing a plan to recognize and refer student-athletes with psychological concerns at the collegiate level: an executive summary of a consensus statement. J Athl Train. 2013;48(5):716\u2013720."},{"issue":"3","key":"i1062-6050-51-5-389-b19","series-title":"Clin Sports Med","first-page":"611","article-title":"Psychiatric and neuropsychological issues in sports medicine","volume":"30","author":"Esfandiari \n A,","year":"2011","unstructured":"Esfandiari \n A, \n \n \n Broshek \n DK, \n \n \n Freeman \n JR. \n \n \n Psychiatric and neuropsychological issues in sports medicine. Clin Sports Med. 2011;30(3):611\u2013627."},{"issue":"3","key":"i1062-6050-51-5-389-b20","series-title":"NASPA J","first-page":"518","article-title":"Understanding and promoting college student-athlete health: essential issues for student affairs professionals","volume":"43","author":"Etzel \n EF,","year":"2006","unstructured":"Etzel \n EF, \n \n \n Watson \n JC, \n \n \n Visek \n AJ, \n \n \n Maniar \n SD. \n \n \n Understanding and promoting college student-athlete health: essential issues for student affairs professionals. NASPA J. 2006;43(3):518\u2013546."},{"issue":"8","key":"i1062-6050-51-5-389-b21","series-title":"J Am Coll Health","first-page":"700","article-title":"Eating disorder symptoms among college students: prevalence, persistence, correlates, and treatment-seeking","volume":"59","author":"Eisenberg \n D,","year":"2011","unstructured":"Eisenberg \n D, \n \n \n Nicklett \n EJ, \n \n \n Roeder \n K, \n \n \n Kirz \n NE. \n \n \n Eating disorder symptoms among college students: prevalence, persistence, correlates, and treatment-seeking. J Am Coll Health. 2011;59(8):700\u2013707."},{"issue":"4","key":"i1062-6050-51-5-389-b22","series-title":"J Coll Student Dev","first-page":"442","article-title":"College student-athletes' attitudes toward help-seeking behavior and expectations of counseling services","volume":"46","author":"Watson \n JC.","year":"2005","unstructured":"Watson \n JC. \n \n \n College student-athletes' attitudes toward help-seeking behavior and expectations of counseling services. J Coll Student Dev. 2005;46(4):442\u2013449."},{"issue":"3","key":"i1062-6050-51-5-389-b23","series-title":"Eat Disord","first-page":"181","article-title":"\u201cGood\u201d athlete traits and characteristics of anorexia nervosa: are they similar?","volume":"7","author":"Thompson \n RA,","year":"1999","unstructured":"Thompson \n RA, \n \n \n Sherman \n RT. \n \n \n \u201cGood\u201d athlete traits and characteristics of anorexia nervosa: are they similar?\n Eat Disord. 1999;7(3):181\u2013190."},{"issue":"2","key":"i1062-6050-51-5-389-b24","series-title":"J School Psychol","first-page":"163","article-title":"Hunter Romanelli L, Hoagwood K. Early identification of mental health problems in schools: the status of instrumentation","volume":"45","author":"Levitt \n JM,","year":"2007","unstructured":"Levitt \n JM, \n \n \n Saka \n N, \n \n \n Hunter Romanelli L, Hoagwood K. Early identification of mental health problems in schools: the status of instrumentation. J School Psychol. 2007;45(2):163\u2013191."},{"issue":"2","key":"i1062-6050-51-5-389-b25","series-title":"J Sch Health","first-page":"53","article-title":"Mental health screening in schools","volume":"77","author":"Weist \n MD,","year":"2007","unstructured":"Weist \n MD, \n \n \n Rubin \n M, \n \n \n Moore \n E, \n \n \n Adelsheim \n S, \n \n \n Wrobel \n G. \n \n \n Mental health screening in schools. J Sch Health. 2007;77(2):53\u201358."},{"issue":"3","key":"i1062-6050-51-5-389-b26","series-title":"Clin J Sport Med","first-page":"183","article-title":"Optimizing the collegiate preparticipation physical evaluation","volume":"14","author":"Joy \n EA,","year":"2004","unstructured":"Joy \n EA, \n \n \n Paisley \n TS, \n \n \n Price \n R Jr, \n \n \n Rassner \n L, \n \n \n Thiese \n SM. \n \n \n Optimizing the collegiate preparticipation physical evaluation. Clin J Sport Med. 2004;14(3):183\u2013187."},{"issue":"6","key":"i1062-6050-51-5-389-b27","series-title":"Clin J Sport Med","first-page":"442","article-title":"Advancing the preparticipation physical evaluation: an ACSM and FIMS joint consensus statement","volume":"24","author":"Roberts \n WO,","year":"2014","unstructured":"Roberts \n WO, \n \n \n Lollgen \n H, \n \n \n Matheson \n GO, \n \n et al. \n Advancing the preparticipation physical evaluation: an ACSM and FIMS joint consensus statement. Clin J Sport Med. 2014;24(6):442\u2013447."},{"issue":"3","key":"i1062-6050-51-5-389-b28","series-title":"Clin Sports Med","first-page":"491","article-title":"The preparticipation physical examination: an update","volume":"30","author":"Seto \n CK.","year":"2011","unstructured":"Seto \n CK. \n \n \n The preparticipation physical examination: an update. 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J Athl Train. 2014;49(1):102\u2013120."},{"issue":"4","key":"i1062-6050-51-5-389-b31","series-title":"Clin Sports Med","first-page":"943","article-title":"Professional and collegiate team assistance programs: services and utilization patterns","volume":"24","author":"McDuff \n DR,","year":"2005","unstructured":"McDuff \n DR, \n \n \n Morse \n ED, \n \n \n White \n RK. \n \n \n Professional and collegiate team assistance programs: services and utilization patterns. Clin Sports Med. 2005;24(4):943\u2013958."},{"issue":"11","key":"i1062-6050-51-5-389-b32","series-title":"Nurse Pract","first-page":"41","article-title":"Pre-participation physical evaluations for athletes","volume":"37","author":"Zychowicz \n ME.","year":"2012","unstructured":"Zychowicz \n ME. \n \n \n Pre-participation physical evaluations for athletes. Nurse Pract. 2012;37(11):41\u201345."},{"key":"i1062-6050-51-5-389-b33","series-title":"National Collegiate Athletic Association Web site","article-title":"Inter-association consensus document: best practices for understanding and supporting student-athlete mental wellness","unstructured":"NCAA Sport Science Institute. Inter-association consensus document: best practices for understanding and supporting student-athlete mental wellness. National Collegiate Athletic Association Web site. http:\/\/www.ncaa.org\/sites\/default\/files\/Mental%20Health%20Best%20Practices%20WEB%20SINGLE.pdf. Published 2016. Accessed February 16, 2016."},{"issue":"11","key":"i1062-6050-51-5-389-b34","series-title":"Ann Intern Med","first-page":"784","article-title":"Screening for depression in adults: US Preventive Services Task Force recommendation statement","volume":"151","year":"2009","unstructured":"US Preventive Services Task Force. 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J Coll Counsel. 2007;10(2):153\u2013162."},{"issue":"2","key":"i1062-6050-51-5-389-b38","series-title":"Clin J Sport Med","first-page":"122","article-title":"Female athlete triad screening in National Collegiate Athletic Association Division I athletes: is the preparticipation evaluation form effective?","volume":"22","author":"Mencias \n T,","year":"2012","unstructured":"Mencias \n T, \n \n \n Noon \n M, \n \n \n Hoch \n AZ. \n \n \n Female athlete triad screening in National Collegiate Athletic Association Division I athletes: is the preparticipation evaluation form effective?\n Clin J Sport Med. 2012;22(2):122\u2013125."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/51\/5\/article-p389.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/51\/5\/389\/1457023\/1062-6050-51_5_07.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/51\/5\/article-p389.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/51\/5\/article-p389.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:43:20Z","timestamp":1749689000000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/51\/5\/article-p389.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5]]},"references-count":38,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-51.5.07","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2016,5]]}}}