Table 2. Results from At-Risk for University and College Students: a simulation to build mental health awareness, reduce stigma, increase self-help behaviors, and increase students’ skill and motivation to recognize when fellow students are exhibiting signs of psychological distress and know how to approach and discuss a referral to support services.

Simulation goals	Sample size & demographics	Study design	Results
Recognize when a fellow student exhibits signs of psychological distress, including anxiety, depression, and thoughts of suicide	N=254	Quasi-experimental design	Statistically significant changes in preparedness, likelihood, and self-efficacy to identify, talk to, and refer a fellow student in psychological distress
Manage conversations with a fellow student they are concerned about to determine the need for referral	Participants were recruited from 10 academic institutions in the U.S.	Longitudinal within group analysis to examine changes in behavior	Behavior changes: 3-month follow-up found statistically significant increases in the number of fellow students that participants were concerned about, approached to have a discussion with and referred to mental health support services
If necessary, make a referral to mental health support services	Average age, 19.6 years	ANOVA	Participants reported a statistically significant increase in likelihood that they themselves would seek help when feeling psychologically distressed
	Gender: 52.9% female	Independent samples t-tests	Satisfaction data: 92% said they would recommend the simulation to friends and peers, 96% said it was based on scenarios relevant to them and their fellow students, 95% stated the simulation will aid them in getting help to their fellow students, and 78% rated the simulation “excellent” to “very good”
	Year in school: 67% (freshman), 17% (sophomore), 8% (junior), 4% (senior)	Paired samples t-tests
	10% resident advisors

Data used in this table was accepted for review by the National Registry of Evidenced-Based Programs and Practices.