Mental health and academic outcomes over the first year at university in international compared to domestic Canadian students

This article aimed to compare risk factors and associated mental health and academic outcomes between international and domestic students. International students had comparable or lower rates of clinically significant anxiety, depression, and insomnia. Domestic female students reported the highest screening rates for common mental disorders. However, international students were more likely to report having attempted suicide. International students felt less connected to the university community and had lower academic performance. Psychosocial risk factor profiles and proportions accessing mental health services were similar.