Demand for Psychological Care Among University Students: A Longitudinal Study and Its Implications for Mental Health Prevention

Abstract

University students' mental health represents a growing concern within higher education, particularly regarding academic stress and assessment periods. The objective of this study was to analyse the longitudinal demand for psychological care among university students across 2023, 2024, and 2025, aiming to identify temporal patterns relevant to mental health prevention. A quantitative, longitudinal, descriptive study was conducted using aggregated administrative records from the UDA SALUD UNA SALUD psychological care service at the Universidad del Azuay in Cuenca, Ecuador. Monthly frequencies and percentages of requests for psychological support were evaluated. The results revealed consistent temporal fluctuations, characterized by higher demand during the months preceding final examinations, notably in May–June and October–November, and lower demand during academic recess periods, such as August and December. These patterns remained stable throughout the observed period. In conclusion, university students' demand for psychological services exhibits predictable temporal variations tied to the academic calendar. These findings underscore the importance of incorporating longitudinal analyses into preventive planning for university mental health services to anticipate demand peaks, optimise resources, and reinforce early intervention strategies.