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Record W4413054185 · doi:10.1371/journal.pone.0327812

Mental health concerns and needs of international students in higher education settings: A scoping review protocol

2025· review· en· W4413054185 on OpenAlexafffund
Kira Rudakova, Shalini Lal

Bibliographic record

VenuePLoS ONE · 2025
Typereview
Languageen
FieldSocial Sciences
TopicInternational Student and Expatriate Challenges
Canadian institutionsUniversité de MontréalDouglas CollegeCentre Hospitalier de l’Université de Montréal
FundersFonds de Recherche du Québec - SantéUniversité de MontréalCanada Research Chairs
KeywordsProtocol (science)Mental healthMedicineMedical educationPsychologyAlternative medicinePsychiatry

Abstract

fetched live from OpenAlex

INTRODUCTION: The transition to higher education is a significant milestone for many individuals; however, it also brings new stressors and challenges, particularly for international students adjusting to life in a foreign country. Despite the increasing diversity of student populations globally, there remains a gap in existing reviews that capture the full scope of international student mental health concerns and needs. Existing reviews on the mental health and psychosocial adjustment of international students often concentrate on acculturation stress, thus overlooking other mental health concerns such as depression and anxiety, as well as positive mental health experiences like increased well-being. Meanwhile, other reviews tend to focus more heavily on specific regions, such as the United States and Australia, or student populations, particularly East-Asian students. While valuable, this focus may limit our understanding of the diverse mental health experiences of international students. OBJECTIVE: The objective of this scoping review is to map and summarize research on international students' mental health experiences and concerns (e.g., depression) as well as factors influencing their well-being (e.g., social support and institutional resources). METHODS: A search strategy guided by the Joanna Briggs Institute (JBI) Manual of Evidence Synthesis has been developed according to the Population, Concern, and Context (PCC) framework and will be applied to four electronic databases (i.e., MEDLINE, Embase, PsycInfo, and CINAHL). Two reviewers will pilot the selection strategy on subsets of 10 articles until a 90% agreement rate is achieved. Once this rate is reached, a single reviewer will screen the remaining articles independently. Two reviewers will pilot data extraction on subsets of 10 included studies, after which one reviewer will proceed independently. Main findings will be presented through descriptive statistics, using tables and figures. EXPECTED CONTRIBUTIONS: This scoping review will assess existing literature on the mental health needs and experiences of international students, highlighting overlooked issues, such as challenges beyond acculturation stress and the experiences of underrepresented student populations, including those studying outside of Western countries. Ultimately, the findings may identify areas for further research and inform educational institutions and mental health professionals in developing support resources that can effectively address diverse needs of international students.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.109
metaresearch head score (Gemma)0.082
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Protocol · Consensus signal: Protocol
Teacher disagreement score0.109
Threshold uncertainty score0.578

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1090.082
Meta-epidemiology (narrow)0.0050.006
Meta-epidemiology (broad)0.0130.012
Bibliometrics0.0240.016
Science and technology studies0.0050.005
Scholarly communication0.0090.009
Open science0.0060.007
Research integrity0.0090.006
Insufficient payload (model declined to judge)0.0460.010

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.169
GPT teacher head0.497
Teacher spread0.329 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreProtocol

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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