title: University students' views on the utility of psychiatric advance directives.
abstract: OBJECTIVE
  Rates of serious mental illnesses (SMIs) among university students are increasing, and universities are struggling with how to respond to students who show SMI symptoms. Psychiatric advance directives (PADs) allow individuals, when well, to document their wishes for treatment during a psychiatric crisis. This project explored the feasibility of using PADs in university settings by examining students' views towards PADs.
  
  
  METHODS
  Forty university students with SMIs were recruited for this study from 1 large university.
  
  
  METHODS
  A mixed-methods design was used, with both quantitative survey instruments and qualitative interviews with students.
  
  
  RESULTS
  Respondents were positive about PAD utility for students. Respondents saw PADs as beneficial because PADs gave students control over their treatment. However, students also considered PADs potentially problematic because PAD use raised a risk of breaching student privacy and stigmatizing students with SMIs.
  
  
  CONCLUSIONS
  Although a promising intervention for students with SMI, this approach requires further research.
authors.affiliation: College of Social Work, University of South Carolina, Columbia, South Carolina 29208, USA. amscheye@mailbox.sc.edu
authors.forename: Anna M
authors.initials: AM
authors.lastname: Scheyett
authors.forename: Adrienne
authors.initials: A
authors.lastname: Rooks
mesh_terms: D016223:Advance Directives / Q000523:psychology*; D001294:Attitude to Health; D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy; D003219:Confidentiality / Q000331:legislation & jurisprudence / Q000592:standards; D003419:Crisis Intervention / Q000331:legislation & jurisprudence / Q000379:methods*; D003865:Major Depressive Disorder / Q000523:psychology / Q000628:therapy; D005069:Evaluation Studies as Topic; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D028642:Persons with Psychiatric Disorders / Q000523:psychology*; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy; D036301:Qualitative Research; D013333:Student Health Services / Q000379:methods; D013334:Students / Q000523:psychology*; D014495:Universities; D055815:Young Adult