OBJECTIVE Suicide is the second leading cause of death among college students in the United States, and the percentage of students reporting suicidal thoughts is increasing. Nevertheless, many students at risk do not seek mental health (MH) services. This randomized controlled trial (RCT) examined the efficacy of Electronic Bridge to Mental Health for College Students (eBridge) for increasing at-risk students' linkage to MH services. METHOD Students from four universities were recruited via email; 40,347 (22.6%) completed the online suicide risk screen; and 3,363 (8.3%) met criteria for randomization based on suicide risk factors and lack of current treatment (62.2% female, 35.0% male, 2.8% transgender/nonbinary; 73.2% White, 7.0% Black, 19.9% Asian, 11.7% other; 12.4% Hispanic, 76.2% undergraduate). These students were randomized to eBridge [personalized feedback (PF) with option of online counseling] or Control (PF). The primary outcome was linkage to MH services within 6 months. RESULTS Among students assigned to eBridge, 355 students (21.0%) posted ≥1 message, and 168 (10.0%) posted ≥2 messages to the counselor. In intent-to-treat analyses, there was no eBridge effect on obtaining MH services. However, within the eBridge group, students who posted ≥1 message were significantly more likely to link to MH services. CONCLUSIONS eBridge shows promise for reaching a relatively small subset of college students at risk for suicide; however, engagement in eBridge was low. This study underscores the urgent need for more effective strategies to engage young adults in online mental health interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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大学生心理健康的电子桥梁：一项随机对照干预试验。

目标自杀是美国大学生死亡的第二大原因，报告有自杀念头的学生比例正在增加。然而，许多处于危险中的学生并不寻求心理健康 (MH) 服务。这项随机对照试验 (RCT) 检验了电子桥通到大学生心理健康 (eBridge) 在增加高危学生与 MH 服务联系方面的功效。方法通过电子邮件招募来自四所大学的学生；40,347 (22.6%) 人完成了在线自杀风险筛查；和 3,363 (8.3%) 符合基于自杀风险因素和缺乏当前治疗的随机化标准（62.2% 女性，35.0% 男性，2.8% 跨性别/非二元性；73.2% 白人，7.0% 黑人，19.9% 亚裔，11.7% 其他; 12.4% 西班牙裔，76.2% 本科）。这些学生被随机分配到 eBridge [带有在线咨询选项的个性化反馈 (PF)] 或控制 (PF)。主要结果是在 6 个月内与 MH 服务建立联系。结果 在分配到 eBridge 的学生中，355 名学生（21.0%）向辅导员发布了≥1 条信息，168 名（10.0%）向辅导员发布了≥2 条信息。在意向治疗分析中，eBridge 对获得 MH 服务没有影响。然而，在 eBridge 组中，发布 ≥1 条消息的学生更有可能链接到 MH 服务。结论 eBridge 有望覆盖相对较小的有自杀风险的大学生。但是，eBridge 的参与度很低。这项研究强调了迫切需要更有效的策略来让年轻人参与在线心理健康干预。（PsycInfo 数据库记录 (c) 2022 APA，