Peer Support Emerges as Bridge to Professional Care

In Singapore's higher-education landscape, where institutions like Duke-NUS Medical School play a pivotal role in advancing public health research, a new study underscores the value of peer support in addressing anxiety and depression. The research, conducted by Duke-NUS in collaboration with the Institute of Mental Health, reveals that while many adults with symptoms avoid formal mental health services, a significant portion welcome support from peers who share similar experiences.

The online survey of 350 adults found that 77% had not sought care from psychiatrists, psychologists or social workers. Yet 62% expressed willingness to receive peer support, with preferences leaning toward one-on-one sessions (51%) and virtual formats (43%). Younger adults, those with prior professional help-seeking experience, and individuals in managerial roles showed greater openness.

Assistant Professor Irene Teo of Duke-NUS noted that fear of stigma often deters people from professional care, while peer support offers a more relatable entry point. Professor Eric Finkelstein, senior author, emphasised designing programmes with appropriate safeguards. Associate Professor Daniel Fung from IMH highlighted how such connections can serve as a bridge to formal services.

This aligns with broader efforts in Singapore's universities to integrate mental health literacy into campus life, supporting students and staff alike amid rising demands.

Context of Mental Health in Singapore's Academic Community

Singapore's higher-education sector, anchored by institutions such as the National University of Singapore and its graduate medical school Duke-NUS, faces unique pressures. Academic environments often amplify stress through rigorous research, teaching loads and competitive funding landscapes. The study situates peer support within this ecosystem, where community networks can complement existing university counselling services regulated under frameworks from the Ministry of Education and Ministry of Health.

Historical data from the Singapore Mental Health Study shows increasing prevalence of mental disorders, prompting universities to expand wellness initiatives. Duke-NUS's focus on translational research positions it to inform policy, including potential integration of peer programmes into student support structures at polytechnics and autonomous universities.

Study Methodology and Key Findings

Researchers drew from a broader economic impact survey, sampling adults reporting anxiety or depression symptoms. The 350-participant cohort provided insights into help-seeking barriers and preferences. Key demographics revealed variations by age, occupation and prior engagement with services.

Findings indicate peer support does not replace clinical care but lowers initial barriers. Virtual options appeal particularly in a tech-savvy nation like Singapore, where platforms could be adapted for university communities.

Photo by Zion Leung on Unsplash

Implications for University Administrators and Faculty

Higher-education leaders in Singapore can draw actionable insights. Implementing structured peer support networks may enhance retention and wellbeing among PhD candidates and early-career academics. Partnerships between Duke-NUS and other institutions could pilot programmes tailored to academic stressors.

Training for peer supporters, aligned with guidelines from the Institute of Mental Health, ensures quality. Administrators might explore collaborations with the Ministry of Health to scale successful models across campuses.

Perspectives from Stakeholders

Faculty members note the study's relevance to workplace mental health in universities. Students in medical and research programmes often face high-stakes environments where peer connections provide immediate relief.

Policy experts from Singapore's regulatory bodies see potential for embedding such approaches in national mental health strategies, fostering inclusive campuses that support diverse populations including international scholars.

Challenges and Considerations

Confidentiality remains a concern, as highlighted by researchers. Programmes must balance informality with professional oversight to avoid unintended harm. Cultural factors in Singapore's multi-ethnic society require culturally sensitive matching of peers.

Resource allocation in university budgets presents another hurdle, though the study suggests cost-effective community models could yield long-term savings in productivity and healthcare utilisation.

Photo by The Dream Archives on Unsplash

Future Outlook and Recommendations

As Singapore advances its Smart Nation initiatives, digital peer support platforms could integrate with university apps. Longitudinal research building on this Duke-NUS work may track outcomes, informing best practices for the sector.

Recommendations include pilot programmes at Duke-NUS and partner institutions, evaluation frameworks involving the Ministry of Education, and knowledge-sharing through academic conferences hosted in Singapore.

Broader Impact on Higher Education in Singapore

This research reinforces the role of medical schools in shaping societal wellbeing. By highlighting peer support, Duke-NUS contributes to a holistic view of mental health that extends beyond clinical settings into everyday academic life.

Universities stand to benefit from reduced stigma, improved help-seeking rates and stronger community bonds, ultimately supporting Singapore's goals for a resilient, productive workforce.