After seven students took their own lives in two years, students at the Massachusetts Institute of Technology in the US are looking for their own solutions to prevent more deaths.
The school unveiled a sweeping plan to bolster mental health last autumn, adding staff psychologists and expanding counselling hours, among other measures.
But students have added their own ingenuity in recent months, starting a wave of grassroots projects intended to defuse the stress of campus life before it leads to a crisis.
One group of students launched a texting hotline called Lean On Me this month, letting students chat anonymously with trained student volunteers about anything that's troubling them.
Other students plan to install artificial light boxes on campus, meant to treat depression that can take hold during dreary months.
By her count, sophomore Izzy Lloyd has handed out more than 4000 specially made wristbands that say TMAYD. It's short for "tell me about your day", a message that aims to get students talking with one another. Lloyd started the project last year after two of her freshman classmates took their own lives in the same week.
"It's suicide prevention by community building," said Lloyd, 19. "We're showing people who may feel like they have nothing left that they have a world of people who do care about them."
Other projects take a lighter tone, like the new MIT Puppy Lab that will bring therapy dogs to campus this semester.
Campus officials recently awarded almost $US50,000 ($A70,260) in grants to support campus projects meant to improve mental health. They say the new work is a reflection of MIT's culture, marked by a drive to solve problems. But students said they're also meeting a demand for services that were missing on the campus of 11,000 students.
"If we really solved the problem, we wouldn't be running into this same cycle of mental illness that we've been seeing," said Nikhil Buduma, who graduated last year and founded Lean On Me with two current students. The hotline, he added, lets students get help anonymously and avoid stigmas tied to mental illness.
Across the country, experts say, college students are playing a bigger role in suicide prevention. And more often, schools welcome that kind of help.
"We have found time and again that students listen to students before they listen to anyone else," said Nance Roy, clinical director at the Jed Foundation, a nonprofit group based in New York that works to prevent suicide among college students. "These issues can no longer just fall to the counselling centre."
Roy said there's no evidence that elite schools have disproportionately high suicide rates. But a national study suggests that MIT's rate was above average last year.
The average suicide rate among college students was seven for every 100,000 students between 2004 and 2009, according to research from the University of Rochester. Three MIT students took their lives last year, translating to almost 27 for every 100,000. There have been at least seven student suicides since 2014, according to reports from the school's student newspaper.
Some students and alumni say that MIT's culture pushes students to extremes, sometimes at the expense of a social life or emotional health.
"It's heroic and glorified to push oneself to the point of our boundaries, of our physical or bodily needs," said Sahar Hakim-Hashemi, a 2013 graduate who's filming a documentary called Sleep is for the Strong, exploring mental health at MIT and ways to improve it. "It's like it shows how hardcore and strong someone is."
Meanwhile, some of the new student projects have begun drawing interest elsewhere. Six other schools have bought Lloyd's TMAYD wristbands for their students, and dozens more have said they're interested. The team behind Lean On Me has received inquiries about the texting hotline from outside MIT, and they hope to bring it to other schools.
* For support and information about suicide prevention, call Lifeline on 13 11 14 or Suicide Call Back Service on 1300 659 467
