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Article History

Received: 29 June 2025

Accepted: 12 September 2025

First Online: 4 November 2025

Declarations

:

: Ethical Ethical approval for the study was obtained from the Mahidol University Institutional Review Board (IRB) (COA. No. MUPH 2024-063) and the Research Ethics Board (REB), Regional Institute of Medical Sciences, Imphal (Registration No. A/206/REB/Prop (Sp)226/202/18/2024) in accordance with the Declaration of Helsinki. Consent and assent from informed parents and students were obtained. To ensure participant privacy, an anonymous approach was utilized. Following the survey, students identified as requiring urgent mental health assistance, including those exhibiting major depressive symptoms or suicidal ideation, were promptly referred for professional help or counselling.

: Not applicable.

: The authors declare no competing interests.