Objective: The aim of the study was to compare uni- and multidimensional models of social isolation to improve the specificity of determining associations between social isolation and frailty. Methods: The study included participants aged ≥60 years from the English Longitudinal Study of Ageing assessed for social isolation and frailty (frailty index and Fried phenotype) over a 4-year period. Factor analysis assessed whether social isolation was multidimensional. Multiple regression analysis was used to assess specificity in associations between social isolation and frailty over time. Results: Social isolation comprises social isolation from nuclear family, other immediate family, and wider social networks. Over time, social isolation from a wider social network predicted higher frailty index levels, and higher frailty index and Fried phenotype levels predicted greater social isolation from a wider social network. Discussion: Social isolation is multidimensional. The reciprocal relationship between social isolation from wider social networks and accumulating frailty deficits, and frailty as a clinical syndrome influencing social isolation from social networks is discussed.

Objectives: Mental health concerns on university campuses are increasing in the UK. Improving mental health literacy (MHL) for students may be a useful part of an integrated approach to effectively address these concerns. This study evaluated a previously demonstrated effective Canadian campus MHL resource in a UK student sample. Design: This cross-sectional study conducted on one UK campus reports on student’s opinions about the impact of the Transitions (2nd edition) resource as well as applying a standard measure of MHL. Methods: Online survey using a convenience sample of students during semester 1 conducted over a 1-week period at a large UK university. Results: Use of Transitions (2nd edition) improved student self-reported mental health knowledge, decreased stigma and increased help-seeking intent. Significant ( p < .05) improvement in a standard MHL assessment was also found. Conclusions: These results suggest that the Transitions resource may be a helpful intervention in addressing student mental health in a UK university campus setting.

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