Knowledge, attitudes, and interest in electronic mental health services among medical students at King Saud University, Saudi Arabia

Mental health disorders are increasingly prevalent among university students in Saudi Arabia, while access to conventional services remains limited. Electronic mental health (EMH) platforms may help bridge this gap; however, evidence on students’ awareness and acceptance is scarce. This cross-sectional online study (November 2024) surveyed 521 medical students at King Saud University using a validated 28-item questionnaire. Most participants were female (65.0%) and reported frequent internet use (86.7%), primarily via smartphones. Approximately half (49.6%) were aware of EMH, while 55.4% considered it attractive and 56.3% preferred it over traditional therapy. Willingness to use EMH increased to 89.5% if delivered through a trusted national platform. Key needs included emotional support, social connection, and stress management, with videos and skills-based modules as preferred formats. Female gender, frequent internet use, and prior awareness significantly predicted EMH interest. Despite high digital access, awareness remains moderate, highlighting the need for culturally adapted, secure EMH services.