For many children in India, the ultimate dream—their “holy grail”—is to earn a place in one of the nation’s prestigious colleges, where they hope to fulfill their ambitions and build a future of success. Yet, for many students, the reality is starkly away from this hopeful vision. Instead of finding safety, growth, and support, they encounter overwhelming pressures and silent struggles. The price they pay is often nothing less than their own well-being. India’s college campuses, alive with ambition and academic rigor, are increasingly becoming the epicenter of a quiet but devastating mental health crisis.

The data speaks for itself. A 2024 NIMHANS study across nine states paints a stark picture: 30–40% of students grapple with depression, up to 45% battle anxiety, and 10–15% wrestle with suicidal thoughts (NIMHANS, 2024). Substance use casts a long shadow too, with a 2023 survey revealing 58.3% of North Indian college students using substances—54.7% alcohol (20–30% showing dependence or binge patterns), 40.2% tobacco, and 15% cannabis (Indian Journal of Psychiatry, 2023). Most alarmingly, student suicides soared to 13,044 in 2022, a 4% annual rise outpacing broader trends, driven by depression, hopelessness, and substance use (NCRB, 2022). Yet, as students face these disconcerting challenges, one cannot help but ask—what and where are the promised safeguards, and why do institutions continue to fall short when students need them most?

The UGC has established guidelines to safeguard student well-being, including the Prevention of Caste-Based Discrimination in Higher Educational Institutions (2020), Promotion of Equity Regulations (2012), Sexual Harassment Redressal Regulations (2016), Grievance Redressal Regulations (2023), Accessibility Guidelines (2022), and Guidelines for Physical Fitness and Emotional Well-Being. While this suggests a strong framework for student welfare, a closer look in practice reveals a troubling gap between policy and implementation—a divide that is deepening the mental health crisis.

If fully implemented, UGC guidelines could revamp campuses into safer, more inclusive, and supportive spaces. Anti-discrimination and grievance redressal systems are indispensable to give marginalized students a voice, while sexual harassment committees and awareness workshops are fundamental towards respect and security. Accessibility norms are needed for equal participation for students with disabilities, and mandated counselling services or wellness centres would provide timely support for stress, anxiety, and crises. Together, these measures would ease academic pressures, reduce stigma, and create an environment where students can focus on growth without sacrificing their mental health.

What explains the widening gap between UGC mandates and students’ lived realities? A 2023 review of the top 10 universities in law, medical, engineering, and management, based on NIRF rankings and institutional reports, paints a mixed picture. Elite institutions like NLSIU Bangalore, AIIMS Delhi, and IIT Madras shine, complying with 75–90% of UGC guidelines by offering counseling and Equal Opportunity Cells (EOCs). But even they falter—while some lack accessible online grievance portals, other institutions such as Gujarat National Law University have no dedicated mental health counselors, and Maulana Azad Medical College lacks an online system for caste-based discrimination complaints. Engineering institutions average 80% compliance, with IIT Kharagpur missing only accessibility devices. Management institutions, however, are a patchwork of failure—even top-tier IIM Indore skips EOCs and sexual harassment training, achieving just 50% compliance.

The link between these gaps and mental health isn’t the whole story, but it’s critical. Academic pressure drives 45% of anxiety variance, while missing counseling services adds 20% (Rath et al., 2021). Social media overuse boosts stress by 30%, compared to 15% for absent grievance systems (Sonthalia et al., 2022). Without support, students can feel trapped, their stress spiraling into despair. Systemic hurdles make matters worse: mental health gets just 10–15% of university budgets, and India’s counselor-to-student ratio is a dismal 1:4,500, far from the global 1:1,500 ideal. Stigma also silences students—only 30% report mental health struggles (Rath et al., 2021). While UGC mandates, if fully enforced, could bridge these gaps by ensuring student support, and easing the academic and social pressures that fuel student distress, their lack of implementation  leaves campuses with fragmented systems, token committees, and inadequate counselling, pushing students further into cycles of stress, silence, and despair. How much of today’s campus mental health crisis is the cost of universities’ inaction?

Could hope be found somewhere else? Initiatives like Outlive, led by the Centre for Mental Health Law and Policy (CMHLP) conduct workshops sparking conversations about mental health, while the Outlive Chat app offers peer support for students wrestling with suicidal thoughts. The Youth Advocacy for Suicide Prevention (YASP) Fellowship empowers students to push for policy change. Arjun Kapoor, a lawyer-psychologist, champions peer-driven solutions (Kapoor & Kalha, 2023), while Soumitra Pathare, CMHLP director, warns of a 24% surge in youth suicides, urging rights-based reforms (Pathare, 2025). Individuals, activists, and policymakers know what must be done and are pressing for the reforms, but its the systems which must step up.

To turn the tide, India’s universities must go beyond lip service and make student well-being a non-negotiable priority. Incrementally raising mental health budgets, championing counsellors and peer-support systems on every campus, and weaving mental health education into curricula can chip away at stigma while strengthening resilience. But reforms cannot stop there—UGC must enforce regular audits, publish public scorecards, and hold institutions accountable when they fall short. Students cannot afford fragmented committees and token measures; they need real safety nets. The cost of inaction is already measured in lives lost. The question is no longer what needs to be done, it’s whether India’s top universities will finally step up, close the gap between policy and practice, and choose to become sanctuaries of hope instead of breeding grounds for despair.