Stress and distress
How pressure is experienced, including intensity and persistence.
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Evidence · Scientific foundation
The RELIEF PLUS assessment approach considers patterns across distress, symptoms, risk, resilience, context, and functioning rather than relying on one isolated score.
MASS is presented as a screening and triage-support framework—not an autonomous diagnostic system.
Multidimensional model
The MASS research programme was developed around the idea that student mental health is shaped by several connected dimensions: distress and symptoms, warning signs and risk, resilience and coping, psychosocial context, and day-to-day functioning.
Published and internal records describe multiple instrument versions across the development pathway. Public claims should therefore name the relevant version and study rather than imply that every result refers to one unchanged questionnaire.
How pressure is experienced, including intensity and persistence.
Patterns of emotional, cognitive, and behavioural difficulty.
Indicators requiring careful review or prompt human attention.
Protective resources and ways of responding to adversity.
Life circumstances and pressures that can influence vulnerability.
Effects on study, relationships, self-care, and everyday life.
Clinical boundary
The regulatory intended use describes RELIEF PLUS as a non-diagnostic screening and referral-support platform. Self-reported information and rule-based scoring can help identify possible distress, risk, and support needs, but medical diagnosis and treatment remain the responsibility of qualified professionals.
Risk-informed support
Internal technical records describe an L1–L4 support framework. Public presentation should focus on the practical meaning of stepped support while keeping thresholds, algorithm versions, and clinical review rules under controlled documentation.
Education, preventive resources, and healthy-routine support.
Structured self-help, monitoring, and optional counselling access.
Counsellor, psychologist, doctor, or psychiatrist referral as appropriate.
Urgent escalation and local crisis procedures when safety indicators are present.
Evidence governance
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