STRENGTHS AND LIMITATIONS OF THIS STUDY
n>600
Contrasting with many evaluations of mindfulness, a key strength of this study/economic evaluation is that it drew on data from a large (n>600) randomised controlled trial that followed up participants for up to 12 months.A key limitation is the narrow costing perspective adopted—the university counselling service—that does not capture all costs of mental health support and will miss wider impacts.Additionally, we have focused exclusively on wage costs (including on-costs)—we have not considered wider overheads or other resources (such as room hire), subsequently underestimating costs.We have not considered the wider questions about whether Mindfulness Skills for Students is a cost-effective alternative to other innovations, or whether it would be an affordable option to offer to a much larger proportion of students.