In this study, we review institutional and psychological predictors of university students' mental health help-seeking intentions, depression, anxiety, resilience, and perceived university support and structure. An online survey was completed by a convenience sample of 199 university students from the United States, the United Kingdom and Europe (age 18-56 years). A multiple regression analysis identified only depression and perceived university support and structure to be significant predictors of student help-seeking. Organisational structure and support facilities that may benefit student help-seeking and wellbeing are discussed.