Objective: The psychological monitors team is an important part in the “four-level” early warning and prevention system for psychological crises. To explore the current situation of psychological monitors’ competence, influencing factors, and the paths for enhancing their competence, with the aim of improving the psychological monitors system, enhancing the competence of psychological monitors, and building a development platform for psychological monitors to support mental health education work. Method: A survey was conducted using Hodgetts Listening Performance Scale, Dispositional Positive Empathy Scale and Competency Questionnaire for Psychological Monitors in College on 412 college psychological monitors. Results: (1) There are significant differences in listening performance among psychological monitors regarding their form of appointment and length of service; empathy performance significantly differs by gender, grade, and form of appointment; competence levels significantly differ by grade and form of appointment. (2) There is a significant positive correlation between psychological monitors’ competence, listening and empathy. The form of appointment, listening, and empathy performance effectively promote psychological monitors’ competence. Conclusion: Psychological monitors should uphold the concept of “helping others by helping themselves,” master basic knowledge of mental health and psychological counseling services, and improve their abilities to identify psychological issues, provide basic psychological counseling, self-psychological adjustment, organize and manage activities, communicate in interpersonal interactions, and access social resources. First, the preliminary selection work for psychological monitors is carried out, with a strict selection mechanism. Second, the training efforts for psychological monitors are increased to enhance the effectiveness of the training. Third, the responsibilities of psychological monitors are clarified, and methods for incentivizing psychological monitors are established.