The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative

Objective: To investigate the associations of demographic variables, childhood adversities (CAs), and mental disorders (MDx) with onset, transition, and persistence of suicidal thoughts and behaviors (STB) among first-year university students. Method: Poisson regression models within a discrete-time...

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Detalles Bibliográficos
Autores: Mortier, P, Yang, X, Altwaijri, YA, Holdcraft, JA, Lee, S, Sampson, NA, Albor, Y, Alhadi, AN, Alonso, J, Al-Saud, NK, Andersson, C, Atwoli, L, Auerbach, RP, Muaka, CA, Báez-Mansur, PM, Ballester, L, Bantjes, J, Baumeister, H, Bendtsen, M, Benjet, C, Berman, AH, Bruffaerts, R, Carrasco, P, Chan, SCN, Cohut, I, Couder, MACD, Crockett, MA, Cuijpers, P, David, OA, Dong, D, Ebert, DD, Gaete, J, Felez-Nobrega, M, Forero, CG, Gili, M, Gutiérrez-García, RA, Haro, JM, Hasking, P, Hunt, X, Husky, MM, Jaguga, F, Jansen, L, Langer, AI, Liu, Y, Mac-Ginty, S, Martínez, V, Mason, A, Mathai, M, McLafferty, M, Miranda-Mendizabal, A, Murray, EK, Musyoka, CM, O'Neill, SM, Papasteri, CC, Piqueras, JA, Popescu, CA, Rapsey, C, Robinson, K, Rodriguez-Jimenez, T, Scarf, D, Siu, OL, Stein, DJ, Struijs, SY, Tomoiaga, CT, Valdés-García, KP, Vereecke, S, Vigo, DV, Wang, AY, Wong, SYS, Kessler, RC
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p19166
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/19166
Access Level:acceso abierto
Palabra clave:Suicide
Self-injurious behavior
Students
Mental health
Adverse childhood experiences
Prevalence
Risk factors
Descripción
Sumario:Objective: To investigate the associations of demographic variables, childhood adversities (CAs), and mental disorders (MDx) with onset, transition, and persistence of suicidal thoughts and behaviors (STB) among first-year university students. Method: Poisson regression models within a discrete-time survival framework were constructed using web-based self-report survey data from 72,288 incoming university students across 18 countries (response rate=20.9%; median age=19 years, 57.9% female, 1.4% transgender, 21.0% non-heterosexual). These models examined the associations of four demographic variables, five CAs, and eight MDx with STB outcomes. Results: Lifetime prevalence of suicidal ideation, plans, and attempts was 47.0%, 26.0%, and 9.6%, respectively; 12-month estimates were 30.6%, 14.0%, and 2.3%. In unadjusted analyses, associations were strongest between lifetime onset of suicidal ideation and CAs (RR range 4.4-7.0), particularly parental psychopathology (relative risk [RR]=7.0 [95% CI 6.5-7.7]), followed by MDx (RR range 1.3-3.0). Of the demographic subgroups, trans-gender students had highest risk of STB (lifetime ideation onset RR=2.4 [2.3-2.6]; ideation-to-attempt transition RR=1.5 [1.3-1.8]). In fully adjusted models, strongest predictors of lifetime ideation onset were emotional abuse (RR=2.1 [1.9-2.2]), major depressive disorder (RR=2.0 [1.9-2.1]), and bipolar disorder (RR=1.8 [1.6-2.0]). Ideation-to-attempt transition remained most strongly associated with panic disorder (RR=1.5 [1.3-1.7]), bi-polar disorder (RR=1.4 [1.2-1.7]), and sexual abuse (RR=1.4 [1.2-1.7]). Most predictors were significantly but weakly associated with persistence of ideation and plan, while only physical abuse remained associated with repeated suicide attempts (RR=1.3 [1.0-1.8]). Conclusion: CAs and MDx are strong predictors of both onset of and transition within the STB spectrum, underscoring the importance of implementing early-life prevention interventions.

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