Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project

Objective: College entrance may be a strategically well-placed "point of capture" for detecting late adolescents with suicidal thoughts and behaviors (STB). However, a clear epidemiological picture of STB among incoming college students is lacking. We present the first cross-national data...

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Detalles Bibliográficos
Autores: Mortier, P, Auerbach, RP, Alonso, J, Bantjes, J, Benjet, C, Cuijpers, P, Ebert, DD, Green, JG, Hasking, P, Nock, MK, Pinder-Amaker, S, Sampson, NA, Vilagut, G, Zaslaysky, AM, Bruffaerts, R, Kessler, RC, Boyes, M, Kiekens, G, Baumeister, H, Kaehlke, F, Berking, M, Ramírez, AA, Borges, G, Diaz, AC, Duran, MS, Gonzalez, RG, Gutierrez-Garcia, RA, de la Torre, AEH, Martinez, KIM, Medina-Mora, ME, Zarazua, HM, Tarango, GP, Berbena, MAZ, O'Neill, S, Bjourson, T, Lochner, C, Roos, J, Cur, HB, Taljaard, L, Saal, W, Stein, D, Alayo, I, Almenara, J, Ballester, L, Barbaglia, G, Blasco, MJ, Castellvi, P, Cebria, AI, Echeburua, E, Gabilondo, A, Garcia-Forero, C, Iruin, A, Lagares, C, Miranda-Mendizabal, A, Pares-Badell, O, Perez-Vazquez, MT, Piqueras, JA, Roca, M, Rodriguez-Marin, J, Gili, M, Soto-Sanz, V, Vives, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p6144
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/6144
Access Level:acceso abierto
Descripción
Sumario:Objective: College entrance may be a strategically well-placed "point of capture" for detecting late adolescents with suicidal thoughts and behaviors (STB). However, a clear epidemiological picture of STB among incoming college students is lacking. We present the first cross-national data on prevalence as well as socio-demographic and college-related correlates for STB among first-year college students. Method: Web-based self-report surveys were obtained from 13,984 first-year students (response rate 45.5%) across 19 colleges in 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, and the United States). Results: Lifetime prevalence of suicidal ideation, plans, and attempts was 32.7%, 17.5%, and 4.3%, respectively. The 12-month prevalence was 17.2%, 8.8%, and 1.0%, respectively. About three-fourths of STB cases had onset before the age of 16 years (Q3 = 15.8), with persistence figures in the range of 41% to 53%. About one-half (53.4%) of lifetime ideators transitioned to a suicide plan; 22.1% of lifetime planners transitioned to an attempt. Attempts among lifetime ideators without plan were less frequent (3.1%). Significant correlates of lifetime STB were cross-nationally consistent and generally modest in effect size (median adjusted odds ratio [aOR] = 1.7). Nonheterosexual orientation (aOR range 3.3-7.9) and heterosexual orientation with some same-sex attraction (aOR range 1.9-2.3) were the strongest correlates of STB, and of transitioning from ideation to plans and/or attempts (aOR range 1.6-6.1). Conclusion: The distribution of STB in first-year students is widespread, and relatively independent of socio-demographic risk profile. Multivariate risk algorithms based on a high number of risk factors are indicated to efficiently link high-risk status with effective preventive interventions.

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