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Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative

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dc.contributor.author Mortier, Philippe
dc.contributor.author Alonso Caballero, Jordi
dc.contributor.author Vilagut Saiz, Gemma, 1975-
dc.contributor.author Kessler, Ronald C.
dc.contributor.author WHO WMH-ICS Collaborators
dc.date.accessioned 2022-07-12T06:18:19Z
dc.date.issued 2022
dc.identifier.citation Mortier P, Alonso J, Auerbach RP, Bantjes J, Benjet C, Bruffaerts R et al. Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative. Soc Psychiatry Psychiatr Epidemiol. 2022 Aug;57(8):1591-1601 DOI: 10.1007/s00127-021-02151-4
dc.identifier.issn 0933-7954
dc.identifier.uri http://hdl.handle.net/10230/53715
dc.description.abstract Purpose: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students. Methods: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency. Results: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32-52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0-4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16-1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30-47% of STB transitions associated with CAs. Conclusion: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Springer
dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s00127-021-02151-4.
dc.title Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1007/s00127-021-02151-4
dc.subject.keyword Childhood adversity
dc.subject.keyword College students
dc.subject.keyword Multivariate models
dc.subject.keyword Population-attributable risk
dc.subject.keyword Suicidal ideation
dc.subject.keyword Suicide attempt
dc.rights.accessRights info:eu-repo/semantics/embargoedAccess
dc.type.version info:eu-repo/semantics/acceptedVersion
dc.embargo.liftdate 2022-08-23
dc.date.embargoEnd info:eu-repo/date/embargoEnd/2022-08-23


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