Suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS project

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• dc.contributor.author Mortier, Philippe
• dc.contributor.author Auerbach, Randy P.
• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author Bantjes, Jason
• dc.contributor.author Benjet, Corina
• dc.contributor.author Cuijpers, Pim
• dc.contributor.author Ebert, David Daniel
• dc.contributor.author Green, Jennifer Greif
• dc.contributor.author Hasking, Penelope
• dc.contributor.author Nock, Matthew K.
• dc.contributor.author O’Neill, Siobhan
• dc.contributor.author Pinder-Amaker, Stephanie
• dc.contributor.author Sampson, Nancy A.
• dc.contributor.author Vilagut Saiz, Gemma, 1975-
• dc.contributor.author Zaslavsky, Alan M.
• dc.contributor.author Bruffaerts, Ronny
• dc.contributor.author Kessler, Ronald C.
• dc.date.accessioned 2018-11-27T08:36:07Z
• dc.date.issued 2018
• dc.description.abstract 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Mortier P, Auerbach RP, Alonso J, Bantjes J, Benjet C, Cuijpers P et al. Suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS project. J Am Acad Child Adolesc Psychiatry. 2018 Apr;57(4):263-73. DOI: 10.1016/j.jaac.2018.01.018
• dc.identifier.doi http://dx.doi.org/10.1016/j.jaac.2018.01.018
• dc.identifier.issn 0890-8567
• dc.identifier.uri http://hdl.handle.net/10230/35858
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Journal of the American Academy of Child and Adolescent Psychiatry. 2018 Apr;57(4):263-73
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.jaac.2018.01.018
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Suïcidi
• dc.subject.other Adolescents
• dc.subject.other Escolars -- Psicologia
• dc.title Suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS project
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion