Blasco Cubedo, Maria JesúsVilagut Saiz, Gemma, 1975-Almenara, JoséRoca, MiquelPiqueras, José AntonioGabilondo Cuéllar, AndreaLagares, CarolinaSoto-Sanz, VictoriaAlayo, ItxasoGarcía Forero, CarlosEcheburúa, EnriqueGili, MargalidaCebrià, Ana IsabelBruffaerts, RonnyAuerbach, Randy P.Nock, Matthew K.Kessler, Ronald C.Alonso Caballero, JordiUNIVERSAL study group2019-05-092019Blasco MJ, Vilagut G, Almenara J, Roca M, Piqueras JA, Gabilondo A et al. Suicidal thoughts and behaviors: prevalence and association with distal and proximal factors in spanish university students. Suicide Life Threat Behav. 2019 Jun;49(3):881-98. DOI: 10.1111/sltb.124910363-0234http://hdl.handle.net/10230/37198Objective: We report on the prevalence of suicidal thoughts and behaviors in Spanish university students and their risk and protective factors (distal/proximal; individual/environmental). Methods: First‐year university students completed an online survey including Self‐Injurious Thoughts and Behaviors Interview (SITBI) items, the screening version of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) along with adversities and positive relationships during childhood/adolescence, recent stressful experiences, and lifetime mental disorders. Nested logistic regression models were estimated and areas under the curve (AUC) compared. Results: A total of 2,118 students completed the survey (mean age = 18.8 [SD = 1.4] years; 55.4% female). Twelve‐month prevalence of suicide ideation (SI) was 9.9%, plans, 5.6%, and attempts, 0.6%. Risk factors of 12‐month SI were as follows: parental psychopathology (OR = 1.7, 95% CI 1.2–2.5); sexual assault (OR = 5.6, 95% CI 1.4–22.1); lifetime mood disorder (OR = 5.2, 95% CI 3.5–7.7); and lifetime anxiety disorder (OR = 1.7, 95% CI: 1.1–2.5). Childhood positive relationships protected from SI were as follows: peers/others (OR = 0.6, 95% CI 0.4–0.9 for the second highest tertile) and family (OR = 0.4, 95% CI 0.3–0.7 for the highest tertile). AUC of the final model was 0.82 (SE = 0.015). Conclusion: Our results indicate a high prevalence of SI among Spanish university students and identify protective and risk factors from a comprehensive conceptual model.application/pdfengThis is the pre-peer reviewed version of the following article: Blasco MJ, Vilagut G, Almenara J, Roca M, Piqueras JA, Gabilondo A, Lagares C, Soto-Sanz V, Alayo I, Forero CG, Echeburúa E, Gili M, Cebrià AI, Bruffaerts R, Auerbach RP, Nock MK, Kessler RC, Alonso J; UNIVERSAL study group. Suicidal thoughts and behaviors: prevalence and association with distal and proximal factors in spanish university students. Suicide Life Threat Behav. 2018. DOI 10.1111/sltb.12491 , which has been published in final form at http://dx.doi.org/10.1111/sltb.12491. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.SuïcidiEstudiants universitarisinfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1111/sltb.12491info:eu-repo/semantics/openAccess