Portal de investigación
The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative
Autores de FISABIO
Autores ajenos a FISABIO
- 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
- 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
- World Mental Hlth Int Coll Student Collaborators
Grupos de Investigación
Abstract
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.
Datos de la publicación
- ISSN/ISSNe:
- 0165-1781, 1872-7123
- Tipo:
- Article
- Páginas:
- -
- PubMed:
- 40450963
PSYCHIATRY RESEARCH Elsevier BV
Citas Recibidas en Web of Science: 2
Documentos
- No hay documentos
Filiaciones
Keywords
- Suicide; Self-injurious behavior; Students; Mental health; Adverse childhood experiences; Prevalence; Risk factors