2026-04-18T04:16:43Zhttps://recercat.cat/oai/request

oai:recercat.cat:10230/358582025-12-18T01:26:03Zcom_2072_6col_2072_452952

urn:hdl:10230/35858 Suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS project Mortier, Philippe Auerbach, Randy P. Alonso Caballero, Jordi Bantjes, Jason Benjet, Corina Cuijpers, Pim Ebert, David Daniel Green, Jennifer Greif Hasking, Penelope Nock, Matthew K. O’Neill, Siobhan Pinder-Amaker, Stephanie Sampson, Nancy A. Vilagut Saiz, Gemma, 1975- Zaslavsky, Alan M. Bruffaerts, Ronny Kessler, Ronald C. Suïcidi Adolescents Escolars -- Psicologia 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. 2018-11-27T08:36:07Z 2018 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Journal of the American Academy of Child and Adolescent Psychiatry. 2018 Apr;57(4):263-73 © Elsevier http://dx.doi.org/10.1016/j.jaac.2018.01.018 info:eu-repo/semantics/openAccess Elsevier