The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative

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dc.citation.volume350
dc.contributor.authorMortier P
dc.contributor.authorYang X
dc.contributor.authorAltwaijri YA
dc.contributor.authorHoldcraft JA
dc.contributor.authorLee S
dc.contributor.authorSampson NA
dc.contributor.authorAlbor Y
dc.contributor.authorAlhadi AN
dc.contributor.authorAlonso J
dc.contributor.authorAl-Saud NK
dc.contributor.authorAndersson C
dc.contributor.authorAtwoli L
dc.contributor.authorAuerbach RP
dc.contributor.authorMuaka CA
dc.contributor.authorBáez-Mansur PM
dc.contributor.authorBallester L
dc.contributor.authorBantjes J
dc.contributor.authorBaumeister H
dc.contributor.authorBendtsen M
dc.contributor.authorBenjet C
dc.contributor.authorBerman AH
dc.contributor.authorBruffaerts R
dc.contributor.authorCarrasco P
dc.contributor.authorChan SCN
dc.contributor.authorCohut I
dc.contributor.authorCovarrubias Díaz Couder MA
dc.contributor.authorCrockett MA
dc.contributor.authorCuijpers P
dc.contributor.authorDavid OA
dc.contributor.authorDong D
dc.contributor.authorEbert DD
dc.contributor.authorGaete J
dc.contributor.authorFelez-Nobrega M
dc.contributor.authorGarcía Forero C
dc.contributor.authorGili M
dc.contributor.authorGutiérrez-García RA
dc.contributor.authorHaro JM
dc.contributor.authorHasking P
dc.contributor.authorHunt X
dc.contributor.authorHusky MM
dc.contributor.authorJaguga F
dc.contributor.authorJansen L
dc.contributor.authorLanger ÁI
dc.contributor.authorLiu Y
dc.contributor.authorMac-Ginty S
dc.contributor.authorMartínez V
dc.contributor.authorMason A
dc.contributor.authorMathai M
dc.contributor.authorMcLafferty M
dc.contributor.authorMiranda-Mendizabal A
dc.contributor.authorMurray EK
dc.contributor.authorMusyoka CM
dc.contributor.authorO'Neill SM
dc.contributor.authorPapasteri CC
dc.contributor.authorPiqueras JA
dc.contributor.authorPopescu CA
dc.contributor.authorRapsey C
dc.contributor.authorRobinson K
dc.contributor.authorRodriguez-Jimenez T
dc.contributor.authorScarf D
dc.contributor.authorSiu O-L
dc.contributor.authorStein DJ
dc.contributor.authorStruijs SY
dc.contributor.authorTomoiaga CT
dc.contributor.authorValdés-García KP
dc.contributor.authorVereecke S
dc.contributor.authorVigo DV
dc.contributor.authorWang AY
dc.contributor.authorWong SYS
dc.contributor.authorKessler RC
dc.contributor.authorWorld Mental Health International College Student collaborators
dc.date.accessioned2025-06-22T22:14:41Z
dc.date.available2025-06-22T22:14:41Z
dc.date.issued2025-08-01
dc.description.abstractObjective: 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, transgender 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]), bipolar 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.
dc.description.confidentialfalse
dc.edition.editionAugust 2025
dc.identifier.citationMortier 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, Carrasco P, Chan SCN, Cohut I, Covarrubias Díaz Couder MA, Crockett MA, Cuijpers P, David OA, Dong D, Ebert DD, Gaete J, Felez-Nobrega M, García Forero C, Gili M, Gutiérrez-García RA, Haro JM, Hasking P, Hunt X, Husky MM, Jaguga F, Jansen L, Langer ÁI, 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. (2025). The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative. Psychiatry Research. 350.
dc.identifier.doi10.1016/j.psychres.2025.116555
dc.identifier.eissn1872-7123
dc.identifier.elements-typejournal-article
dc.identifier.issn0165-1781
dc.identifier.number116555
dc.identifier.piiS0165178125002033
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/73096
dc.languageEnglish
dc.publisherElsevier B V
dc.publisher.urihttps://www.sciencedirect.com/science/article/pii/S0165178125002033
dc.relation.isPartOfPsychiatry Research
dc.rights(c) The author/sen
dc.rights.licenseCC BYen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectSuicide
dc.subjectSelf-injurious behavior
dc.subjectStudents
dc.subjectMental health
dc.subjectAdverse childhood experiences
dc.subjectPrevalence
dc.subjectRisk factors
dc.titleThe associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative
dc.typeJournal article
pubs.elements-id501177
pubs.organisational-groupOther
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