Suicidal thoughts and behaviors among college students and same-aged peers: results from the World Health Organization World Mental Health Surveys.
Por:
Mortier P, Auerbach RP, Alonso J, Axinn WG, Cuijpers P, Ebert DD, Green JG, Hwang I, Kessler RC, Liu H, Nock MK, Pinder-Amaker S, Sampson NA, Zaslavsky AM, Abdulmalik J, Aguilar-Gaxiola S, Al-Hamzawi A, Benjet C, Demyttenaere K, Florescu S, De Girolamo G, Gureje O, Haro JM, Hu C, Huang Y, De Jonge P, Karam EG, Kiejna A, Kovess-Masfety V, Lee S, Mcgrath JJ, O'neill S, Nakov V, Pennell BE, Piazza M, Posada-Villa J, Rapsey C, Viana MC, Xavier M and Bruffaerts R
Publicada:
1 mar 2018
Ahead of Print:
16 ene 2018
Resumen:
PURPOSE: The primary aims are to (1) obtain representative prevalence estimates of suicidal thoughts and behaviors (STB) among college students worldwide and (2) investigate whether STB is related to matriculation to and attrition from college. METHODS: Data from the WHO World Mental Health Surveys were analyzed, which include face-to-face interviews with 5750 young adults aged 18-22 spanning 21 countries (weighted mean response rate = 71.4%). Standardized STB prevalence estimates were calculated for four well-defined groups of same-aged peers: college students, college attriters (i.e., dropouts), secondary school graduates who never entered college, and secondary school non-graduates. Logistic regression assessed the association between STB and college entrance as well as attrition from college. RESULTS: Twelve-month STB in college students was 1.9%, a rate significantly lower than same-aged peers not in college (3.4%; OR 0.5; p < 0.01). Lifetime prevalence of STB with onset prior to age 18 among college entrants (i.e., college students or attriters) was 7.2%, a rate significantly lower than among non-college attenders (i.e., secondary school graduates or non-graduates; 8.2%; OR 0.7; p = 0.03). Pre-matriculation onset STB (but not post-matriculation onset STB) increased the odds of college attrition (OR 1.7; p < 0.01). CONCLUSION: STB with onset prior to age 18 is associated with reduced likelihood of college entrance as well as greater attrition from college. Future prospective research should investigate the causality of these associations and determine whether targeting onset and persistence of childhood-adolescent onset STB leads to improved educational attainment.
Filiaciones:
Mortier P:
Research Group Psychiatry, Department of Neurosciences, KU Leuven University, Herestraat 49, 3000, Leuven, Belgium.
Auerbach RP:
Department of Psychiatry, Harvard Medical School, Boston, MA, USA
Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, MA, USA
Alonso J:
Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
Pompeu Fabra University (UPF), Barcelona, Spain
CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
Axinn WG:
Population Studies Center, Survey Research Center, Institute for Social Research and the Department of Sociology, University of Michigan, Ann Arbor, MI, USA
Cuijpers P:
Department of Clinical, Neuro, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
EMGO Institute for Health and Care Research, Amsterdam, The Netherlands
Ebert DD:
Department of Psychology, Clinical Psychology and Psychotherapy, Friedrich-Alexander University Nuremberg-Erlangen, Erlangen, Germany
Green JG:
School of Education, Boston University, Boston, MA, USA
Hwang I:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Kessler RC:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Liu H:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA
Nock MK:
Department of Psychology, Harvard University, Cambridge, MA, USA
Pinder-Amaker S:
Department of Psychiatry, Harvard Medical School, Boston, MA, USA
McLean Hospital, Belmont, MA, USA
Sampson NA:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Zaslavsky AM:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Abdulmalik J:
Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria
Aguilar-Gaxiola S:
University of California Davis Center for Reducing Health Disparities, Sacramento, CA, USA
Al-Hamzawi A:
College of Medicine, Al-Qadisiya University, Diwania Governorate, Iraq
Benjet C:
Department of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
Demyttenaere K:
Department of Psychiatry, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium
Florescu S:
National School of Public Health, Management and Professional Development, Bucharest, Romania
De Girolamo G:
Unit of Epidemiological and Evaluation Psychiatry, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS)-St. John of God Clinical Research Centre, Brescia, Italy
Gureje O:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
Haro JM:
Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain
Hu C:
Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen, China
Huang Y:
Institute of Mental Health, Peking University, Beijing, China
De Jonge P:
Developmental Psychology, Department of Psychology, Rijksuniversiteit Groningen, Groningen, The Netherlands
Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center Groningen, Groningen, The Netherlands
Karam EG:
Department of Psychiatry and Clinical Psychology, Faculty of Medicine, Balamand University, Beirut, Lebanon
Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Lebanon
Institute for Development Research Advocacy and Applied Care (IDRAAC), Beirut, Lebanon
Kiejna A:
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
Kovess-Masfety V:
Ecole des Hautes Etudes en Santé Publique (EHESP), EA 4057 Paris Descartes University, Paris, France
Lee S:
Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong
Mcgrath JJ:
Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, 4072, Australia
Queensland Brain Institute, The University of Queensland, St Lucia, QLD, 4065, Australia
National Centre for Register-based Research, Aarhus University, Aarhus, V 8000, Denmark
O'neill S:
School of Psychology, Ulster University, Londonderry, UK
Nakov V:
Department of Mental Health, National Center of Public Health and Analyses, Sofia, Bulgaria
Pennell BE:
Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
Piazza M:
Universidad Cayetano Heredia, Lima, Peru
National Institute of Health, Lima, Peru
Posada-Villa J:
Colegio Mayor de Cundinamarca University, Faculty of Social Sciences, Bogota, Colombia
Rapsey C:
Department of Psychological Medicine, University of Otago, Dunedin, New Zealand
Viana MC:
Department of Social Medicine, Federal University of Espírito Santo, Vitoria, Brazil
Xavier M:
Chronic Diseases Research Center (CEDOC) and Department of Mental Health, Faculdade de Ciencias Medicas, Universidade Nova de Lisboa, Lisbon, Portugal
Bruffaerts R:
Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Leuven, Belgium
Green Accepted, Green Published, Green Submitted
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