Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project

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 prevale...

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Main Authors:	Mortier, P., Auerbach, R., Alonso, J., Bantjes, J., Benjet, C., Cuijpers, P., Ebert, D., Green, J., Hasking, Penelope, Nock, M., O'Neill, S., Pinder-Amaker, S., Sampson, N., Vilagut, G., Zaslavsky, A., Bruffaerts, R., Kessler, R., Boyes, Mark, Kiekens, G., Baumeister, H., Kaehlke, F., Berking, M., Ramírez, A., Borges, G., Díaz, A., Durán, M., González, R., Gutiérrez-García, R., de la Torre, A., Martinez Martínez, K., Medina-Mora, M., Zarazúa, H., Tarango, G., Zavala Berbena, M., Bjourson, T., Lochner, C., Roos, J., Cur, H., Taljaard, L., Saal, W., Stein, D., Alayo, I., Almenara, J., Ballester, L., Barbaglia, G., Blasco, M., Castellví, P., Cebrià, A., Echeburúa, E., Gabilondo, A., García-Forero, C., Iruin, �., Lagares, C., Miranda-Mendizábal, A., Parès-Badell, O., Pérez-Vázquez, M., Piqueras, J., Roca, M., Rodríguez-Marín, J., Gili, M., Soto-Sanz, V., Vives, M.
Format:	Journal Article
Published:	LIPPINCOTT WILLIAMS & WILKINS 2018
Online Access:	http://hdl.handle.net/20.500.11937/67010

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author	Mortier, P. Auerbach, R. Alonso, J. Bantjes, J. Benjet, C. Cuijpers, P. Ebert, D. Green, J. Hasking, Penelope Nock, M. O'Neill, S. Pinder-Amaker, S. Sampson, N. Vilagut, G. Zaslavsky, A. Bruffaerts, R. Kessler, R. Boyes, Mark Kiekens, G. Baumeister, H. Kaehlke, F. Berking, M. Ramírez, A. Borges, G. Díaz, A. Durán, M. González, R. Gutiérrez-García, R. de la Torre, A. Martinez Martínez, K. Medina-Mora, M. Zarazúa, H. Tarango, G. Zavala Berbena, M. O'Neill, S. Bjourson, T. Lochner, C. Roos, J. Cur, H. Taljaard, L. Saal, W. Stein, D. Alayo, I. Almenara, J. Ballester, L. Barbaglia, G. Blasco, M. Castellví, P. Cebrià, A. Echeburúa, E. Gabilondo, A. García-Forero, C. Iruin, �. Lagares, C. Miranda-Mendizábal, A. Parès-Badell, O. Pérez-Vázquez, M. Piqueras, J. Roca, M. Rodríguez-Marín, J. Gili, M. Soto-Sanz, V. Vives, M.
author_facet	Mortier, P. Auerbach, R. Alonso, J. Bantjes, J. Benjet, C. Cuijpers, P. Ebert, D. Green, J. Hasking, Penelope Nock, M. O'Neill, S. Pinder-Amaker, S. Sampson, N. Vilagut, G. Zaslavsky, A. Bruffaerts, R. Kessler, R. Boyes, Mark Kiekens, G. Baumeister, H. Kaehlke, F. Berking, M. Ramírez, A. Borges, G. Díaz, A. Durán, M. González, R. Gutiérrez-García, R. de la Torre, A. Martinez Martínez, K. Medina-Mora, M. Zarazúa, H. Tarango, G. Zavala Berbena, M. O'Neill, S. Bjourson, T. Lochner, C. Roos, J. Cur, H. Taljaard, L. Saal, W. Stein, D. Alayo, I. Almenara, J. Ballester, L. Barbaglia, G. Blasco, M. Castellví, P. Cebrià, A. Echeburúa, E. Gabilondo, A. García-Forero, C. Iruin, �. Lagares, C. Miranda-Mendizábal, A. Parès-Badell, O. Pérez-Vázquez, M. Piqueras, J. Roca, M. Rodríguez-Marín, J. Gili, M. Soto-Sanz, V. Vives, M.
author_sort	Mortier, P.
building	Curtin Institutional Repository
collection	Online Access
description	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.
first_indexed	2025-11-14T10:31:53Z
format	Journal Article
id	curtin-20.500.11937-67010
institution	Curtin University Malaysia
institution_category	Local University
last_indexed	2025-11-14T10:31:53Z
publishDate	2018
publisher	LIPPINCOTT WILLIAMS & WILKINS
recordtype	eprints
repository_type	Digital Repository
spelling	curtin-20.500.11937-670102018-08-28T01:51:09Z Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project Mortier, P. Auerbach, R. Alonso, J. Bantjes, J. Benjet, C. Cuijpers, P. Ebert, D. Green, J. Hasking, Penelope Nock, M. O'Neill, S. Pinder-Amaker, S. Sampson, N. Vilagut, G. Zaslavsky, A. Bruffaerts, R. Kessler, R. Boyes, Mark Kiekens, G. Baumeister, H. Kaehlke, F. Berking, M. Ramírez, A. Borges, G. Díaz, A. Durán, M. González, R. Gutiérrez-García, R. de la Torre, A. Martinez Martínez, K. Medina-Mora, M. Zarazúa, H. Tarango, G. Zavala Berbena, M. O'Neill, S. Bjourson, T. Lochner, C. Roos, J. Cur, H. Taljaard, L. Saal, W. Stein, D. Alayo, I. Almenara, J. Ballester, L. Barbaglia, G. Blasco, M. Castellví, P. Cebrià, A. Echeburúa, E. Gabilondo, A. García-Forero, C. Iruin, �. Lagares, C. Miranda-Mendizábal, A. Parès-Badell, O. Pérez-Vázquez, M. Piqueras, J. Roca, M. Rodríguez-Marín, J. Gili, M. Soto-Sanz, V. Vives, M. 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 Journal Article http://hdl.handle.net/20.500.11937/67010 10.1016/j.jaac.2018.01.018 LIPPINCOTT WILLIAMS & WILKINS restricted
spellingShingle	Mortier, P. Auerbach, R. Alonso, J. Bantjes, J. Benjet, C. Cuijpers, P. Ebert, D. Green, J. Hasking, Penelope Nock, M. O'Neill, S. Pinder-Amaker, S. Sampson, N. Vilagut, G. Zaslavsky, A. Bruffaerts, R. Kessler, R. Boyes, Mark Kiekens, G. Baumeister, H. Kaehlke, F. Berking, M. Ramírez, A. Borges, G. Díaz, A. Durán, M. González, R. Gutiérrez-García, R. de la Torre, A. Martinez Martínez, K. Medina-Mora, M. Zarazúa, H. Tarango, G. Zavala Berbena, M. O'Neill, S. Bjourson, T. Lochner, C. Roos, J. Cur, H. Taljaard, L. Saal, W. Stein, D. Alayo, I. Almenara, J. Ballester, L. Barbaglia, G. Blasco, M. Castellví, P. Cebrià, A. Echeburúa, E. Gabilondo, A. García-Forero, C. Iruin, �. Lagares, C. Miranda-Mendizábal, A. Parès-Badell, O. Pérez-Vázquez, M. Piqueras, J. Roca, M. Rodríguez-Marín, J. Gili, M. Soto-Sanz, V. Vives, M. Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project
title	Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project
title_full	Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project
title_fullStr	Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project
title_full_unstemmed	Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project
title_short	Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project
title_sort	suicidal thoughts and behaviors among first-year college students: results from the wmh-ics project
url	http://hdl.handle.net/20.500.11937/67010

Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project

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