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

dc.rights.licenseopenen_US
dc.contributor.authorMORTIER, Philippe
dc.contributor.authorYANG, Xue
dc.contributor.authorALTWAIJRI, Yasmin A
dc.contributor.authorHOLDCRAFT, Jacob A
dc.contributor.authorLEE, Sue
dc.contributor.authorSAMPSON, Nancy A
dc.contributor.authorALBOR, Yesica
dc.contributor.authorALHADI, Ahmad N
dc.contributor.authorALONSO, Jordi
dc.contributor.authorAL-SAUD, Nouf K
dc.contributor.authorANDERSSON, Claes
dc.contributor.authorATWOLI, Lukoye
dc.contributor.authorAUERBACH, Randy P
dc.contributor.authorMUAKA, Caroline Ayuya
dc.contributor.authorBAEZ-MANSUR, Patricia M
dc.contributor.authorBALLESTER, Laura
dc.contributor.authorBANTJES, Jason
dc.contributor.authorBAUMEISTER, Harald
dc.contributor.authorBENDTSEN, Marcus
dc.contributor.authorBENJET, Corina
dc.contributor.authorBERMAN, Anne H
dc.contributor.authorBRUFFAERTS, Ronny
dc.contributor.authorCARRASCO, Paula
dc.contributor.authorCHAN, Silver C N
dc.contributor.authorCOHUT, Irina
dc.contributor.authorCOVARRUBIAS DIAZ COUDER, Maria Anabell
dc.contributor.authorCROCKETT, Marcelo A
dc.contributor.authorCUIJPERS, Pim
dc.contributor.authorDAVID, Oana A
dc.contributor.authorDONG, Dong
dc.contributor.authorEBERT, David D
dc.contributor.authorGAETE, Jorge
dc.contributor.authorFELEZ-NOBREGA, Mireia
dc.contributor.authorGARCIA FORERO, Carlos
dc.contributor.authorGILI, Margalida
dc.contributor.authorGUTIERREZ-GARCIA, Raul A
dc.contributor.authorHARO, Josep Maria
dc.contributor.authorHASKING, Penelope
dc.contributor.authorHUNT, Xanthe
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHUSKY, Mathilde M
dc.contributor.authorJAGUGA, Florence
dc.contributor.authorJANSEN, Leontien
dc.contributor.authorLANGER, Alvaro I
dc.contributor.authorLIU, Yan
dc.contributor.authorMAC-GINTY, Scarlett
dc.contributor.authorMARTINEZ, Vania
dc.contributor.authorMASON, Andre
dc.contributor.authorMATHAI, Muthoni
dc.contributor.authorMCLAFFERTY, Margaret
dc.contributor.authorMIRANDA-MENDIZABAL, Andrea
dc.contributor.authorMURRAY, Elaine K
dc.contributor.authorMUSYOKA, Catherine M
dc.contributor.authorO'NEILL, Siobhan M
dc.contributor.authorPAPASTERI, Claudiu C
dc.contributor.authorPIQUERAS, Jose A
dc.contributor.authorPOPESCU, Codruta A
dc.contributor.authorRAPSEY, Charlene
dc.contributor.authorROBINSON, Kealagh
dc.contributor.authorRODRIGUEZ-JIMENEZ, Tiscar
dc.contributor.authorSCARF, Damian
dc.contributor.authorSIU, Oi-Ling
dc.contributor.authorSTEIN, Dan J
dc.contributor.authorSTRUIJS, Sascha Y
dc.contributor.authorTOMOIAGA, Cristina T
dc.contributor.authorVALDES-GARCIA, Karla Patricia
dc.contributor.authorVEREECKE, Shelby
dc.contributor.authorVIGO, Daniel V
dc.contributor.authorWANG, Angel Y
dc.contributor.authorWONG, Samuel Y S
dc.contributor.authorKESSLER, Ronald C
dc.date.accessioned2025-07-10T09:50:12Z
dc.date.available2025-07-10T09:50:12Z
dc.date.issued2025-05-22
dc.identifier.issn1872-7123en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/207296
dc.description.abstractEnOBJECTIVE: 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.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enAdverse childhood experiences
dc.subject.enMental health
dc.subject.enPrevalence
dc.subject.enRisk factors
dc.subject.enSelf-injurious behavior
dc.subject.enStudents
dc.subject.enSuicide
dc.title.enThe associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative
dc.title.alternativePsychiatry Res
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.psychres.2025.116555en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40450963en_US
dc.description.sponsorshipEuropeERA PerMed JTC2019 "PerBrain"en_US
bordeaux.journalPsychiatry Researchen_US
bordeaux.page116555en_US
bordeaux.volume350en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamACTIVE_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDNational Institute of Mental Healthen_US
bordeaux.identifier.funderIDInstituto de Salud Carlos IIIen_US
hal.identifierhal-05156124
hal.version1
hal.date.transferred2025-07-10T09:50:21Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Psychiatry%20Research&rft.date=2025-05-22&rft.volume=350&rft.spage=116555&rft.epage=116555&rft.eissn=1872-7123&rft.issn=1872-7123&rft.au=MORTIER,%20Philippe&YANG,%20Xue&ALTWAIJRI,%20Yasmin%20A&HOLDCRAFT,%20Jacob%20A&LEE,%20Sue&rft.genre=article


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