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

作者：Philippe Mortier, Xue Yang, Yasmin Altwaijri, Jacob A. Holdcraft, Sue Lee, Nancy A. Sampson, Yesica Albor, Ahmad N. AlHadi, Jordi Alonso, Nouf Al-Saud, Claes Andersson, Lukoye Atwoli, Randy P. Auerbach, Caroline Ayuya Muaka, Patricia M Báez-Mansur, Laura Ballester, Jason Bantjes, Harald Baumeister, Marcus Bendtsen, Corina Benjet, Anne H. Berman, Ronny Bruffaerts, Paula Carrasco, Silver C N Chan, Irina Cohut, María Anabell Covarrubias Díaz Couder, Marcelo A. Crockett, Pim Cuijpers, Daniel David, Dong Dong, David Daniel Ebert, Jorge Gaete, Mireia Félez-Nóbrega, Carlos G. Forero, Margalida Gili, Raúl A. Gutiérrez–García, Josep María Haro, Penelope Hasking, Xanthe Hunt, Mathilde M. Husky, Florence Jaguga, Leontien Jansen, Álvaro I. Langer, Yan Liu, Scarlett Mac‐Ginty, Vania Martínez, Andre Mason, Muthoni Mathai, Margaret McLafferty, Andrea Miranda-Mendizábal, Elaine Murray, Catherine Mawia Musyoka, Siobhan O’Neill, Claudiu Papasteri, José A. Piqueras, Codruța Alina Popescu, Charlene Rapsey, Kealagh Robinson, Tíscar Rodríguez‐Jiménez, Damian Scarf, Oi Ling Siu, Dan J. Stein, Sascha Y. Struijs, Cristina Tomoiagă, Karla Patricia Valdés‐García, Shelby Vereecke, Daniel Vigo, Angel Y Wang, Samuel Yeung Shan Wong, Ronald C. Kessler · 发表于：Psychiatry Research · 年份：2025 · DOI：10.1016/j.psychres.2025.116555 · 被引用次数：12 · 研究领域：Suicide and Self-Harm Studies、Child and Adolescent Psychosocial and Emotional Development、Youth Substance Use and School Attendance

OBJECTIVE: 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 d...