Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative

the WHO WMH-ICS Collaborators

doi:10.1007/s00127-021-02151-4

Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative

the WHO WMH-ICS Collaborators

Research output: Contribution to Journal › Article › Academic › peer-review

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Abstract

Purpose: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students. Methods: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency. Results: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32–52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0–4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16–1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30–47% of STB transitions associated with CAs. Conclusion: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.

Original language	English
Pages (from-to)	1591-1601
Number of pages	11
Journal	Social Psychiatry and Psychiatric Epidemiology
Volume	57
Issue number	8
Early online date	23 Aug 2021
DOIs	https://doi.org/10.1007/s00127-021-02151-4
Publication status	Published - Aug 2022

Bibliographical note

Funding Information:
Funding to support this project was received from the National Institute of Mental Health (NIMH) R56MH109566 (RPA), and the content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NIMH; the Belgian Fund for Scientific Research (11N0514N/11N0516N/1114717N) (PM), the King Baudouin Foundation (2014-J2140150-102905) (RB), and Eli Lilly (IIT-H6U-BX-I002) (RB, PM); BARMER, a health care insurance company, for project StudiCare (DDE); ZonMw (Netherlands Organisation for Health Research and Development; grant number 636110005) and the PFGV (PFGV; Protestants Fonds voor de Geestelijke Volksgezondheid) in support of the student survey project (PC); South African Medical Research Council (Mid-Career Scientist Programme awarded to Jason Bantjes); Consejo Nacional de Ciencia y Tecnología (CONACyT: CB-2016–01-28554) (BC); Fondo de Investigación Sanitaria, Instituto de Salud Carlos III—FEDER (PI13/00343), ISCIII (Río Hortega, CM14/00125), ISCIII (Sara Borrell, CD12/00440); European Union Regional Development Fund (ERDF) EU Sustainable Competitiveness Programme for Northern Ireland, Northern Ireland Public Health Agency (HSC R&D), and Ulster University (TB); Ministerio de Sanidad, Servicios Sociales e Igualdad, PNSD (Exp. 2015I015); DIUE Generalitat de Catalunya (2014 SGR 748), FPU (FPU15/05728) (JA). In Australia, the World Mental Health International College Student project is supported by Suicide Prevention Australia. Philippe Mortier has a Sara Borrell research contract awarded by the Instituto de Salud Carlos IIII (SCIII—CD18/00049). The World Mental Health International College Student project is carried out as part of the WHO World Mental Health (WMH) Survey Initiative. The WMH survey is supported by the National Institute of Mental Health NIMH R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb.

Publisher Copyright:
© 2021, Springer-Verlag GmbH Germany, part of Springer Nature.

Funding

Funding to support this project was received from the National Institute of Mental Health (NIMH) R56MH109566 (RPA), and the content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NIMH; the Belgian Fund for Scientific Research (11N0514N/11N0516N/1114717N) (PM), the King Baudouin Foundation (2014-J2140150-102905) (RB), and Eli Lilly (IIT-H6U-BX-I002) (RB, PM); BARMER, a health care insurance company, for project StudiCare (DDE); ZonMw (Netherlands Organisation for Health Research and Development; grant number 636110005) and the PFGV (PFGV; Protestants Fonds voor de Geestelijke Volksgezondheid) in support of the student survey project (PC); South African Medical Research Council (Mid-Career Scientist Programme awarded to Jason Bantjes); Consejo Nacional de Ciencia y Tecnología (CONACyT: CB-2016–01-28554) (BC); Fondo de Investigación Sanitaria, Instituto de Salud Carlos III—FEDER (PI13/00343), ISCIII (Río Hortega, CM14/00125), ISCIII (Sara Borrell, CD12/00440); European Union Regional Development Fund (ERDF) EU Sustainable Competitiveness Programme for Northern Ireland, Northern Ireland Public Health Agency (HSC R&D), and Ulster University (TB); Ministerio de Sanidad, Servicios Sociales e Igualdad, PNSD (Exp. 2015I015); DIUE Generalitat de Catalunya (2014 SGR 748), FPU (FPU15/05728) (JA). In Australia, the World Mental Health International College Student project is supported by Suicide Prevention Australia. Philippe Mortier has a Sara Borrell research contract awarded by the Instituto de Salud Carlos IIII (SCIII—CD18/00049). The World Mental Health International College Student project is carried out as part of the WHO World Mental Health (WMH) Survey Initiative. The WMH survey is supported by the National Institute of Mental Health NIMH R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb.

Funders	Funder number
Plan Nacional sobre Drogas
Ulster University
Pfizer Foundation
Departament d'Innovació, Universitats i Empresa, Generalitat de Catalunya
South African Medical Research Council
Departament d’Agricultura, Ramaderia, Pesca i Alimentació, Generalitat de Catalunya
Pan American Health Organization
Protestants Fonds voor de Geestelijke Volksgezondheid
Departament d'Empresa i Coneixement, Generalitat de Catalunya
Generalitat de Catalunya
EU Sustainable Competitiveness Programme for Northern Ireland
HSC R&D
Río Hortega
BARMER
Northern Ireland Public Health Agency
Departament de Salut, Generalitat de Catalunya
Suicide Prevention Australia
Sara Borrell
GlaxoSmithKline
John D. and Catherine T. MacArthur Foundation
Institut Nacional d'Educacio Fisica de Catalunya, Generalitat de Catalunya
Ortho-McNeil Pharmaceutical
Instituto de Salud Carlos III	PI13/00343, CD12/00440, CD18/00049, CM14/00125
Direcció General de Recerca, Generalitat de Catalunya	2014 SGR 748
National Institute of Mental Health	R13MH066849, R56MH109566, R01MH069864, R01MH070884
U.S. Public Health Service	R01 DA016558, R13-MH066849, R01-MH069864
Koning Boudewijnstichting	2014-J2140150-102905
Consejo Nacional de Ciencia y Tecnología	CB-2016–01-28554
Belgian Fund for Scientific Research	11N0514N/11N0516N/1114717N
Eli Lilly and Company	IIT-H6U-BX-I002
National Institute on Drug Abuse	R01DA016558
Fogarty International Center	R03TW006481
ZonMw	636110005
Ministerio de Sanidad, Servicios Sociales e Igualdad	2015I015
Fonds De La Recherche Scientifique - FNRS	11N0516N, 1114717N, 11N0514N
European Regional Development Fund	PI13/00343

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 16 Peace, Justice and Strong Institutions

Keywords

Childhood adversity
College students
Multivariate models
Population-attributable risk
Suicidal ideation
Suicide attempt

Access to Document

10.1007/s00127-021-02151-4

Childhood adversities and suicidal thoughts and behaviors among first-year college studentsFinal published version, 819 KBLicence: Article 25fa Dutch Copyright Act

Persistent URL (handle)

Persistent link

Cite this

@article{865081731e814af4bf6a492b8708b170,

title = "Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative",

abstract = "Purpose: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students. Methods: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6\%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency. Results: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32–52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0–4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16–1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63\% of ideation and 30–47\% of STB transitions associated with CAs. Conclusion: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.",

keywords = "Childhood adversity, College students, Multivariate models, Population-attributable risk, Suicidal ideation, Suicide attempt",

author = "Philippe Mortier and Jordi Alonso and Auerbach, \{Randy P.\} and Jason Bantjes and Corina Benjet and Ronny Bruffaerts and Pim Cuijpers and Ebert, \{David D.\} and Green, \{Jennifer Greif\} and Penelope Hasking and Eirini Karyotaki and Glenn Kiekens and Arthur Mak and Nock, \{Matthew K.\} and Siobhan O{\textquoteright}Neill and Stephanie Pinder-Amaker and Sampson, \{Nancy A.\} and Stein, \{Dan J.\} and Gemma Vilagut and Chelsey Wilks and Zaslavsky, \{Alan M.\} and Patrick Mair and Kessler, \{Ronald C.\} and Mark Boyes and David Preece and Erik Bootsma and Koen Demyttenaere and Matthias Berking and Marvin Franke and Fanny K{\"a}hlke and Harald Baumeister and K{\"u}chler, \{Ann Marie\} and Siu Oi-ling and Yesica Albor and Guilherme Borges and Medina-Mora, \{Maria Elena\} and Gutierrez-Garc{\'i}a, \{Ra{\'u}l Alejandro\} and Dur{\'a}n, \{Ma Socorro\} and Tarango, \{Gustavo P{\'e}rez\} and Berbena, \{Mar{\'i}a Alicia Zavala\} and Gonz{\'a}lez, \{Rogaciano Gonz{\'a}lez\} and Paz-Per{\'e}z, \{Maria Abigail\} and \{de la Torre\}, \{Alicia Edith Hermosillo\} and Mart{\'i}nez, \{Kalina Isela Mart{\'i}nez\} and D{\'i}az, \{Anabell Covarrubias\} and Ruiz, \{Sinead Mart{\'i}nez\} and J{\'e}rez, \{Ana Mar{\'i}a Mart{\'i}nez\} and Rebeca Guzm{\'a}n and Ram{\'i}rez, \{Adri{\'a}n Abrego\} and Tony Bjourson and Margaret McLafferty and Elaine Murray and Christine Lochner and Janine Roos and Lian Taljaard and Wylene Saal and Itxaso Alayo and Laura Ballester and Gabriela Barbaglia and Blasco, \{Maria Jes{\'u}s\} and Pere Castellv{\'i} and Cebri{\`a}, \{Ana Isabel\} and Carlos Garc{\'i}a-Forero and Andrea Miranda-Mendiz{\'a}bal and Oleguer Par{\`e}s-Badell and Jos{\'e} Almenara and Carolina Lagares and Enrique Echebur{\'u}a and Andrea Gabilondo and {\'A}lvaro Iruin and P{\'e}rez-V{\'a}zquez, \{Mar{\'i}a Teresa\} and Piqueras, \{Jos{\'e} Antonio\} and Victoria Soto-Sanz and Jes{\'u}s Rodr{\'i}guez-Mar{\'i}n and Miquel Roca and Margarida Gili and Margarida Vives and \{the WHO WMH-ICS Collaborators\}",

note = "Funding Information: Funding to support this project was received from the National Institute of Mental Health (NIMH) R56MH109566 (RPA), and the content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NIMH; the Belgian Fund for Scientific Research (11N0514N/11N0516N/1114717N) (PM), the King Baudouin Foundation (2014-J2140150-102905) (RB), and Eli Lilly (IIT-H6U-BX-I002) (RB, PM); BARMER, a health care insurance company, for project StudiCare (DDE); ZonMw (Netherlands Organisation for Health Research and Development; grant number 636110005) and the PFGV (PFGV; Protestants Fonds voor de Geestelijke Volksgezondheid) in support of the student survey project (PC); South African Medical Research Council (Mid-Career Scientist Programme awarded to Jason Bantjes); Consejo Nacional de Ciencia y Tecnolog{\'i}a (CONACyT: CB-2016–01-28554) (BC); Fondo de Investigaci{\'o}n Sanitaria, Instituto de Salud Carlos III—FEDER (PI13/00343), ISCIII (R{\'i}o Hortega, CM14/00125), ISCIII (Sara Borrell, CD12/00440); European Union Regional Development Fund (ERDF) EU Sustainable Competitiveness Programme for Northern Ireland, Northern Ireland Public Health Agency (HSC R\&D), and Ulster University (TB); Ministerio de Sanidad, Servicios Sociales e Igualdad, PNSD (Exp. 2015I015); DIUE Generalitat de Catalunya (2014 SGR 748), FPU (FPU15/05728) (JA). In Australia, the World Mental Health International College Student project is supported by Suicide Prevention Australia. Philippe Mortier has a Sara Borrell research contract awarded by the Instituto de Salud Carlos IIII (SCIII—CD18/00049). The World Mental Health International College Student project is carried out as part of the WHO World Mental Health (WMH) Survey Initiative. The WMH survey is supported by the National Institute of Mental Health NIMH R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb. Publisher Copyright: {\textcopyright} 2021, Springer-Verlag GmbH Germany, part of Springer Nature.",

year = "2022",

month = aug,

doi = "10.1007/s00127-021-02151-4",

language = "English",

volume = "57",

pages = "1591--1601",

journal = "Social Psychiatry and Psychiatric Epidemiology",

issn = "0933-7954",

publisher = "D. Steinkopff-Verlag",

number = "8",

}

TY - JOUR

T1 - Childhood adversities and suicidal thoughts and behaviors among first-year college students

T2 - results from the WMH-ICS initiative

AU - Mortier, Philippe

AU - Alonso, Jordi

AU - Auerbach, Randy P.

AU - Bantjes, Jason

AU - Benjet, Corina

AU - Bruffaerts, Ronny

AU - Cuijpers, Pim

AU - Ebert, David D.

AU - Green, Jennifer Greif

AU - Hasking, Penelope

AU - Karyotaki, Eirini

AU - Kiekens, Glenn

AU - Mak, Arthur

AU - Nock, Matthew K.

AU - O’Neill, Siobhan

AU - Pinder-Amaker, Stephanie

AU - Sampson, Nancy A.

AU - Stein, Dan J.

AU - Vilagut, Gemma

AU - Wilks, Chelsey

AU - Zaslavsky, Alan M.

AU - Mair, Patrick

AU - Kessler, Ronald C.

AU - Boyes, Mark

AU - Preece, David

AU - Bootsma, Erik

AU - Demyttenaere, Koen

AU - Berking, Matthias

AU - Franke, Marvin

AU - Kählke, Fanny

AU - Baumeister, Harald

AU - Küchler, Ann Marie

AU - Oi-ling, Siu

AU - Albor, Yesica

AU - Borges, Guilherme

AU - Medina-Mora, Maria Elena

AU - Gutierrez-García, Raúl Alejandro

AU - Durán, Ma Socorro

AU - Tarango, Gustavo Pérez

AU - Berbena, María Alicia Zavala

AU - González, Rogaciano González

AU - Paz-Peréz, Maria Abigail

AU - de la Torre, Alicia Edith Hermosillo

AU - Martínez, Kalina Isela Martínez

AU - Díaz, Anabell Covarrubias

AU - Ruiz, Sinead Martínez

AU - Jérez, Ana María Martínez

AU - Guzmán, Rebeca

AU - Ramírez, Adrián Abrego

AU - Bjourson, Tony

AU - McLafferty, Margaret

AU - Murray, Elaine

AU - Lochner, Christine

AU - Roos, Janine

AU - Taljaard, Lian

AU - Saal, Wylene

AU - Alayo, Itxaso

AU - Ballester, Laura

AU - Barbaglia, Gabriela

AU - Blasco, Maria Jesús

AU - Castellví, Pere

AU - Cebrià, Ana Isabel

AU - García-Forero, Carlos

AU - Miranda-Mendizábal, Andrea

AU - Parès-Badell, Oleguer

AU - Almenara, José

AU - Lagares, Carolina

AU - Echeburúa, Enrique

AU - Gabilondo, Andrea

AU - Iruin, Álvaro

AU - Pérez-Vázquez, María Teresa

AU - Piqueras, José Antonio

AU - Soto-Sanz, Victoria

AU - Rodríguez-Marín, Jesús

AU - Roca, Miquel

AU - Gili, Margarida

AU - Vives, Margarida

AU - the WHO WMH-ICS Collaborators

N1 - Funding Information: Funding to support this project was received from the National Institute of Mental Health (NIMH) R56MH109566 (RPA), and the content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NIMH; the Belgian Fund for Scientific Research (11N0514N/11N0516N/1114717N) (PM), the King Baudouin Foundation (2014-J2140150-102905) (RB), and Eli Lilly (IIT-H6U-BX-I002) (RB, PM); BARMER, a health care insurance company, for project StudiCare (DDE); ZonMw (Netherlands Organisation for Health Research and Development; grant number 636110005) and the PFGV (PFGV; Protestants Fonds voor de Geestelijke Volksgezondheid) in support of the student survey project (PC); South African Medical Research Council (Mid-Career Scientist Programme awarded to Jason Bantjes); Consejo Nacional de Ciencia y Tecnología (CONACyT: CB-2016–01-28554) (BC); Fondo de Investigación Sanitaria, Instituto de Salud Carlos III—FEDER (PI13/00343), ISCIII (Río Hortega, CM14/00125), ISCIII (Sara Borrell, CD12/00440); European Union Regional Development Fund (ERDF) EU Sustainable Competitiveness Programme for Northern Ireland, Northern Ireland Public Health Agency (HSC R&D), and Ulster University (TB); Ministerio de Sanidad, Servicios Sociales e Igualdad, PNSD (Exp. 2015I015); DIUE Generalitat de Catalunya (2014 SGR 748), FPU (FPU15/05728) (JA). In Australia, the World Mental Health International College Student project is supported by Suicide Prevention Australia. Philippe Mortier has a Sara Borrell research contract awarded by the Instituto de Salud Carlos IIII (SCIII—CD18/00049). The World Mental Health International College Student project is carried out as part of the WHO World Mental Health (WMH) Survey Initiative. The WMH survey is supported by the National Institute of Mental Health NIMH R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb. Publisher Copyright: © 2021, Springer-Verlag GmbH Germany, part of Springer Nature.

PY - 2022/8

Y1 - 2022/8

N2 - Purpose: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students. Methods: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency. Results: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32–52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0–4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16–1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30–47% of STB transitions associated with CAs. Conclusion: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.

AB - Purpose: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students. Methods: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency. Results: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32–52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0–4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16–1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30–47% of STB transitions associated with CAs. Conclusion: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.

KW - Childhood adversity

KW - College students

KW - Multivariate models

KW - Population-attributable risk

KW - Suicidal ideation

KW - Suicide attempt

UR - https://www.scopus.com/pages/publications/85113335114

UR - https://www.scopus.com/pages/publications/85113335114#tab=citedBy

U2 - 10.1007/s00127-021-02151-4

DO - 10.1007/s00127-021-02151-4

M3 - Article

C2 - 34424350

AN - SCOPUS:85113335114

SN - 0933-7954

VL - 57

SP - 1591

EP - 1601

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

IS - 8

ER -

Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this