Citation

Parr NJ. J. Adolesc. Health 2020; ePub(ePub): ePub.

Affiliation

Department of Counseling Psychology and Human Services, University of Oregon, Eugene, Oregon; Prevention Science Institute, University of Oregon, Eugene, Oregon. Electronic address: nparr2@uoregon.edu.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.jadohealth.2020.03.040

PMID

32402795

Abstract

PURPOSE: The aim of this study was to examine the co-occurrence of mental health (depression, anxiety, nonsuicidal self-injury, and suicide ideation) and substance use outcomes among cisgender female, cisgender male, and gender minority college students exposed to sexual assault (SA).

METHODS: Data were drawn from a 2018 U.S. national survey of college student well-being (N = 50,438). Inverse propensity-weighted three-step latent class analysis was used to examine co-occurrence of outcomes while adjusting for 31 potential confounders of the relation between SA and outcome classes.

RESULTS: Four latent classes were identified for cisgender female and male participants and two for gender minority participants, reflecting a range from low to high risk of co-occurring outcomes. SA was associated with significantly and substantially increased odds (odds ratio: 2.03-3.64) of membership to the highest-risk outcome class compared with the lowest-risk class across gender identity subgroups.

CONCLUSIONS: SA in the college setting is associated with substantially increased odds of co-occurring depression, anxiety, nonsuicidal self-injury, and suicide ideation, regardless of gender identity.

Copyright © 2020 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

College; Depression; Gender minority; Latent class analysis; Mental health; Nonsuicidal self-injury; Sexual assault; Suicide; Transgender