TY - JOUR
PY - 2018//
TI - Suicidal thoughts and behaviors among college students and same-aged peers: results from the World Health Organization World Mental Health Surveys
JO - Social psychiatry and psychiatric epidemiology
A1 - Mortier, Philippe
A1 - Auerbach, Randy P.
A1 - Alonso, Jordi
A1 - Axinn, William G.
A1 - Cuijpers, Pim
A1 - Ebert, David D.
A1 - Green, Jennifer G.
A1 - Hwang, Irving
A1 - Kessler, Ronald C.
A1 - Liu, Howard
A1 - Nock, Matthew K.
A1 - Pinder-Amaker, Stephanie
A1 - Sampson, Nancy A.
A1 - Zaslavsky, Alan M.
A1 - Abdulmalik, Jibril Omuya
A1 - Aguilar-Gaxiola, Sergio
A1 - Al-Hamzawi, Ali
A1 - Benjet, Corina
A1 - Demyttenaere, Koen
A1 - Florescu, Silvia
A1 - de Girolamo, Giovanni
A1 - Gureje, Oye
A1 - Haro, Josep Maria
A1 - Hu, Chiyi
A1 - Huang, Yueqin
A1 - de Jonge, Peter
A1 - Karam, Elie G.
A1 - Kiejna, Andrzej
A1 - Kovess-Masféty, Viviane
A1 - Lee, Sing
A1 - McGrath, John J.
A1 - O'Neill, Siobhan
A1 - Nakov, Vladimir
A1 - Pennell, Beth-Ellen
A1 - Piazza, Marina
A1 - Posada-Villa, Jose
A1 - Rapsey, Charlene
A1 - Viana, Maria Carmen
A1 - Xavier, Miguel
A1 - Bruffaerts, Ronny
SP - 279
EP - 288
VL - 53
IS - 3
N2 - PURPOSE: The primary aims are to (1) obtain representative prevalence estimates of suicidal thoughts and behaviors (STB) among college students worldwide and (2) investigate whether STB is related to matriculation to and attrition from college.
METHODS: Data from the WHO World Mental Health Surveys were analyzed, which include face-to-face interviews with 5750 young adults aged 18-22 spanning 21 countries (weighted mean response rate = 71.4%). Standardized STB prevalence estimates were calculated for four well-defined groups of same-aged peers: college students, college attriters (i.e., dropouts), secondary school graduates who never entered college, and secondary school non-graduates. Logistic regression assessed the association between STB and college entrance as well as attrition from college.
RESULTS: Twelve-month STB in college students was 1.9%, a rate significantly lower than same-aged peers not in college (3.4%; OR 0.5; p < 0.01). Lifetime prevalence of STB with onset prior to age 18 among college entrants (i.e., college students or attriters) was 7.2%, a rate significantly lower than among non-college attenders (i.e., secondary school graduates or non-graduates; 8.2%; OR 0.7; p = 0.03). Pre-matriculation onset STB (but not post-matriculation onset STB) increased the odds of college attrition (OR 1.7; p < 0.01).
CONCLUSION: STB with onset prior to age 18 is associated with reduced likelihood of college entrance as well as greater attrition from college. Future prospective research should investigate the causality of these associations and determine whether targeting onset and persistence of childhood-adolescent onset STB leads to improved educational attainment.
Language: en
LA - en SN - 0933-7954 UR - http://dx.doi.org/10.1007/s00127-018-1481-6 ID - ref1 ER -