TY - JOUR PY - 2020// TI - Suicide thought and behaviors, non-suicidal self-injury, and perceived life stress among sexual minority Mexican college students JO - Journal of affective disorders A1 - Rentería, Roberto A1 - Benjet, Corina A1 - Gutiérrez-García, Raúl A. A1 - Ábrego Ramírez, Adrián A1 - Albor, Yesica A1 - Borges, Guilherme L. G. A1 - Covarrubias Díaz Couder, María Anabell A1 - Durán, María Del Socorro A1 - González González, Rogaciano A1 - Guzmán Saldaña, Rebeca A1 - Hermosillo De la Torre, Alicia E. A1 - Martínez-Jerez, Ana María A1 - Martinez Martinez, Kalina I. A1 - Medina-Mora, Maria Elena A1 - Martínez Ruiz, Sinead A1 - Paz Pérez, María Abigail A1 - Pérez Tarango, Gustavo A1 - Zavala Berbena, María Alicia A1 - Méndez, Enrique A1 - Auerbach, Randy P. A1 - Mortier, Philippe SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Sexual minority college students are at a higher risk for suicidal thoughts and self-injurious behaviors compared to heterosexual students. Minority stress theory proposes sexual minority individuals experience higher stress due to stigma. Using a sample of Mexican college students, this study tested perceived life stress as a mediator of suicide and self-injury outcomes across various sexual orientation groups. METHODS: The sample of college students (N=7882) was recruited from nine Mexican universities as part of the WHO World Mental Health International College Student (WMH-ICS) initiative. Participants completed an online survey including demographic questions, measure of perceived life stress, suicide outcomes, and non-suicidal self-injury (NSSI) in the past 12 months. RESULTS: Logistic regression analyses revealed identifying as a sexual minority significantly predicted a higher likelihood of suicide ideation (ORs 2.05-3.00), suicide attempts (ORs 2.48-8.73), and NSSI (ORs 2.92-4.18) compared to heterosexual students reporting no same-gender attraction. Significant indirect effects from mediation path analyses showed perceived life stress mediated the relationship between a sexual minority identity and suicide ideation (range of proportion mediated 10.48-31.48%), attempts (10.48-31.48%), and NSSI (7.69-20.09%) across each group except among asexual students. LIMITATIONS: The cross-sectional nature of the survey design precludes drawing causal inferences. CONCLUSION: Findings from this study contribute to minority stress theory by elucidating the role of perceived life stress as a mediator of suicide ideation and attempts and NSSI among sexual minority college students. Clinical interventions may benefit in focusing on experiences of stress across various life areas when supporting sexual minority college students.

Language: en

LA - en SN - 0165-0327 UR - http://dx.doi.org/10.1016/j.jad.2020.11.038 ID - ref1 ER -