The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mortier Philippe, Yang Xue, Altwaijri Yasmin A, Holdcraft Jacob A, Lee Sue, Sampson Nancy A, Albor Yesica, Alhadi Ahmad N, Alonso Jordi, Al-Saud Nouf K, Andersson Claes, Atwoli Lukoye, Auerbach Randy P, Muaka Caroline Ayuya, Báez-Mansur Patricia M, Ballester Laura, Bantjes Jason, Baumeister Harald, Bendtsen Marcus, Benjet Corina, Berman Anne H, Bruffaerts Ronny, Carrasco Paula, Chan Silver C N, Cohut Irina, Covarrubias Díaz Couder María Anabell, Crockett Marcelo A, Cuijpers Pim, David Oana A, Dong Dong, Ebert David D, Gaete Jorge, Felez-Nobrega Mireia, García Forero Carlos, Gili Margalida, Gutiérrez-García Raúl A, Haro Josep Maria, Hasking Penelope, Hunt Xanthe, Husky Mathilde M, Jaguga Florence, Jansen Leontien, Langer Álvaro I, Liu Yan, Mac-Ginty Scarlett, Martínez Vania, Mason Andre, Mathai Muthoni, McLafferty Margaret, Miranda-Mendizabal Andrea, Murray Elaine K, Musyoka Catherine M, O'Neill Siobhan M, Papasteri Claudiu C, Piqueras José A, Popescu Codruta A, Rapsey Charlene, Robinson Kealagh, Rodriguez-Jimenez Tiscar, Scarf Damian, Siu Oi-Ling, Stein Dan J, Struijs Sascha Y, Tomoiaga Cristina T, Valdés-García Karla Patricia, Vereecke Shelby, Vigo Daniel V, Wang Angel Y, Wong Samuel Y S, Kessler Ronald C, World Mental Health International College Student collaborators
Аннотация
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 disorder (RR=1.5 [1.3-1.7]), bipolar disorder (RR=1.4 [1.2-1.7]), and sexual abuse (RR=1.4 [1.2-1.7]). Most predictors were significantly but weakly associated with persistence of ideation and plan, while only physical abuse remained associated with repeated suicide attempts (RR=1.3 [1.0-1.8]).
CONCLUSION: CAs and MDx are strong predictors of both onset of and transition within the STB spectrum, underscoring the importance of implementing early-life prevention interventions.