Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project
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Objective College entrance may be a strategically well-placed "point of capture" for detecting late adolescents with suicidal thoughts and behaviors (STB). However, a clear epidemiological picture of STB among incoming college students is lacking. We present the first cross-national data on prevalence as well as socio-demographic and college-related correlates for STB among first-year college students.Method Web-based self-report surveys were obtained from 13,984 first-year students (response rate 45.5%) across 19 colleges in 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, and the United States).Results Lifetime prevalence of suicidal ideation, plans, and attempts was 32.7%, 17.5%, and 4.3%, respectively. The 12-month prevalence was 17.2%, 8.8%, and 1.0%, respectively. About three-fourths of STB cases had onset before the age of 16 years (Q3 = 15.8), with persistence figures in the range of 41% to 53%. About one-half (53.4%) of lifetime ideators transitioned to a suicide plan; 22.1% of lifetime planners transitioned to an attempt. Attempts among lifetime ideators without plan were less frequent (3.1%). Significant correlates of lifetime STB were cross-nationally consistent and generally modest in effect size (median adjusted odds ratio [aOR] = 1.7). Nonheterosexual orientation (aOR range 3.3-7.9) and heterosexual orientation with some same-sex attraction (aOR range 1.9-2.3) were the strongest correlates of STB, and of transitioning from ideation to plans and/or attempts (aOR range 1.6-6.1).Conclusion The distribution of STB in first-year students is widespread, and relatively independent of socio-demographic risk profile. Multivariate risk algorithms based on a high number of risk factors are indicated to efficiently link high-risk status with effective preventive interventions.
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Most correlates and predictors of suicidal thoughts and behaviors are strongly associated with suicide ideation and only weakly related to attempts.
“Several correlates and predictors of STBs have been identified, but most are strongly associated with suicide ideation and only weakly related to attempts (Nock et al. 2013; Stewart et al. 2017a; Mortier et al. 2018).”
From Life stress and suicide in adolescents (2019) · cites this paper as Mortier et al. 2018
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- Authors
- Mortier, P., Auerbach, R. P., Alonso, J., Bantjes, J., Benjet, C., Cuijpers, P., Ebert, D. D., Green, J. G., Hasking, P., Nock, M. K., O’Neill, S., Pinder-Amaker, S., Sampson, N. A., Vilagut, G., Zaslavsky, A. M., Bruffaerts, R., Kessler, R. C., Boyes, M., Kiekens, G., Baumeister, H., Kaehlke, F., Berking, M., Ramírez, A. A., Borges, G., Díaz, A. C., Durán, M. S., González, R. G., Gutiérrez-García, R. A., de la Torre, A. E. H., Martinez Martínez, K. I., Medina-Mora, M. E., Zarazúa, H. M., Tarango, G. P., Zavala Berbena, M. A., O’Neill, S., Bjourson, T., Lochner, C., Roos, J., Cur, H. B., Taljaard, L., Saal, W., Stein, D., Alayo, I., Almenara, J., Ballester, L., Barbaglia, G., Blasco, M. J., Castellví, P., Cebrià, A. I., Echeburúa, E., Gabilondo, A., García-Forero, C., Iruin, Á., Lagares, C., Miranda-Mendizábal, A., Parès-Badell, O., Pérez-Vázquez, M. T., Piqueras, J. A., Roca, M., Rodríguez-Marín, J., Gili, M., Soto-Sanz, V., & Vives, M.
- Affiliations
- KU Leuven (BE)
- Harvard University (US)
- Universitat Pompeu Fabra (ES)
- Stellenbosch University (ZA)
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (MX)
- Amsterdam Public Health (NL)
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Boston University (US)
- Curtin University (AU)
- Corresponding author
- Mortier, Philippe
- ORCID
- Mortier, Philippe
- Auerbach, Randy P.
- Alonso, Jordi
- Bantjes, Jason
- Benjet, Corina
- Cuijpers, Pim
- Ebert, David D.
- Green, Jennifer Greif
- Hasking, Penelope
- Nock, Matthew K.
- Sampson, Nancy A.
- Vilagut, Gemma
- Zaslavsky, Alan M.
- Bruffaerts, Ronny
- Kessler, Ronald C.
- Boyes, Mark
- Kiekens, Glenn
- Baumeister, Harald
- Berking, Matthias
- Borges, Guilherme
- González, Rogaciano González
- Roos, Janine
- Taljaard, Lian
- Saal, Wylene
- Stein, Dan
- Alayo, Itxaso
- Ballester, Laura
- Barbaglia, Gabriela
- Castellví, Pere
- Cebrià, Ana Isabel
- Echeburúa, Enrique
- Gabilondo, Andrea
- Lagares, Carolina
- Miranda-Mendizábal, Andrea
- Roca, Miquel
- Gili, Margalida
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 57
- Issue
- 4
- Pages
- 263-273.e1
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC6444360
- OpenAlex
- W2790016400
- Cited by
- 307
- References
- 64
- Citations by year
- 2026: 18 · 2025: 24 · 2024: 33 · 2023: 43 · 2022: 36 · 2021: 86 · 2020: 30 · 2019: 24 · 2018: 12
- FWCI
- 44.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (acceptedVersion)
- eSpace (Curtin University) (submittedVersion)
- Lirias (submittedVersion)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Public Health Agency (STL/5184/15, RES/4792/13)
- ZonMw (636110005)
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- National Institute of Mental Health (R13-MH-066849, R01‐MH070884, R56MH109566, R01‐MH069864)
- National Institute on Drug Abuse (R01DA016558)
- Fogarty International Center (R03TW006481)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicidal ideation, suicide attempts, suicide planning, first-year college students, late adolescence, prevalence, same-sex attraction, sociodemographic risk factors, cross-national comparison, suicide prevention
- MeSH terms
- Adult, Algorithms, Cross-Cultural Comparison, Female, Humans, Male, Surveys and Questionnaires, Risk Factors, Students, Suicide, Attempted, Universities, Prevalence, Internationality, Young Adult, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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