Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative: results from the WMH-ICS initiative

Philippe Mortier; Jordi Alonso; Randy P Auerbach; Jason Bantjes; Corina Benjet; Ronny Bruffaerts; Pim Cuijpers; David D Ebert; Jennifer Greif Green; Penelope Hasking; Eirini Karyotaki; Glenn Kiekens; Arthur Mak; Siobhan O'Neill; Matthew K Nock; Stephanie Pinder-Amaker; Nancy A Sampson; Dan J Stein; Gemma Vilagut; Chelsey Wilks; Alan M Zaslavsky; Patrick Mair; Ronald C Kessler; WHO WMH-ICS Collaborators

doi:10.1007/s00127-021-02151-4

Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative: results from the WMH-ICS initiative

Philippe Mortier, Jordi Alonso, Randy P Auerbach, Jason Bantjes, Corina Benjet, Ronny Bruffaerts, Pim Cuijpers, David D Ebert, Jennifer Greif Green, Penelope Hasking, Eirini Karyotaki, Glenn Kiekens, Arthur Mak, Siobhan O'Neill, Matthew K Nock, Stephanie Pinder-Amaker, Nancy A Sampson, Dan J Stein, Gemma Vilagut, Chelsey WilksAlan M Zaslavsky, Patrick Mair, Ronald C Kessler, WHO WMH-ICS Collaborators

Research output: Contribution to journal › Article › peer-review

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Abstract

PURPOSE: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students.

METHODS: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency.

RESULTS: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32-52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0-4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16-1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30-47% of STB transitions associated with CAs.

CONCLUSION: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.

Original language	English
Journal	Social Psychiatry and Psychiatric Epidemiology
Early online date	23 Aug 2021
DOIs	https://doi.org/10.1007/s00127-021-02151-4
Publication status	Published online - 23 Aug 2021

Bibliographical note

Funding Information:
Funding to support this project was received from the National Institute of Mental Health (NIMH) R56MH109566 (RPA), and the content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NIMH; the Belgian Fund for Scientific Research (11N0514N/11N0516N/1114717N) (PM), the King Baudouin Foundation (2014-J2140150-102905) (RB), and Eli Lilly (IIT-H6U-BX-I002) (RB, PM); BARMER, a health care insurance company, for project StudiCare (DDE); ZonMw (Netherlands Organisation for Health Research and Development; grant number 636110005) and the PFGV (PFGV; Protestants Fonds voor de Geestelijke Volksgezondheid) in support of the student survey project (PC); South African Medical Research Council (Mid-Career Scientist Programme awarded to Jason Bantjes); Consejo Nacional de Ciencia y Tecnología (CONACyT: CB-2016–01-28554) (BC); Fondo de Investigación Sanitaria, Instituto de Salud Carlos III—FEDER (PI13/00343), ISCIII (Río Hortega, CM14/00125), ISCIII (Sara Borrell, CD12/00440); European Union Regional Development Fund (ERDF) EU Sustainable Competitiveness Programme for Northern Ireland, Northern Ireland Public Health Agency (HSC R&D), and Ulster University (TB); Ministerio de Sanidad, Servicios Sociales e Igualdad, PNSD (Exp. 2015I015); DIUE Generalitat de Catalunya (2014 SGR 748), FPU (FPU15/05728) (JA). In Australia, the World Mental Health International College Student project is supported by Suicide Prevention Australia. Philippe Mortier has a Sara Borrell research contract awarded by the Instituto de Salud Carlos IIII (SCIII—CD18/00049). The World Mental Health International College Student project is carried out as part of the WHO World Mental Health (WMH) Survey Initiative. The WMH survey is supported by the National Institute of Mental Health NIMH R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb.

Publisher Copyright:
© 2021, Springer-Verlag GmbH Germany, part of Springer Nature.

Keywords

College students
Multivariate models
Suicide attempt
Childhood adversity
Population-attributable risk
Suicidal ideation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

Mortier, P., Alonso, J., Auerbach, R. P., Bantjes, J., Benjet, C., Bruffaerts, R., Cuijpers, P., Ebert, D. D., Green, J. G., Hasking, P., Karyotaki, E., Kiekens, G., Mak, A., O'Neill, S., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Stein, D. J., Vilagut, G., ... WHO WMH-ICS Collaborators (2021). Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative: results from the WMH-ICS initiative. Social Psychiatry and Psychiatric Epidemiology. Advance online publication. https://doi.org/10.1007/s00127-021-02151-4

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abstract = "PURPOSE: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students.METHODS: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency.RESULTS: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32-52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0-4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16-1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30-47% of STB transitions associated with CAs.CONCLUSION: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.",

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author = "Philippe Mortier and Jordi Alonso and Auerbach, {Randy P} and Jason Bantjes and Corina Benjet and Ronny Bruffaerts and Pim Cuijpers and Ebert, {David D} and Green, {Jennifer Greif} and Penelope Hasking and Eirini Karyotaki and Glenn Kiekens and Arthur Mak and Siobhan O'Neill and Nock, {Matthew K} and Stephanie Pinder-Amaker and Sampson, {Nancy A} and Stein, {Dan J} and Gemma Vilagut and Chelsey Wilks and Zaslavsky, {Alan M} and Patrick Mair and Kessler, {Ronald C} and {WHO WMH-ICS Collaborators} and Elaine Murray and AJ Bjourson and {Mc Lafferty}, Margaret",

note = "Funding Information: Funding to support this project was received from the National Institute of Mental Health (NIMH) R56MH109566 (RPA), and the content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NIMH; the Belgian Fund for Scientific Research (11N0514N/11N0516N/1114717N) (PM), the King Baudouin Foundation (2014-J2140150-102905) (RB), and Eli Lilly (IIT-H6U-BX-I002) (RB, PM); BARMER, a health care insurance company, for project StudiCare (DDE); ZonMw (Netherlands Organisation for Health Research and Development; grant number 636110005) and the PFGV (PFGV; Protestants Fonds voor de Geestelijke Volksgezondheid) in support of the student survey project (PC); South African Medical Research Council (Mid-Career Scientist Programme awarded to Jason Bantjes); Consejo Nacional de Ciencia y Tecnolog{\'i}a (CONACyT: CB-2016–01-28554) (BC); Fondo de Investigaci{\'o}n Sanitaria, Instituto de Salud Carlos III—FEDER (PI13/00343), ISCIII (R{\'i}o Hortega, CM14/00125), ISCIII (Sara Borrell, CD12/00440); European Union Regional Development Fund (ERDF) EU Sustainable Competitiveness Programme for Northern Ireland, Northern Ireland Public Health Agency (HSC R&D), and Ulster University (TB); Ministerio de Sanidad, Servicios Sociales e Igualdad, PNSD (Exp. 2015I015); DIUE Generalitat de Catalunya (2014 SGR 748), FPU (FPU15/05728) (JA). In Australia, the World Mental Health International College Student project is supported by Suicide Prevention Australia. Philippe Mortier has a Sara Borrell research contract awarded by the Instituto de Salud Carlos IIII (SCIII—CD18/00049). The World Mental Health International College Student project is carried out as part of the WHO World Mental Health (WMH) Survey Initiative. The WMH survey is supported by the National Institute of Mental Health NIMH R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb. Publisher Copyright: {\textcopyright} 2021, Springer-Verlag GmbH Germany, part of Springer Nature.",

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doi = "10.1007/s00127-021-02151-4",

language = "English",

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Mortier, P, Alonso, J, Auerbach, RP, Bantjes, J, Benjet, C, Bruffaerts, R, Cuijpers, P, Ebert, DD, Green, JG, Hasking, P, Karyotaki, E, Kiekens, G, Mak, A, O'Neill, S, Nock, MK, Pinder-Amaker, S, Sampson, NA, Stein, DJ, Vilagut, G, Wilks, C, Zaslavsky, AM, Mair, P, Kessler, RC & WHO WMH-ICS Collaborators 2021, 'Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative: results from the WMH-ICS initiative', Social Psychiatry and Psychiatric Epidemiology. https://doi.org/10.1007/s00127-021-02151-4

TY - JOUR

T1 - Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative

T2 - results from the WMH-ICS initiative

AU - Mortier, Philippe

AU - Alonso, Jordi

AU - Auerbach, Randy P

AU - Bantjes, Jason

AU - Benjet, Corina

AU - Bruffaerts, Ronny

AU - Cuijpers, Pim

AU - Ebert, David D

AU - Green, Jennifer Greif

AU - Hasking, Penelope

AU - Karyotaki, Eirini

AU - Kiekens, Glenn

AU - Mak, Arthur

AU - O'Neill, Siobhan

AU - Nock, Matthew K

AU - Pinder-Amaker, Stephanie

AU - Sampson, Nancy A

AU - Stein, Dan J

AU - Vilagut, Gemma

AU - Wilks, Chelsey

AU - Zaslavsky, Alan M

AU - Mair, Patrick

AU - Kessler, Ronald C

AU - WHO WMH-ICS Collaborators

AU - Murray, Elaine

AU - Bjourson, AJ

AU - Mc Lafferty, Margaret

N1 - Funding Information: Funding to support this project was received from the National Institute of Mental Health (NIMH) R56MH109566 (RPA), and the content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NIMH; the Belgian Fund for Scientific Research (11N0514N/11N0516N/1114717N) (PM), the King Baudouin Foundation (2014-J2140150-102905) (RB), and Eli Lilly (IIT-H6U-BX-I002) (RB, PM); BARMER, a health care insurance company, for project StudiCare (DDE); ZonMw (Netherlands Organisation for Health Research and Development; grant number 636110005) and the PFGV (PFGV; Protestants Fonds voor de Geestelijke Volksgezondheid) in support of the student survey project (PC); South African Medical Research Council (Mid-Career Scientist Programme awarded to Jason Bantjes); Consejo Nacional de Ciencia y Tecnología (CONACyT: CB-2016–01-28554) (BC); Fondo de Investigación Sanitaria, Instituto de Salud Carlos III—FEDER (PI13/00343), ISCIII (Río Hortega, CM14/00125), ISCIII (Sara Borrell, CD12/00440); European Union Regional Development Fund (ERDF) EU Sustainable Competitiveness Programme for Northern Ireland, Northern Ireland Public Health Agency (HSC R&D), and Ulster University (TB); Ministerio de Sanidad, Servicios Sociales e Igualdad, PNSD (Exp. 2015I015); DIUE Generalitat de Catalunya (2014 SGR 748), FPU (FPU15/05728) (JA). In Australia, the World Mental Health International College Student project is supported by Suicide Prevention Australia. Philippe Mortier has a Sara Borrell research contract awarded by the Instituto de Salud Carlos IIII (SCIII—CD18/00049). The World Mental Health International College Student project is carried out as part of the WHO World Mental Health (WMH) Survey Initiative. The WMH survey is supported by the National Institute of Mental Health NIMH R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb. Publisher Copyright: © 2021, Springer-Verlag GmbH Germany, part of Springer Nature.

PY - 2021/8/23

Y1 - 2021/8/23

N2 - PURPOSE: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students.METHODS: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency.RESULTS: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32-52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0-4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16-1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30-47% of STB transitions associated with CAs.CONCLUSION: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.

AB - PURPOSE: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students.METHODS: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency.RESULTS: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32-52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0-4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16-1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30-47% of STB transitions associated with CAs.CONCLUSION: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.

KW - College students

KW - Multivariate models

KW - Suicide attempt

KW - Childhood adversity

KW - Population-attributable risk

KW - Suicidal ideation

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U2 - 10.1007/s00127-021-02151-4

DO - 10.1007/s00127-021-02151-4

M3 - Article

C2 - 34424350

SN - 0933-7954

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

ER -

Childhood adversities and suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS initiative: results from the WMH-ICS initiative

Abstract

Bibliographical note

Keywords

UN SDGs

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