Socio-demographic, mental health and childhood adversity risk factors for self-harm and suicidal behaviour in College Students in Northern Ireland

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Abstract

Background
Prevalence estimates of suicidal behaviour in the college student population are consistently higher than rates for the general adult population. This study examines mental health disorders and childhood adversities as predictors of self-harm and suicidal behaviours.

Methods
The Ulster University Student Wellbeing study commenced in September 2015 as part of the WHO World Mental Health Surveys International College Student Project. In Northern Ireland (NI) 739 students participated (462 female, 274 male and 3 other specified), with the WMH-CIDI used to examine psychopathology. Mean age was 21 years old.

Results
Thirty-one percent endorsed suicidal ideation (24.3% of males and 36.9% of females) with almost 1 in 5 students having made a plan for suicide in the 12 months prior to the survey. Latent profile analysis revealed three profiles of childhood adversity (high, moderate, and low risk). Logistic regression analyses showed that there was an increased likelihood of all queried self-harm and suicidal behaviours in those who were not heterosexual orientation, and among those with either moderate or high levels of childhood adversities. Probable alcohol dependence was associated with a significantly increased likelihood of suicide attempt or self-harm with either a suicide plan or a suicide attempt.

Limitations
Influences of self-report measures and the generalizability of the sample are discussed.

Conclusions
Policies and strategies for early identification of those with mental illnesses or adversities that increase their risk, should be prioritised. It would also be useful to identify individuals at risk in secondary schools to allow for additional support to be offered to them during the key time of transitioning into higher education.

LanguageEnglish
Article numberJAD9849
Pages58-65
JournalJournal of Affective Disorders
Volume239
Early online date22 Jun 2018
DOIs
Publication statusPublished - 15 Oct 2018

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Northern Ireland
Mental Health
Suicide
Demography
Students
Suicidal Ideation
Heterosexuality
Health Surveys
Psychopathology
Mental Disorders
Self Report
Population
Alcoholism
Logistic Models
Regression Analysis
Education

Keywords

  • College students
  • Suicidal behaviour
  • Mental health
  • Childhood adversities
  • LGBT

Cite this

@article{f40d7abbdf8e433cadaa61d382ca8538,
title = "Socio-demographic, mental health and childhood adversity risk factors for self-harm and suicidal behaviour in College Students in Northern Ireland",
abstract = "BackgroundPrevalence estimates of suicidal behaviour in the college student population are consistently higher than rates for the general adult population. This study examines mental health disorders and childhood adversities as predictors of self-harm and suicidal behaviours.MethodsThe Ulster University Student Wellbeing study commenced in September 2015 as part of the WHO World Mental Health Surveys International College Student Project. In Northern Ireland (NI) 739 students participated (462 female, 274 male and 3 other specified), with the WMH-CIDI used to examine psychopathology. Mean age was 21 years old.ResultsThirty-one percent endorsed suicidal ideation (24.3{\%} of males and 36.9{\%} of females) with almost 1 in 5 students having made a plan for suicide in the 12 months prior to the survey. Latent profile analysis revealed three profiles of childhood adversity (high, moderate, and low risk). Logistic regression analyses showed that there was an increased likelihood of all queried self-harm and suicidal behaviours in those who were not heterosexual orientation, and among those with either moderate or high levels of childhood adversities. Probable alcohol dependence was associated with a significantly increased likelihood of suicide attempt or self-harm with either a suicide plan or a suicide attempt.LimitationsInfluences of self-report measures and the generalizability of the sample are discussed.ConclusionsPolicies and strategies for early identification of those with mental illnesses or adversities that increase their risk, should be prioritised. It would also be useful to identify individuals at risk in secondary schools to allow for additional support to be offered to them during the key time of transitioning into higher education.",
keywords = "College students, Suicidal behaviour, Mental health, Childhood adversities, LGBT",
author = "Siobhan O'Neill and {Mc Lafferty}, Margaret and Edel Ennis and Coral Lapsley and AJ Bjourson and C Armour and SD Murphy and B Bunting and EK Murray",
year = "2018",
month = "10",
day = "15",
doi = "10.1016/j.jad.2018.06.006",
language = "English",
volume = "239",
pages = "58--65",
journal = "Journal of Affective Disorders",
issn = "0165-0327",
publisher = "Elsevier",

}

TY - JOUR

T1 - Socio-demographic, mental health and childhood adversity risk factors for self-harm and suicidal behaviour in College Students in Northern Ireland

AU - O'Neill, Siobhan

AU - Mc Lafferty, Margaret

AU - Ennis, Edel

AU - Lapsley, Coral

AU - Bjourson, AJ

AU - Armour, C

AU - Murphy, SD

AU - Bunting, B

AU - Murray, EK

PY - 2018/10/15

Y1 - 2018/10/15

N2 - BackgroundPrevalence estimates of suicidal behaviour in the college student population are consistently higher than rates for the general adult population. This study examines mental health disorders and childhood adversities as predictors of self-harm and suicidal behaviours.MethodsThe Ulster University Student Wellbeing study commenced in September 2015 as part of the WHO World Mental Health Surveys International College Student Project. In Northern Ireland (NI) 739 students participated (462 female, 274 male and 3 other specified), with the WMH-CIDI used to examine psychopathology. Mean age was 21 years old.ResultsThirty-one percent endorsed suicidal ideation (24.3% of males and 36.9% of females) with almost 1 in 5 students having made a plan for suicide in the 12 months prior to the survey. Latent profile analysis revealed three profiles of childhood adversity (high, moderate, and low risk). Logistic regression analyses showed that there was an increased likelihood of all queried self-harm and suicidal behaviours in those who were not heterosexual orientation, and among those with either moderate or high levels of childhood adversities. Probable alcohol dependence was associated with a significantly increased likelihood of suicide attempt or self-harm with either a suicide plan or a suicide attempt.LimitationsInfluences of self-report measures and the generalizability of the sample are discussed.ConclusionsPolicies and strategies for early identification of those with mental illnesses or adversities that increase their risk, should be prioritised. It would also be useful to identify individuals at risk in secondary schools to allow for additional support to be offered to them during the key time of transitioning into higher education.

AB - BackgroundPrevalence estimates of suicidal behaviour in the college student population are consistently higher than rates for the general adult population. This study examines mental health disorders and childhood adversities as predictors of self-harm and suicidal behaviours.MethodsThe Ulster University Student Wellbeing study commenced in September 2015 as part of the WHO World Mental Health Surveys International College Student Project. In Northern Ireland (NI) 739 students participated (462 female, 274 male and 3 other specified), with the WMH-CIDI used to examine psychopathology. Mean age was 21 years old.ResultsThirty-one percent endorsed suicidal ideation (24.3% of males and 36.9% of females) with almost 1 in 5 students having made a plan for suicide in the 12 months prior to the survey. Latent profile analysis revealed three profiles of childhood adversity (high, moderate, and low risk). Logistic regression analyses showed that there was an increased likelihood of all queried self-harm and suicidal behaviours in those who were not heterosexual orientation, and among those with either moderate or high levels of childhood adversities. Probable alcohol dependence was associated with a significantly increased likelihood of suicide attempt or self-harm with either a suicide plan or a suicide attempt.LimitationsInfluences of self-report measures and the generalizability of the sample are discussed.ConclusionsPolicies and strategies for early identification of those with mental illnesses or adversities that increase their risk, should be prioritised. It would also be useful to identify individuals at risk in secondary schools to allow for additional support to be offered to them during the key time of transitioning into higher education.

KW - College students

KW - Suicidal behaviour

KW - Mental health

KW - Childhood adversities

KW - LGBT

U2 - 10.1016/j.jad.2018.06.006

DO - 10.1016/j.jad.2018.06.006

M3 - Article

VL - 239

SP - 58

EP - 65

JO - Journal of Affective Disorders

T2 - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

M1 - JAD9849

ER -