TY  - JOUR
PY  - 2019//
TI  - First-onset and persistence of suicidal ideation in university students: a one-year follow-up study
JO  - Journal of affective disorders
A1  - Blasco, Maria Jesús
A1  - Vilagut, Gemma
A1  - Alayo, Itxaso
A1  - Almenara, José
A1  - Cebrià, Ana Isabel
A1  - Echeburúa, Enrique
A1  - Gabilondo, Andrea
A1  - Gili, Margalida
A1  - Lagares, Carolina
A1  - Piqueras, José Antonio
A1  - Roca, Miquel
A1  - Soto-Sanz, Victoria
A1  - Ballester, Laura
A1  - Urdangarin, Arantxa
A1  - Bruffaerts, Ronny
A1  - Mortier, Philippe
A1  - Auerbach, Randy P.
A1  - Nock, Matthew K.
A1  - Kessler, Ronald C.
A1  - Alonso, Jordi
SP  - 192
EP  - 204
VL  - 256
IS  - 
N2  - BACKGROUND: Longitudinal evidence about risk and protective factors for suicidal ideation among university students is limited. <br><br>METHODS: 12-month first-onset and persistence of suicidal ideation (SI) among Spanish first-year university students were estimated using baseline (T1) and 12-month follow-up (T2) online surveys. Information about STBs, childhood/adolescence adversities, positive relationships, mental disorders, recent stressful experiences, and university sense of membership was assessed. Logistic regression analysis was used to study risk/protective factors of first-onset and persistence of suicidal ideation (SI). <br><br>RESULTS: A total of 1,248 respondents (58.9% response) were included. Mean age at baseline was 18.7 (SD = 1.3) and 56.0% were female. 7.3% reported 12-month SI at T2. Incidence of new SI cases was 3.4% and, among students with SI at T1, 21.2% also reported SI at T2 (persistence). Risk factors of T2 SI included 12-month mood disorder at T2 both without (aOR = 12.08 95% CI 5.45-26.80) or with (aOR = 7.2 95% CI 2.91-17.80) lifetime mood at T1, past lifetime suicide attempt (aOR = 8.79 95% CI 2.37-32.64) and plan without attempt (aOR = 4.72 95% CI 2.32-9.61), and 12-month physical or sexual assault (aOR = 3.28 95% CI 1.13-9.46). Twelve-month mood at T2 withoutT1 lifetime mood (aOR = 11.27 95% CI 3.02-42.14) and childhood/adolescence emotional abuse or neglect (aOR = 3.41 95% CI 1.10-10.57) or having been bullied (aOR = 3.2 95% CI 1.08-9.53) were associated with first-onset of SI. Twelve-month mood at T2 either without (aOR = 13.92 95% CI 3.76-51.59) or with (aOR = 8.03 95% CI 2.13-30.29) were associated to T2 SI persistence. University sense of membership was protective for overall 12-month SI at T2 (aOR = 0.25 95% CI 0.12-0.53 for middle tertile), first-onset SI (aOR = 0.1 95% 0.02-0.55 for middle tertile) and persistence (aOR = 0.3 95% CI 0.11-0.81 for middle tertile). LIMITATIONS: Analysis was based on self-report data focusing on SI only, and conclusions about the direction of the associations are limited. <br><br>CONCLUSIONS: High proportion of SI suggests the need of suicide prevention strategies. The potential role of university sense of membership in reducing suicidal behaviour among university students deserves further investigation.<br><br>Copyright © 2019 Elsevier B.V. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2019.05.035
ID  - ref1
ER  -