TY - JOUR PY - 2021// TI - A machine learning analysis of risk and protective factors of suicidal thoughts and behaviors in college students JO - Journal of American college health A1 - Kirlic, Namik A1 - Akeman, Elisabeth A1 - DeVille, Danielle C. A1 - Yeh, Hung-Wen A1 - Cosgrove, Kelly T. A1 - McDermott, Timothy J. A1 - Touthang, James A1 - Clausen, Ashley A1 - Paulus, Martin P. A1 - Aupperle, Robin L. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To identify robust and reproducible factors associated with suicidal thoughts and behaviors (STBs) in college students.

METHODS: 356 first-year university students completed a large battery of demographic and clinically-relevant self-report measures during the first semester of college and end-of-year (n = 228). Suicide Behaviors Questionnaire-Revised (SBQ-R) assessed STBs. A machine learning (ML) pipeline using stacking and nested cross-validation examined correlates of SBQ-R scores.

RESULTS: 9.6% of students were identified at significant STBs risk by the SBQ-R. The ML algorithm explained 28.3% of variance (95%CI: 28-28.5%) in baseline SBQ-R scores, with depression severity, social isolation, meaning and purpose in life, and positive affect among the most important factors. There was a significant reduction in STBs at end-of-year with only 1.8% of students identified at significant risk.

CONCLUSION: Analyses replicated known factors associated with STBs during the first semester of college and identified novel, potentially modifiable factors including positive affect and social connectedness. Keywords: Social Transition

Language: en

LA - en SN - 0744-8481 UR - http://dx.doi.org/10.1080/07448481.2021.1947841 ID - ref1 ER -