000161059 001__ 161059 000161059 005__ 20251017144605.0 000161059 0247_ $$2doi$$a10.1016/j.psychres.2025.116555 000161059 0248_ $$2sideral$$a144306 000161059 037__ $$aART-2025-144306 000161059 041__ $$aeng 000161059 100__ $$aMortier, Philippe 000161059 245__ $$aThe associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative 000161059 260__ $$c2025 000161059 5060_ $$aAccess copy available to the general public$$fUnrestricted 000161059 5203_ $$aObjective. To investigate the associations of demographic variables, childhood adversities (CAs), and mental disorders (MDx) with onset, transition, and persistence of suicidal thoughts and behaviors (STB) among first-year university students. Method. Poisson regression models within a discrete-time survival framework were constructed using web-based self-report survey data from 72,288 incoming university students across 18 countries (response rate=20.9%; median age=19 years, 57.9% female, 1.4% transgender, 21.0% non-heterosexual). These models examined the associations of four demographic variables, five CAs, and eight MDx with STB outcomes. Results. Lifetime prevalence of suicidal ideation, plans, and attempts was 47.0%, 26.0%, and 9.6%, respectively; 12-month estimates were 30.6%, 14.0%, and 2.3%. In unadjusted analyses, associations were strongest between lifetime onset of suicidal ideation and CAs (RR range 4.4–7.0), particularly parental psychopathology (relative risk [RR]=7.0 [95% CI 6.5–7.7]), followed by MDx (RR range 1.3–3.0). Of the demographic subgroups, transgender students had highest risk of STB (lifetime ideation onset RR=2.4 [2.3–2.6]; ideation-to-attempt transition RR=1.5 [1.3–1.8]). In fully adjusted models, strongest predictors of lifetime ideation onset were emotional abuse (RR=2.1 [1.9–2.2]), major depressive disorder (RR=2.0 [1.9–2.1]), and bipolar disorder (RR=1.8 [1.6–2.0]). Ideation-to-attempt transition remained most strongly associated with panic disorder (RR=1.5 [1.3–1.7]), bipolar disorder (RR=1.4 [1.2–1.7]), and sexual abuse (RR=1.4 [1.2–1.7]). Most predictors were significantly but weakly associated with persistence of ideation and plan, while only physical abuse remained associated with repeated suicide attempts (RR=1.3 [1.0–1.8]). Conclusion. CAs and MDx are strong predictors of both onset of and transition within the STB spectrum, underscoring the importance of implementing early-life prevention interventions. 000161059 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/AC2-00006$$9info:eu-repo/grantAgreement/ES/ISCIII/CB06-02-0046$$9info:eu-repo/grantAgreement/ES/ISCIII/CP21-00078$$9info:eu-repo/grantAgreement/ES/ISCIII/PI20-00006$$9info:eu-repo/grantAgreement/ES/ISCIII/PI22-00107 000161059 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es 000161059 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000161059 700__ $$aYang, Xue 000161059 700__ $$aAltwaijri, Yasmin A. 000161059 700__ $$aHoldcraft, Jacob A. 000161059 700__ $$aLee, Sue 000161059 700__ $$aSampson, Nancy A 000161059 700__ $$aAlbor, Yesica 000161059 700__ $$aAlhadi, Ahmad N. 000161059 700__ $$aAlonso, Jordi 000161059 700__ $$aAl-Saud, Nouf K. 000161059 700__ $$aAndersson, Claes 000161059 700__ $$aAtwoli, Lukoye 000161059 700__ $$aAuerbach, Randy P. 000161059 700__ $$aMuaka, Caroline Ayuya 000161059 700__ $$aBáez-Mansur, Patricia M. 000161059 700__ $$aBallester, Laura 000161059 700__ $$aBantjes, Jason 000161059 700__ $$aBaumeister, Harald 000161059 700__ $$aBendtsen, Marcus 000161059 700__ $$aBenjet, Corina 000161059 700__ $$aBerman, Anne H. 000161059 700__ $$aBruffaerts, Ronny 000161059 700__ $$aCarrasco, Paula 000161059 700__ $$aChan, Silver C.N. 000161059 700__ $$aCohut, Irina 000161059 700__ $$aCovarrubias Díaz Couder, María Anabell 000161059 700__ $$aCrockett, Marcelo A. 000161059 700__ $$aCuijpers, Pim 000161059 700__ $$aDavid, Oana A. 000161059 700__ $$aDong, Dong 000161059 700__ $$aEbert, David D. 000161059 700__ $$aGaete, Jorge 000161059 700__ $$aFelez-Nobrega, Mireia 000161059 700__ $$aGarcía Forero, Carlos 000161059 700__ $$aGili, Margalida 000161059 700__ $$aGutiérrez-García, Raúl A. 000161059 700__ $$aHaro, Josep Maria 000161059 700__ $$aHasking, Penelope 000161059 700__ $$aHunt, Xanthe 000161059 700__ $$aHusky, Mathilde M. 000161059 700__ $$aJaguga, Florence 000161059 700__ $$aJansen, Leontien 000161059 700__ $$aLanger, Álvaro I. 000161059 700__ $$aLiu, Yan 000161059 700__ $$aMac-Ginty, Scarlett 000161059 700__ $$aMartínez, Vania 000161059 700__ $$aMason, Andre 000161059 700__ $$aMathai, Muthoni 000161059 700__ $$aMcLafferty, Margaret 000161059 700__ $$aMiranda-Mendizabal, Andrea 000161059 700__ $$aMurray, Elaine K. 000161059 700__ $$aMusyoka, Catherine M. 000161059 700__ $$aO’Neill, Siobhan M. 000161059 700__ $$aPapasteri, Claudiu C. 000161059 700__ $$aPiqueras, José A. 000161059 700__ $$aPopescu, Codruta A. 000161059 700__ $$aRapsey, Charlene 000161059 700__ $$aRobinson, Kealagh 000161059 700__ $$aRodriguez-Jimenez, Tiscar$$uUniversidad de Zaragoza 000161059 700__ $$aScarf, Damian 000161059 700__ $$aSiu, Oi-ling 000161059 700__ $$aStein, Dan J. 000161059 700__ $$aStruijs, Sascha Y. 000161059 700__ $$aTomoiaga, Cristina T. 000161059 700__ $$aValdés-García, Karla Patricia 000161059 700__ $$aVereecke, Shelby 000161059 700__ $$aVigo, Daniel V. 000161059 700__ $$aWang, Angel Y. 000161059 700__ $$aWong, Samuel Y.S. 000161059 700__ $$aKessler, Ronald C. 000161059 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló. 000161059 773__ $$g350 (2025), 116555 [13 pp.]$$pPsychiatry res.$$tPSYCHIATRY RESEARCH$$x0165-1781 000161059 8564_ $$s1111595$$uhttps://zaguan.unizar.es/record/161059/files/texto_completo.pdf$$yVersión publicada 000161059 8564_ $$s2458044$$uhttps://zaguan.unizar.es/record/161059/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000161059 909CO $$ooai:zaguan.unizar.es:161059$$particulos$$pdriver 000161059 951__ $$a2025-10-17-14:15:03 000161059 980__ $$aARTICLE