161059 20251017144605.0 doi 10.1016/j.psychres.2025.116555 sideral 144306 ART-2025-144306 eng Mortier, Philippe The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative 2025 Access copy available to the general public Unrestricted Objective. 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. info:eu-repo/grantAgreement/ES/ISCIII/AC2-00006 info:eu-repo/grantAgreement/ES/ISCIII/CB06-02-0046 info:eu-repo/grantAgreement/ES/ISCIII/CP21-00078 info:eu-repo/grantAgreement/ES/ISCIII/PI20-00006 info:eu-repo/grantAgreement/ES/ISCIII/PI22-00107 info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Yang, Xue Altwaijri, Yasmin A. Holdcraft, Jacob A. Lee, Sue Sampson, Nancy A Albor, Yesica Alhadi, Ahmad N. Alonso, Jordi Al-Saud, Nouf K. Andersson, Claes Atwoli, Lukoye Auerbach, Randy P. Muaka, Caroline Ayuya Báez-Mansur, Patricia M. Ballester, Laura Bantjes, Jason Baumeister, Harald Bendtsen, Marcus Benjet, Corina Berman, Anne H. Bruffaerts, Ronny Carrasco, Paula Chan, Silver C.N. Cohut, Irina Covarrubias Díaz Couder, María Anabell Crockett, Marcelo A. Cuijpers, Pim David, Oana A. Dong, Dong Ebert, David D. Gaete, Jorge Felez-Nobrega, Mireia García Forero, Carlos Gili, Margalida Gutiérrez-García, Raúl A. Haro, Josep Maria Hasking, Penelope Hunt, Xanthe Husky, Mathilde M. Jaguga, Florence Jansen, Leontien Langer, Álvaro I. Liu, Yan Mac-Ginty, Scarlett Martínez, Vania Mason, Andre Mathai, Muthoni McLafferty, Margaret Miranda-Mendizabal, Andrea Murray, Elaine K. Musyoka, Catherine M. O’Neill, Siobhan M. Papasteri, Claudiu C. Piqueras, José A. Popescu, Codruta A. Rapsey, Charlene Robinson, Kealagh Rodriguez-Jimenez, Tiscar Universidad de Zaragoza Scarf, Damian Siu, Oi-ling Stein, Dan J. Struijs, Sascha Y. Tomoiaga, Cristina T. Valdés-García, Karla Patricia Vereecke, Shelby Vigo, Daniel V. Wang, Angel Y. Wong, Samuel Y.S. Kessler, Ronald C. 4009 680 Universidad de Zaragoza Dpto. Psicología y Sociología Área Person.Eval.Trat.Psicoló. 350 (2025), 116555 [13 pp.] Psychiatry res. PSYCHIATRY RESEARCH 0165-1781 1111595 http://zaguan.unizar.es/record/161059/files/texto_completo.pdf Versión publicada 2458044 http://zaguan.unizar.es/record/161059/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:161059 articulos driver 2025-10-17-14:15:03 ARTICLE