Discrepancies in prevalence estimates of suicidal ideation and attempts in 18- to 22-year-old US college students: a comparison of three surveys.

IF 3.6 2区 医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-06-20 DOI:10.1007/s00127-024-02704-3
James Aluri, Daniel Eisenberg, Mary T Hoban, Holly C Wilcox, Ramin Mojtabai
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Abstract

Purpose: Suicidal thoughts and behaviors (STB) have been increasing among US college students. Accurate measurement of STB is key to understanding trends and guiding suicide prevention efforts. We aimed to compare the prevalence estimates of STB among college students from two campus-based surveys (the National College Health Assessment [NCHA] and the Healthy Minds Study [HMS]) and one general population study (the National Survey on Drug Use and Health [NSDUH]).

Methods: Estimates were generated from the three surveys for past year suicidal ideation (PYSI) and past year suicide attempts (PYSA) among 18- to 22-year-old full-time college students. Data were combined from each survey to develop bivariate and multivariate regression models for odds of PYSI and PYSA.

Results: Estimates for PYSI varied between the three surveys: 34.3% for NCHA, 15.0% for HMS, and 10.7% for NSDUH. Estimates for PYSA were 2.6% for NCHA, 1.6% for HMS, and 1.7% for NSDUH. After adjusting for demographic and educational characteristics, odds of PYSI remained significantly lower for HMS participants (aOR 0.31, 95% CI 0.29-0.33) and NSDUH participants (aOR 0.19, 95% CI 0.19-0.30) compared to NCHA participants. The odds of PYSA for HMS participants were lower than those for NCHA participants (aOR 0.63, 95% CI 0.54-0.73).

Conclusion: Estimates of PYSI and PYSA vary between leading sources of data on college student mental health. The differences are likely related to question wording, survey implementation, as well as institutional and individual representation. Accounting for these differences when interpreting estimates of STB can help guide suicide prevention efforts.

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美国 18 至 22 岁大学生自杀意念和自杀未遂发生率估计值的差异:三项调查的比较。
目的:自杀想法和行为(STB)在美国大学生中呈上升趋势。准确测量 STB 是了解自杀趋势和指导自杀预防工作的关键。我们旨在比较两项基于校园的调查(全国大学健康评估 [NCHA] 和健康心理研究 [HMS])和一项普通人群调查(全国药物使用和健康调查 [NSDUH])对大学生 STB 流行率的估计:从这三项调查中估算出 18 至 22 岁全日制大学生过去一年的自杀意念(PYSI)和过去一年的自杀企图(PYSA)。结合每项调查的数据,建立了PYSI和PYSA几率的双变量和多变量回归模型:三项调查的PYSI估计值各不相同:结果:PYSI 的估计值在三次调查中各不相同:NCHA 为 34.3%,HMS 为 15.0%,NSDUH 为 10.7%。PYSA的估计值分别为:NCHA为2.6%,HMS为1.6%,NSDUH为1.7%。在对人口统计和教育特征进行调整后,与 NCHA 参与者相比,HMS 参与者(aOR 0.31,95% CI 0.29-0.33)和 NSDUH 参与者(aOR 0.19,95% CI 0.19-0.30)的PYSI几率仍然显著较低。HMS参与者的PYSA几率低于NCHA参与者(aOR为0.63,95% CI为0.54-0.73):结论:不同的大学生心理健康数据源对PYSI和PYSA的估计值存在差异。这些差异可能与问题的措辞、调查的实施以及机构和个人的代表性有关。在解释 STB 估计值时考虑到这些差异有助于指导自杀预防工作。
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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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