Suicidal Behaviors in College Students: Frequency, Sex Differences, and Mental Health Correlates Including Sluggish Cognitive Tempo.

Suicidal Behaviors in College Students: Frequency, Sex Differences, and Mental Health Correlates Including Sluggish Cognitive Tempo.
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DOI:
10.1016/j.jadohealth.2018.02.013
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发表时间:
2018-08
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
Luebbe AM
Luebbe AM
中科院分区:
其他
文献类型:
--
作者:
Becker SP;Holdaway AS;Luebbe AM

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为了 (1) 描述大学生样本中自杀行为的发生率,(2) 评估性别差异,以及 (3) 初步检查认知节奏缓慢 (SCT) 症状和其他心理健康维度与大学生自杀行为之间的独特关联。参与者是来自两所大学的 1,704 名大学生,他们完成了评估心理健康症状和自杀行为的措施(即过去的意念/尝试、过去一年的意念、向他人透露自杀意图以及未来自杀企图的可能性)。 4% 的参与者报告曾尝试自杀,2.2% 表示他们可能有一天会尝试自杀。 7.5% 的人表示在过去一年中经常考虑自杀; 41.4% 的参与者表示,他们从未告诉过别人他们可能试图自杀。大约四分之一 (24%) 的参与者根据经验确定的截止分数被分类为有自杀风险,但女性 (26.1%) 和男性 (20.4%) 的比例有所不同。女性也比男性更有可能报告以前的自杀企图并告诉别人她们的自杀意念。在回归模型中,抑郁症与自杀行为的相关性最强。当考虑内化症状时,多动症症状与自杀行为无关。除抑郁症等其他心理健康维度外,SCT 仍与自杀行为增加显着相关。相当一部分大学生报告有自杀行为,性别差异取决于所检查的具体行为。这项研究首次提供了将 SCT 与大学生自杀行为联系起来的证据。
To (1) describe rates of suicidal behaviors in a sample of college students, (2) evaluate sex differences, and (3) provide a preliminary examination of the unique association of sluggish cognitive tempo (SCT) symptoms and other mental health dimensions in relation to suicidal behaviors in college students. Participants were 1,704 college students from two universities who completed measures assessing mental health symptoms and suicidal behaviors (i.e., past ideation/attempts, past year ideation, disclosure of intent to commit suicide to another person, and likelihood of a future suicide attempt). 4% of participants reported a previous suicide attempt and 2.2% indicated that it was likely they would attempt suicide someday. 7.5% reported thinking about killing themselves often in the past year; 41.4% of these participants reported they had never told someone they might attempt suicide. Approximately one-quarter (24%) of participants were classified with suicide risk based on an empirically established cutoff score, though rates differed between women (26.1%) and men (20.4%). Women were also more likely than men to report a previous suicide attempt and to tell someone else about their suicidal ideation. In regression models, depression was the strongest correlate of suicidal behaviors. ADHD symptoms were unassociated with suicidal behaviors when accounting for internalizing symptoms. SCT remained significantly associated with increased suicidal behaviors beyond other mental health dimensions including depression. A substantial minority of college students report suicidal behaviors, with sex differences dependent on the specific behavior examined. This study provides the first evidence linking SCT to suicidal behaviors in college students.
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