Predictive models for suicidal thoughts and behaviors among Spanish University students: rationale and methods of the UNIVERSAL (University & mental health) project

被引：32

作者：

Jesus Blasco, Maria ^{[1
,2
,3
]}

Castellvi, Pere ^{[1
,3
]}

Almenara, Jose ^{[4
]}

Lagares, Carolina ^{[4
]}

Roca, Miquel ^{[5
]}

Sese, Albert ^{[5
]}

Antonio Piqueras, Jose ^{[6
]}

Soto-Sanz, Victoria ^{[6
]}

Rodriguez-Marin, Jesus ^{[6
]}

Echeburua, Enrique ^{[7
]}

Gabilondo, Andrea ^{[8
]}

Isabel Cebria, Ana ^{[9
]}

Miranda-Mendizabal, Andrea ^{[1
]}

Vilagut, Gemma ^{[1
,2
,3
]}

Bruffaerts, Ronny ^{[10
]}

Auerbach, Randy P. ^{[11
,12
]}

Kessler, Ronald C. ^{[13
]}

Alonso, Jordi ^{[1
,2
,3
,14
]}

机构：

[1] IMIM Hosp Mar Med Res Inst, Hlth Serv Res Grp, Barcelona, Spain

[2] Pompeu Fabra Univ UPF, Barcelona, Spain

[3] CIBERESP, Madrid, Spain

[4] Univ Cadiz, Cadiz, Spain

[5] Univ Balearic Isl UIB, Inst Univ Invest Ciencies Salut IUNICS IDISPA, Palma De Mallorca, Spain

[6] Miguel Hernandez Univ Elche UMH, Alicante, Spain

[7] Univ Basque Country UPV EHU, San Sebastian, Spain

[8] Biodonosti Hlth Res Inst, Osakidetza Basque Hlth Serv, Outpatient Mental Hlth Care Network, San Sebastian, Spain

[9] Corp Sanitaria Parc Tauli, Dept Mental Hlth, Sabadell, Spain

[10] KULeuven UPC KUI, Univ Psychiat Ctr, Leuven, Belgium

[11] Harvard Univ, Sch Med, Dept Psychiat, Boston, MA 02115 USA

[12] McLean Hosp, Ctr Depress Anxiety & Stress Res, Boston, MA USA

[13] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

[14] IMIM Hosp Del Mar Med Res Inst, PRBB Bldg,Doctor Aiguader 88, Barcelona 08003, Spain

来源：

BMC PSYCHIATRY | 2016年 / 16卷

关键词：

Suicide; Mental health; University students; Cohort studies; Risk factors; Protective factors; Predictive modelling; BEING SCALE WEMWBS; DSM-IV; PREVALENCE; INTERVIEW; DISORDERS; VERSION; ORGANIZATION; VALIDATION; RISK; PERSONALITY;

D O I：

10.1186/s12888-016-0820-y

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Suicide is a leading cause of death among young people. While suicide prevention is considered a research and intervention priority, longitudinal data is needed to identify risk and protective factors associate with suicidal thoughts and behaviors. Here we describe the UNIVERSAL (University and Mental Health) project which aims are to: (1) test prevalence and 36-month incidence of suicidal thoughts and behaviors; and (2) identify relevant risk and protective factors associated with the incidence of suicidal thoughts and behaviors among university students in Spain. Methods: An ongoing multicenter, observational, prospective cohort study of first year university students in 5 Spanish universities. Students will be assessed annually during a 36 month follow-up. The surveys will be administered through an online, secure web-based platform. A clinical reappraisal will be completed among a subsample of respondents. Suicidal thoughts and behaviors will be assess with the Self-Injurious Thoughts and Behaviors Interview (SITBI) and the Columbia-Suicide Severity Rating Scale (C-SSRS). Risk and protective factors will include: mental disorders, measured with the Composite International Diagnostic Interview version 3.0 (CIDI 3.0) and Screening Scales (CIDI-SC), and the Epi-Q Screening Survey (EPI-Q-SS), socio-demographic variables, self-perceived health status, health behaviors, well-being, substance use disorders, service use and treatment. The UNIVERSAL project is part of the International College Surveys initiative, which is a core project within the World Mental Health consortium. Lifetime and the 12-month prevalence will be calculated for suicide ideation, plans and attempts. Cumulative incidence of suicidal thoughts and behaviors, and mental disorders will be measured using the actuarial method. Risk and protective factors of suicidal thoughts and behaviors will be analyzed by Cox proportional hazard models. Discussion: The study will provide valid, innovative and useful data for developing prevention programs for youth suicide and for improving early identification for high-risk students. The longitudinal design of this study will improve causal interpretation of analyzed associations, needed for generating and validating predictive models. It will represent the first results about suicidal thoughts and behaviors in the Spanish university population. The World Mental Health Survey collaboration will permit accurate cross-national comparisons.

引用

页数：13

共 69 条

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