The influence of diagnosed mental health conditions and symptoms of depression and/or anxiety on suicide ideation, plan, and attempt among college students: Findings from the Healthy Minds Study, 2018-2019
| Autor: | James P. Marriott, Chad M. Coleman, Sharon M. Casey, Alejandro Varela, Bernard L. Harlow |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Ethnic group Suicide Attempted Anxiety Odds Suicidal Ideation Risk Factors Medicine Humans Medical diagnosis Students Depression (differential diagnoses) Cause of death business.industry Depression Mental health Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Mental Health Sexual orientation Female medicine.symptom business Clinical psychology |
| Zdroj: | Journal of affective disorders. 298 |
| ISSN: | 1573-2517 |
| Popis: | Background Approximately 11% of 18–25 year-olds report thoughts of suicide. Additionally, suicide is the second leading cause of death in college student populations. We sought to evaluate the relationship between diagnosed mental health conditions and current symptoms of depression and/or anxiety and suicidality in the past year. Methods Healthy Minds Study (HMS) 2018-2019 data from 38,757 college students were analyzed. The PHQ-9, GAD-7, and prior mental health condition diagnoses were used to create a suicidality severity index and we determined how these associations varied by race/ethnicity, gender, and sexual orientation. We also assessed non-suicidal self-injury (NSSI) outcomes in the past year. Results Students with both a mental health condition diagnosis and current moderate/severe symptoms of depression and/or anxiety had a higher prevalence of NSSI, 10 times the odds (95% CI 9.4-11.5) of suicide ideation, 28 times the odds (95% CI 23.8-33.1) of suicide ideation, with planning or attempt, and 47 times the odds (95% CI 31.1-71.4) of suicide ideation, with planning and attempt, compared to students with none/minimal depression and/or anxiety symptoms and no mental health condition diagnosis. Limitations We could not clinically confirm depression or anxiety diagnoses nor infer causality of associations in this cross-sectional study. Future longitudinal studies are needed to establish temporality. Conclusions Mental health condition diagnoses and moderate/severe symptoms of depression and/or anxiety were strongly associated with suicidality among college students. These findings identify potential opportunities to further understand and address the mental health needs of college students. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect