Altavini Camila Siebert, Asciutti Antônio Paulo Rinaldi, Santana Geilson Lima, Solis Ana Cristina Oliveira, Andrade Laura Helena, Oliveira Lúcio Garcia, Andrade Arthur Guerra, Gorenstein Clarice, Wang Yuan-Pang
Instituto & Departamento de Psiquiatria (LIM-23), Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil; Centro de Atendimento e Estudos Psicológicos, Instituto de Psicologia, Universidade de Brasilia, Brasilia, DF, Brazil.
Instituto & Departamento de Psiquiatria (LIM-23), Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
J Affect Disord. 2023 May 15;329:324-334. doi: 10.1016/j.jad.2023.02.112. Epub 2023 Feb 26.
Suicide is one of the leading causes of death among youth and its occurrence among college students is a matter of great concern. Challenges of transitional adulting and mental illness increase the likelihood of suicidal cognition in students. The objective of present study was to investigate the prevalence of suicide ideation and associated factors in a representative sample of Brazilian college students (n = 12,245).
Data were drawn from a nationwide survey and further subjected to estimate the prevalence of suicide ideation and its association with socio-demographic and academic characteristics. We performed logistic regression analyses upon a conceptual framework, considering individual and academic factors.
The point-prevalence of suicide ideation among college students was 5.9 % (SE = 0.37). In the final regression model, variables associated with the likelihood of suicide ideation were psychopathology, sexual abuse, and academic variables, such as dissatisfaction with the chosen undergraduate course (OR = 1.86; IC95 % 1.43-2.41) and low academic performance (OR = 3.56; IC95 % 1.69-7.48). Having children and religious affiliation were inversely associated with the likelihood of suicide ideation.
Participants were recruited from state capitals, which limited data generalizability to non-urban college students.
The impact of academic life on the mental health of students should be carefully monitored in in-campus pedagogical and health services. Early identification of poor-performance students with social disadvantages could indicate vulnerable ones who are much in need of psycho-social support.
自杀是青少年主要死因之一，大学生自杀事件备受关注。成年过渡期的挑战和精神疾病增加了学生自杀认知的可能性。本研究旨在调查巴西大学生代表性样本（n = 12245）中自杀意念的患病率及相关因素。
数据来自全国性调查，进一步用于估计自杀意念的患病率及其与社会人口学和学术特征的关联。我们在一个概念框架下进行逻辑回归分析，考虑个体和学术因素。
大学生自杀意念的点患病率为5.9%（标准误 = 0.37）。在最终回归模型中，与自杀意念可能性相关的变量有精神病理学、性虐待以及学术变量，如对所选本科课程不满意（比值比 = 1.86；95%置信区间1.43 - 2.41）和学业成绩低（比值比 = 3.56；95%置信区间1.69 - 7.48）。有孩子和宗教信仰与自杀意念的可能性呈负相关。
参与者从州首府招募，这限制了数据对非城市大学生的普遍性。
在校内教学和健康服务中应仔细监测学术生活对学生心理健康产生的影响。尽早识别有社会劣势的成绩差的学生，可能会找出非常需要心理社会支持的脆弱学生。
