AutomedicationFrancoV1, Main, Exploration, bibRecord, 000421

Suicidal Thoughts and Behaviors: Prevalence and Association with Distal and Proximal Factors in Spanish University Students.

Identifieur interne : 000421 ( Main/Exploration ); précédent : 000420; suivant : 000422

Suicidal Thoughts and Behaviors: Prevalence and Association with Distal and Proximal Factors in Spanish University Students.

Auteurs : Maria Jesús Blasco [Espagne] ; Gemma Vilagut [Espagne] ; José Almenara [Espagne] ; Miquel Roca [Espagne] ; José Antonio Piqueras [Espagne] ; Andrea Gabilondo [Espagne] ; Carolina Lagares [Espagne] ; Victoria Soto-Sanz [Espagne] ; Itxaso Alayo [Espagne] ; Carlos G. Forero [Espagne] ; Enrique Echeburúa [Espagne] ; Margalida Gili [Espagne] ; Ana Isabel Cebrià [Espagne] ; Ronny Bruffaerts [Belgique] ; Randy P. Auerbach [États-Unis] ; Matthew K. Nock [États-Unis] ; Ronald C. Kessler [États-Unis] ; Jordi Alonso [Espagne]

Source :

Suicide & life-threatening behavior [ 1943-278X ] ; 2019.

RBID : pubmed:30039575

Descripteurs français

KwdFr :
- Adolescent (MeSH), Comportement auto-agressif (diagnostic), Comportement auto-agressif (psychologie), Comportement auto-agressif (épidémiologie), Entretien psychologique (MeSH), Espagne (épidémiologie), Facteurs de protection (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Idéation suicidaire (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Prévalence (MeSH), Psychopathologie (MeSH), Tentative de suicide (prévention et contrôle), Tentative de suicide (psychologie), Tentative de suicide (statistiques et données numériques), Troubles de l'humeur (diagnostic), Troubles de l'humeur (épidémiologie), Étudiants (psychologie), Étudiants (statistiques et données numériques).
MESH :
- diagnostic : Comportement auto-agressif, Troubles de l'humeur.
- prévention et contrôle : Tentative de suicide.
- psychologie : Comportement auto-agressif, Tentative de suicide, Étudiants.
- statistiques et données numériques : Tentative de suicide, Étudiants.
- épidémiologie : Comportement auto-agressif, Espagne, Troubles de l'humeur.
- Adolescent, Entretien psychologique, Facteurs de protection, Facteurs de risque, Femelle, Humains, Idéation suicidaire, Jeune adulte, Mâle, Prévalence, Psychopathologie.
Wicri :
- geographic : Espagne.

English descriptors

KwdEn :
- Adolescent (MeSH), Female (MeSH), Humans (MeSH), Interview, Psychological (MeSH), Male (MeSH), Mood Disorders (diagnosis), Mood Disorders (epidemiology), Prevalence (MeSH), Protective Factors (MeSH), Psychopathology (MeSH), Risk Factors (MeSH), Self-Injurious Behavior (diagnosis), Self-Injurious Behavior (epidemiology), Self-Injurious Behavior (psychology), Spain (epidemiology), Students (psychology), Students (statistics & numerical data), Suicidal Ideation (MeSH), Suicide, Attempted (prevention & control), Suicide, Attempted (psychology), Suicide, Attempted (statistics & numerical data), Young Adult (MeSH).
MESH :
- geographic , epidemiology : Spain.
- diagnosis : Mood Disorders, Self-Injurious Behavior.
- epidemiology : Mood Disorders, Self-Injurious Behavior.
- prevention & control : Suicide, Attempted.
- psychology : Self-Injurious Behavior, Students, Suicide, Attempted.
- statistics & numerical data : Students, Suicide, Attempted.
- Adolescent, Female, Humans, Interview, Psychological, Male, Prevalence, Protective Factors, Psychopathology, Risk Factors, Suicidal Ideation, Young Adult.

Abstract

OBJECTIVE

We report on the prevalence of suicidal thoughts and behaviors in Spanish university students and their risk and protective factors (distal/proximal; individual/environmental).

METHODS

First-year university students completed an online survey including Self-Injurious Thoughts and Behaviors Interview (SITBI) items, the screening version of the Columbia-Suicide Severity Rating Scale (C-SSRS) along with adversities and positive relationships during childhood/adolescence, recent stressful experiences, and lifetime mental disorders. Nested logistic regression models were estimated and areas under the curve (AUC) compared.

RESULTS

A total of 2,118 students completed the survey (mean age = 18.8 [SD = 1.4] years; 55.4% female). Twelve-month prevalence of suicide ideation (SI) was 9.9%, plans, 5.6%, and attempts, 0.6%. Risk factors of 12-month SI were as follows: parental psychopathology (OR = 1.7, 95% CI 1.2-2.5); sexual assault (OR = 5.6, 95% CI 1.4-22.1); lifetime mood disorder (OR = 5.2, 95% CI 3.5-7.7); and lifetime anxiety disorder (OR = 1.7, 95% CI: 1.1-2.5). Childhood positive relationships protected from SI were as follows: peers/others (OR = 0.6, 95% CI 0.4-0.9 for the second highest tertile) and family (OR = 0.4, 95% CI 0.3-0.7 for the highest tertile). AUC of the final model was 0.82 (SE = 0.015).

CONCLUSION

Our results indicate a high prevalence of SI among Spanish university students and identify protective and risk factors from a comprehensive conceptual model.

DOI: 10.1111/sltb.12491
PubMed: 30039575

Affiliations:

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Le document en format XML

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<author><name sortKey="Lagares, Carolina" sort="Lagares, Carolina" uniqKey="Lagares C" first="Carolina" last="Lagares">Carolina Lagares</name>
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<author><name sortKey="Soto Sanz, Victoria" sort="Soto Sanz, Victoria" uniqKey="Soto Sanz V" first="Victoria" last="Soto-Sanz">Victoria Soto-Sanz</name>
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<author><name sortKey="Alayo, Itxaso" sort="Alayo, Itxaso" uniqKey="Alayo I" first="Itxaso" last="Alayo">Itxaso Alayo</name>
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<author><name sortKey="Forero, Carlos G" sort="Forero, Carlos G" uniqKey="Forero C" first="Carlos G" last="Forero">Carlos G. Forero</name>
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<affiliation wicri:level="3"><nlm:affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
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<author><name sortKey="Echeburua, Enrique" sort="Echeburua, Enrique" uniqKey="Echeburua E" first="Enrique" last="Echeburúa">Enrique Echeburúa</name>
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<author><name sortKey="Gili, Margalida" sort="Gili, Margalida" uniqKey="Gili M" first="Margalida" last="Gili">Margalida Gili</name>
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<country xml:lang="fr">Espagne</country>
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<author><name sortKey="Cebria, Ana Isabel" sort="Cebria, Ana Isabel" uniqKey="Cebria A" first="Ana Isabel" last="Cebrià">Ana Isabel Cebrià</name>
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<author><name sortKey="Bruffaerts, Ronny" sort="Bruffaerts, Ronny" uniqKey="Bruffaerts R" first="Ronny" last="Bruffaerts">Ronny Bruffaerts</name>
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<author><name sortKey="Auerbach, Randy P" sort="Auerbach, Randy P" uniqKey="Auerbach R" first="Randy P" last="Auerbach">Randy P. Auerbach</name>
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<wicri:regionArea>Department of Psychiatry, Harvard Medical School, Center for Depression, Anxiety and Stress Research, McLean Hospital, Boston, MA</wicri:regionArea>
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</placeName>
</affiliation>
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<author><name sortKey="Nock, Matthew K" sort="Nock, Matthew K" uniqKey="Nock M" first="Matthew K" last="Nock">Matthew K. Nock</name>
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<author><name sortKey="Kessler, Ronald C" sort="Kessler, Ronald C" uniqKey="Kessler R" first="Ronald C" last="Kessler">Ronald C. Kessler</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Health Care Policy, Harvard Medical School, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
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<author><name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
<affiliation wicri:level="3"><nlm:affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
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</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Pompeu Fabra University (UPF), Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
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<affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Suicidal Thoughts and Behaviors: Prevalence and Association with Distal and Proximal Factors in Spanish University Students.</title>
<author><name sortKey="Blasco, Maria Jesus" sort="Blasco, Maria Jesus" uniqKey="Blasco M" first="Maria Jesús" last="Blasco">Maria Jesús Blasco</name>
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<country xml:lang="fr">Espagne</country>
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<placeName><settlement type="city">Barcelone</settlement>
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</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Pompeu Fabra University (UPF), Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
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<affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
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</author>
<author><name sortKey="Vilagut, Gemma" sort="Vilagut, Gemma" uniqKey="Vilagut G" first="Gemma" last="Vilagut">Gemma Vilagut</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
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<affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
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<author><name sortKey="Almenara, Jose" sort="Almenara, Jose" uniqKey="Almenara J" first="José" last="Almenara">José Almenara</name>
<affiliation wicri:level="1"><nlm:affiliation>University of Cadiz (UCA), Cadiz, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>University of Cadiz (UCA), Cadiz</wicri:regionArea>
<wicri:noRegion>Cadiz</wicri:noRegion>
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<author><name sortKey="Roca, Miquel" sort="Roca, Miquel" uniqKey="Roca M" first="Miquel" last="Roca">Miquel Roca</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands (UIB), Palma de Mallorca</wicri:regionArea>
<wicri:noRegion>Palma de Mallorca</wicri:noRegion>
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<author><name sortKey="Piqueras, Jose Antonio" sort="Piqueras, Jose Antonio" uniqKey="Piqueras J" first="José Antonio" last="Piqueras">José Antonio Piqueras</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Miguel Hernandez University (UMH), Elche</wicri:regionArea>
<wicri:noRegion>Elche</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gabilondo, Andrea" sort="Gabilondo, Andrea" uniqKey="Gabilondo A" first="Andrea" last="Gabilondo">Andrea Gabilondo</name>
<affiliation wicri:level="1"><nlm:affiliation>Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Basque Country, San Sebastián, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Basque Country, San Sebastián</wicri:regionArea>
<wicri:noRegion>San Sebastián</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lagares, Carolina" sort="Lagares, Carolina" uniqKey="Lagares C" first="Carolina" last="Lagares">Carolina Lagares</name>
<affiliation wicri:level="1"><nlm:affiliation>University of Cadiz (UCA), Cadiz, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>University of Cadiz (UCA), Cadiz</wicri:regionArea>
<wicri:noRegion>Cadiz</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Soto Sanz, Victoria" sort="Soto Sanz, Victoria" uniqKey="Soto Sanz V" first="Victoria" last="Soto-Sanz">Victoria Soto-Sanz</name>
<affiliation wicri:level="1"><nlm:affiliation>Miguel Hernandez University (UMH), Elche, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Miguel Hernandez University (UMH), Elche</wicri:regionArea>
<wicri:noRegion>Elche</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Alayo, Itxaso" sort="Alayo, Itxaso" uniqKey="Alayo I" first="Itxaso" last="Alayo">Itxaso Alayo</name>
<affiliation wicri:level="3"><nlm:affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Forero, Carlos G" sort="Forero, Carlos G" uniqKey="Forero C" first="Carlos G" last="Forero">Carlos G. Forero</name>
<affiliation wicri:level="3"><nlm:affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Pompeu Fabra University (UPF), Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Echeburua, Enrique" sort="Echeburua, Enrique" uniqKey="Echeburua E" first="Enrique" last="Echeburúa">Enrique Echeburúa</name>
<affiliation wicri:level="1"><nlm:affiliation>University of the Basque Country (UPV-EHU), San Sebastián, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>University of the Basque Country (UPV-EHU), San Sebastián</wicri:regionArea>
<wicri:noRegion>San Sebastián</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gili, Margalida" sort="Gili, Margalida" uniqKey="Gili M" first="Margalida" last="Gili">Margalida Gili</name>
<affiliation wicri:level="1"><nlm:affiliation>Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands (UIB), Palma de Mallorca, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands (UIB), Palma de Mallorca</wicri:regionArea>
<wicri:noRegion>Palma de Mallorca</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cebria, Ana Isabel" sort="Cebria, Ana Isabel" uniqKey="Cebria A" first="Ana Isabel" last="Cebrià">Ana Isabel Cebrià</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell</wicri:regionArea>
<wicri:noRegion>Sabadell</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bruffaerts, Ronny" sort="Bruffaerts, Ronny" uniqKey="Bruffaerts R" first="Ronny" last="Bruffaerts">Ronny Bruffaerts</name>
<affiliation wicri:level="1"><nlm:affiliation>Universitair Psychiatrisch Centrum, KU Leuven (UPC-KUL), Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Universitair Psychiatrisch Centrum, KU Leuven (UPC-KUL), Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Auerbach, Randy P" sort="Auerbach, Randy P" uniqKey="Auerbach R" first="Randy P" last="Auerbach">Randy P. Auerbach</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Psychiatry, Harvard Medical School, Center for Depression, Anxiety and Stress Research, McLean Hospital, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Harvard Medical School, Center for Depression, Anxiety and Stress Research, McLean Hospital, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nock, Matthew K" sort="Nock, Matthew K" uniqKey="Nock M" first="Matthew K" last="Nock">Matthew K. Nock</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Psychology, Harvard University, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychology, Harvard University, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
<settlement type="city">Cambridge (Massachusetts)</settlement>
</placeName>
<orgName type="university">Université Harvard</orgName>
</affiliation>
</author>
<author><name sortKey="Kessler, Ronald C" sort="Kessler, Ronald C" uniqKey="Kessler R" first="Ronald C" last="Kessler">Ronald C. Kessler</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Health Care Policy, Harvard Medical School, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
<affiliation wicri:level="3"><nlm:affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Pompeu Fabra University (UPF), Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Suicide & life-threatening behavior</title>
<idno type="eISSN">1943-278X</idno>
<imprint><date when="2019" type="published">2019</date>
</imprint>
</series>
</biblStruct>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Interview, Psychological (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mood Disorders (diagnosis)</term>
<term>Mood Disorders (epidemiology)</term>
<term>Prevalence (MeSH)</term>
<term>Protective Factors (MeSH)</term>
<term>Psychopathology (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Self-Injurious Behavior (diagnosis)</term>
<term>Self-Injurious Behavior (epidemiology)</term>
<term>Self-Injurious Behavior (psychology)</term>
<term>Spain (epidemiology)</term>
<term>Students (psychology)</term>
<term>Students (statistics & numerical data)</term>
<term>Suicidal Ideation (MeSH)</term>
<term>Suicide, Attempted (prevention & control)</term>
<term>Suicide, Attempted (psychology)</term>
<term>Suicide, Attempted (statistics & numerical data)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Comportement auto-agressif (diagnostic)</term>
<term>Comportement auto-agressif (psychologie)</term>
<term>Comportement auto-agressif (épidémiologie)</term>
<term>Entretien psychologique (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Facteurs de protection (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Idéation suicidaire (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>Psychopathologie (MeSH)</term>
<term>Tentative de suicide (prévention et contrôle)</term>
<term>Tentative de suicide (psychologie)</term>
<term>Tentative de suicide (statistiques et données numériques)</term>
<term>Troubles de l'humeur (diagnostic)</term>
<term>Troubles de l'humeur (épidémiologie)</term>
<term>Étudiants (psychologie)</term>
<term>Étudiants (statistiques et données numériques)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Mood Disorders</term>
<term>Self-Injurious Behavior</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Comportement auto-agressif</term>
<term>Troubles de l'humeur</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mood Disorders</term>
<term>Self-Injurious Behavior</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Suicide, Attempted</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Tentative de suicide</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement auto-agressif</term>
<term>Tentative de suicide</term>
<term>Étudiants</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Self-Injurious Behavior</term>
<term>Students</term>
<term>Suicide, Attempted</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Students</term>
<term>Suicide, Attempted</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Tentative de suicide</term>
<term>Étudiants</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Comportement auto-agressif</term>
<term>Espagne</term>
<term>Troubles de l'humeur</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Female</term>
<term>Humans</term>
<term>Interview, Psychological</term>
<term>Male</term>
<term>Prevalence</term>
<term>Protective Factors</term>
<term>Psychopathology</term>
<term>Risk Factors</term>
<term>Suicidal Ideation</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Entretien psychologique</term>
<term>Facteurs de protection</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Idéation suicidaire</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Psychopathologie</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>We report on the prevalence of suicidal thoughts and behaviors in Spanish university students and their risk and protective factors (distal/proximal; individual/environmental).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>First-year university students completed an online survey including Self-Injurious Thoughts and Behaviors Interview (SITBI) items, the screening version of the Columbia-Suicide Severity Rating Scale (C-SSRS) along with adversities and positive relationships during childhood/adolescence, recent stressful experiences, and lifetime mental disorders. Nested logistic regression models were estimated and areas under the curve (AUC) compared.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A total of 2,118 students completed the survey (mean age = 18.8 [SD = 1.4] years; 55.4% female). Twelve-month prevalence of suicide ideation (SI) was 9.9%, plans, 5.6%, and attempts, 0.6%. Risk factors of 12-month SI were as follows: parental psychopathology (OR = 1.7, 95% CI 1.2-2.5); sexual assault (OR = 5.6, 95% CI 1.4-22.1); lifetime mood disorder (OR = 5.2, 95% CI 3.5-7.7); and lifetime anxiety disorder (OR = 1.7, 95% CI: 1.1-2.5). Childhood positive relationships protected from SI were as follows: peers/others (OR = 0.6, 95% CI 0.4-0.9 for the second highest tertile) and family (OR = 0.4, 95% CI 0.3-0.7 for the highest tertile). AUC of the final model was 0.82 (SE = 0.015).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Our results indicate a high prevalence of SI among Spanish university students and identify protective and risk factors from a comprehensive conceptual model.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30039575</PMID>
<DateCompleted><Year>2020</Year>
<Month>02</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>02</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1943-278X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>49</Volume>
<Issue>3</Issue>
<PubDate><Year>2019</Year>
<Month>06</Month>
</PubDate>
</JournalIssue>
<Title>Suicide & life-threatening behavior</Title>
<ISOAbbreviation>Suicide Life Threat Behav</ISOAbbreviation>
</Journal>
<ArticleTitle>Suicidal Thoughts and Behaviors: Prevalence and Association with Distal and Proximal Factors in Spanish University Students.</ArticleTitle>
<Pagination><MedlinePgn>881-898</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/sltb.12491</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">We report on the prevalence of suicidal thoughts and behaviors in Spanish university students and their risk and protective factors (distal/proximal; individual/environmental).</AbstractText>
<AbstractText Label="METHODS">First-year university students completed an online survey including Self-Injurious Thoughts and Behaviors Interview (SITBI) items, the screening version of the Columbia-Suicide Severity Rating Scale (C-SSRS) along with adversities and positive relationships during childhood/adolescence, recent stressful experiences, and lifetime mental disorders. Nested logistic regression models were estimated and areas under the curve (AUC) compared.</AbstractText>
<AbstractText Label="RESULTS">A total of 2,118 students completed the survey (mean age = 18.8 [SD = 1.4] years; 55.4% female). Twelve-month prevalence of suicide ideation (SI) was 9.9%, plans, 5.6%, and attempts, 0.6%. Risk factors of 12-month SI were as follows: parental psychopathology (OR = 1.7, 95% CI 1.2-2.5); sexual assault (OR = 5.6, 95% CI 1.4-22.1); lifetime mood disorder (OR = 5.2, 95% CI 3.5-7.7); and lifetime anxiety disorder (OR = 1.7, 95% CI: 1.1-2.5). Childhood positive relationships protected from SI were as follows: peers/others (OR = 0.6, 95% CI 0.4-0.9 for the second highest tertile) and family (OR = 0.4, 95% CI 0.3-0.7 for the highest tertile). AUC of the final model was 0.82 (SE = 0.015).</AbstractText>
<AbstractText Label="CONCLUSION">Our results indicate a high prevalence of SI among Spanish university students and identify protective and risk factors from a comprehensive conceptual model.</AbstractText>
<CopyrightInformation>© 2018 The American Association of Suicidology.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Blasco</LastName>
<ForeName>Maria Jesús</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vilagut</LastName>
<ForeName>Gemma</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Almenara</LastName>
<ForeName>José</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>University of Cadiz (UCA), Cadiz, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Roca</LastName>
<ForeName>Miquel</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands (UIB), Palma de Mallorca, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Piqueras</LastName>
<ForeName>José Antonio</ForeName>
<Initials>JA</Initials>
<AffiliationInfo><Affiliation>Miguel Hernandez University (UMH), Elche, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gabilondo</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Basque Country, San Sebastián, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lagares</LastName>
<ForeName>Carolina</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>University of Cadiz (UCA), Cadiz, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Soto-Sanz</LastName>
<ForeName>Victoria</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Miguel Hernandez University (UMH), Elche, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Alayo</LastName>
<ForeName>Itxaso</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Forero</LastName>
<ForeName>Carlos G</ForeName>
<Initials>CG</Initials>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Echeburúa</LastName>
<ForeName>Enrique</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>University of the Basque Country (UPV-EHU), San Sebastián, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gili</LastName>
<ForeName>Margalida</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands (UIB), Palma de Mallorca, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cebrià</LastName>
<ForeName>Ana Isabel</ForeName>
<Initials>AI</Initials>
<AffiliationInfo><Affiliation>Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bruffaerts</LastName>
<ForeName>Ronny</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Universitair Psychiatrisch Centrum, KU Leuven (UPC-KUL), Leuven, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Auerbach</LastName>
<ForeName>Randy P</ForeName>
<Initials>RP</Initials>
<AffiliationInfo><Affiliation>Department of Psychiatry, Harvard Medical School, Center for Depression, Anxiety and Stress Research, McLean Hospital, Boston, MA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nock</LastName>
<ForeName>Matthew K</ForeName>
<Initials>MK</Initials>
<AffiliationInfo><Affiliation>Department of Psychology, Harvard University, Boston, MA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kessler</LastName>
<ForeName>Ronald C</ForeName>
<Initials>RC</Initials>
<AffiliationInfo><Affiliation>Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Alonso</LastName>
<ForeName>Jordi</ForeName>
<Initials>J</Initials>
<Identifier Source="ORCID">0000-0001-8627-9636</Identifier>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Pompeu Fabra University (UPF), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>UNIVERSAL study group</CollectiveName>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>07</Month>
<Day>23</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Suicide Life Threat Behav</MedlineTA>
<NlmUniqueID>7608054</NlmUniqueID>
<ISSNLinking>0363-0234</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007406" MajorTopicYN="N">Interview, Psychological</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019964" MajorTopicYN="Y">Mood Disorders</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D065840" MajorTopicYN="N">Protective Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011599" MajorTopicYN="N">Psychopathology</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016728" MajorTopicYN="Y">Self-Injurious Behavior</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013334" MajorTopicYN="Y">Students</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D059020" MajorTopicYN="Y">Suicidal Ideation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013406" MajorTopicYN="Y">Suicide, Attempted</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<InvestigatorList><Investigator ValidYN="Y"><LastName>Ballester</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Barbaglia</LastName>
<ForeName>Gabriela</ForeName>
<Initials>G</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Castellví</LastName>
<ForeName>Pere</ForeName>
<Initials>P</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Iruin</LastName>
<ForeName>Álvaro</ForeName>
<Initials>Á</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Leiva</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Miranda-Mendizábal</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Parès-Badell</LastName>
<ForeName>Oleguer</ForeName>
<Initials>O</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Pérez-Vázquez</LastName>
<ForeName>María Teresa</ForeName>
<Initials>MT</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Rodríguez-Marín</LastName>
<ForeName>Jesús</ForeName>
<Initials>J</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Sesé</LastName>
<ForeName>Albert</ForeName>
<Initials>A</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Vives</LastName>
<ForeName>Margarida</ForeName>
<Initials>M</Initials>
</Investigator>
</InvestigatorList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year>
<Month>09</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2018</Year>
<Month>04</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2018</Year>
<Month>7</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>2</Month>
<Day>15</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2018</Year>
<Month>7</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">30039575</ArticleId>
<ArticleId IdType="doi">10.1111/sltb.12491</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Belgique</li>
<li>Espagne</li>
<li>États-Unis</li>
</country>
<region><li>Catalogne</li>
<li>Communauté de Madrid</li>
<li>Massachusetts</li>
</region>
<settlement><li>Barcelone</li>
<li>Cambridge (Massachusetts)</li>
<li>Madrid</li>
</settlement>
<orgName><li>Université Harvard</li>
</orgName>
</list>
<tree><country name="Espagne"><region name="Catalogne"><name sortKey="Blasco, Maria Jesus" sort="Blasco, Maria Jesus" uniqKey="Blasco M" first="Maria Jesús" last="Blasco">Maria Jesús Blasco</name>
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<name sortKey="Alayo, Itxaso" sort="Alayo, Itxaso" uniqKey="Alayo I" first="Itxaso" last="Alayo">Itxaso Alayo</name>
<name sortKey="Alayo, Itxaso" sort="Alayo, Itxaso" uniqKey="Alayo I" first="Itxaso" last="Alayo">Itxaso Alayo</name>
<name sortKey="Almenara, Jose" sort="Almenara, Jose" uniqKey="Almenara J" first="José" last="Almenara">José Almenara</name>
<name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
<name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
<name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
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<name sortKey="Forero, Carlos G" sort="Forero, Carlos G" uniqKey="Forero C" first="Carlos G" last="Forero">Carlos G. Forero</name>
<name sortKey="Forero, Carlos G" sort="Forero, Carlos G" uniqKey="Forero C" first="Carlos G" last="Forero">Carlos G. Forero</name>
<name sortKey="Forero, Carlos G" sort="Forero, Carlos G" uniqKey="Forero C" first="Carlos G" last="Forero">Carlos G. Forero</name>
<name sortKey="Gabilondo, Andrea" sort="Gabilondo, Andrea" uniqKey="Gabilondo A" first="Andrea" last="Gabilondo">Andrea Gabilondo</name>
<name sortKey="Gili, Margalida" sort="Gili, Margalida" uniqKey="Gili M" first="Margalida" last="Gili">Margalida Gili</name>
<name sortKey="Lagares, Carolina" sort="Lagares, Carolina" uniqKey="Lagares C" first="Carolina" last="Lagares">Carolina Lagares</name>
<name sortKey="Piqueras, Jose Antonio" sort="Piqueras, Jose Antonio" uniqKey="Piqueras J" first="José Antonio" last="Piqueras">José Antonio Piqueras</name>
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<country name="Belgique"><noRegion><name sortKey="Bruffaerts, Ronny" sort="Bruffaerts, Ronny" uniqKey="Bruffaerts R" first="Ronny" last="Bruffaerts">Ronny Bruffaerts</name>
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Suicidal Thoughts and Behaviors: Prevalence and Association with Distal and Proximal Factors in Spanish University Students.

Suicidal Thoughts and Behaviors: Prevalence and Association with Distal and Proximal Factors in Spanish University Students.

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