Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross-sectional study of Spanish university students.
Identifieur interne : 000566 ( Main/Exploration ); précédent : 000565; suivant : 000567Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross-sectional study of Spanish university students.
Auteurs : Andrea Miranda-Mendizabal [Espagne] ; Pere Castellví [Espagne] ; Itxaso Alayo [Espagne] ; Gemma Vilagut [Espagne] ; Maria Jesús Blasco [Espagne] ; Aina Torrent [Espagne] ; Laura Ballester [Espagne] ; José Almenara [Espagne] ; Carolina Lagares [Espagne] ; Miquel Roca [Espagne] ; Albert Sesé [Espagne] ; José Antonio Piqueras [Espagne] ; Victoria Soto-Sanz [Espagne] ; Jesús Rodríguez-Marín [Espagne] ; Enrique Echeburúa [Espagne] ; Andrea Gabilondo [Espagne] ; Ana Isabel Cebrià [Espagne] ; Ronny Bruffaerts [Belgique] ; Randy P. Auerbach [États-Unis] ; Philippe Mortier [Espagne] ; Ronald C. Kessler [États-Unis] ; Jordi Alonso [Espagne]Source :
- Depression and anxiety [ 1520-6394 ] ; 2019.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Enfant (MeSH), Enquêtes et questionnaires (MeSH), Facteurs de protection (MeSH), Facteurs de risque (MeSH), Facteurs sexuels (MeSH), Femelle (MeSH), Groupe de pairs (MeSH), Humains (MeSH), Idéation suicidaire (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Parents (psychologie), Prévalence (MeSH), Troubles anxieux (épidémiologie), Troubles de l'humeur (épidémiologie), Universités (MeSH), Violence (statistiques et données numériques), Études transversales (MeSH), Étudiants (psychologie), Étudiants (statistiques et données numériques).
- MESH :
- psychologie : Parents, Étudiants.
- statistiques et données numériques : Violence, Étudiants.
- épidémiologie : Troubles anxieux, Troubles de l'humeur.
- Adolescent, Enfant, Enquêtes et questionnaires, Facteurs de protection, Facteurs de risque, Facteurs sexuels, Femelle, Groupe de pairs, Humains, Idéation suicidaire, Jeune adulte, Mâle, Prévalence, Universités, Études transversales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Anxiety Disorders (epidemiology), Child (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Mood Disorders (epidemiology), Parents (psychology), Peer Group (MeSH), Prevalence (MeSH), Protective Factors (MeSH), Risk Factors (MeSH), Sex Factors (MeSH), Students (psychology), Students (statistics & numerical data), Suicidal Ideation (MeSH), Surveys and Questionnaires (MeSH), Universities (MeSH), Violence (statistics & numerical data), Young Adult (MeSH).
- MESH :
- epidemiology : Anxiety Disorders, Mood Disorders.
- psychology : Parents, Students.
- statistics & numerical data : Students, Violence.
- Adolescent, Child, Cross-Sectional Studies, Female, Humans, Male, Peer Group, Prevalence, Protective Factors, Risk Factors, Sex Factors, Suicidal Ideation, Surveys and Questionnaires, Universities, Young Adult.
Abstract
AIM
To assess gender differences in the association between risk/protective factors and suicidal thoughts and behaviors (STB); and whether there is any gender-interaction with those factors and STB; among Spanish university students.
METHODS
Data from baseline online survey of UNIVERSAL project, a multicenter, observational study of first-year Spanish university students (18-24 years). We assessed STB; lifetime and 12-month negative life-events and family adversities; mental disorders; personal and community factors. Gender-specific regression models and gender-interactions were also analyzed.
RESULTS
We included 2,105 students, 55.4% women. Twelve-month prevalence of suicidal ideation (SI) was 10%, plans 5.7%, attempts 0.6%. Statistically significant gender-interactions were found for lifetime anxiety disorder, hopelessness, violence between parents, chronic health conditions and family support. Lifetime mood disorder was a common risk factor of SI for both genders (Females: OR= 5.5; 95%CI 3.3-9.3; Males: OR= 4.4; 95%CI 2.0-9.7). For females, exposure to violence between parents (OR= 3.5; 95%CI 1.7-7.2), anxiety disorder (OR= 2.7; 95%CI 1.6-4.6), and alcohol/substance disorder (OR= 2.1; 95%CI 1.1-4.3); and for males, physical childhood maltreatment (OR= 3.6; 95%CI 1.4-9.2), deceased parents (OR= 4.6; 95%CI 1.2-17.7), and hopelessness (OR= 7.7; 95%CI 2.8-21.2), increased SI risk. Family support (OR= 0.5; 95%CI 0.2-0.9) and peers/others support (OR= 0.4; 95%CI 0.2-0.8) were associated to a lower SI risk only among females.
CONCLUSIONS
Only mood disorder was a common risk factor of SI for both genders, whereas important gender-differences were observed regarding the other factors assessed. The protective effect from family and peers/others support was observed only among females. Further research assessing underlying mechanisms and pathways of gender-differences is needed.
DOI: 10.1002/da.22960
PubMed: 31609064
Affiliations:
Links toward previous steps (curation, corpus...)
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="Rodriguez Marin, Jesus" sort="Rodriguez Marin, Jesus" uniqKey="Rodriguez Marin J" first="Jesús" last="Rodríguez-Marín">Jesús Rodríguez-Marín</name>
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<country xml:lang="fr">Espagne</country>
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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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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Personality, Psychological Evaluation and Treatment, University of the Basque Country (UPV-EHU), Bilbao</wicri:regionArea>
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<author><name sortKey="Gabilondo, Andrea" sort="Gabilondo, Andrea" uniqKey="Gabilondo A" first="Andrea" last="Gabilondo">Andrea Gabilondo</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Mental Health and Psychiatric Care, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Biodonosti Health Research Institute, San Sebastian</wicri:regionArea>
<wicri:noRegion>San Sebastian</wicri:noRegion>
</affiliation>
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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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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell</wicri:regionArea>
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<author><name sortKey="Bruffaerts, Ronny" sort="Bruffaerts, Ronny" uniqKey="Bruffaerts R" first="Ronny" last="Bruffaerts">Ronny Bruffaerts</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, Universitair Psychiatrisch Centrum, KU Leuven (UPC-KUL), Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Psychiatry, 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, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Psychiatry, Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Child and Adolescent Psychiatry, Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Mortier, Philippe" sort="Mortier, Philippe" uniqKey="Mortier P" first="Philippe" last="Mortier">Philippe Mortier</name>
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<country xml:lang="fr">Espagne</country>
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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, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Health Care Policy, Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</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>
<region nuts="2" type="region">Catalogne</region>
</placeName>
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<affiliation wicri:level="3"><nlm:affiliation>Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
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<affiliation wicri:level="3"><nlm:affiliation>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross-sectional study of Spanish university students.</title>
<author><name sortKey="Miranda Mendizabal, Andrea" sort="Miranda Mendizabal, Andrea" uniqKey="Miranda Mendizabal A" first="Andrea" last="Miranda-Mendizabal">Andrea Miranda-Mendizabal</name>
<affiliation wicri:level="3"><nlm:affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</nlm:affiliation>
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<affiliation wicri:level="3"><nlm:affiliation>Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
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<author><name sortKey="Castellvi, Pere" sort="Castellvi, Pere" uniqKey="Castellvi P" first="Pere" last="Castellví">Pere Castellví</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, University of Jaén, Jaén, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Psychology, University of Jaén, Jaén</wicri:regionArea>
<wicri:noRegion>Jaén</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>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Program 6: Health Services Evaluation, 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="Vilagut, Gemma" sort="Vilagut, Gemma" uniqKey="Vilagut G" first="Gemma" last="Vilagut">Gemma Vilagut</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>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Program 6: Health Services Evaluation, 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="Blasco, Maria Jesus" sort="Blasco, Maria Jesus" uniqKey="Blasco M" first="Maria Jesús" last="Blasco">Maria Jesús Blasco</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>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Program 6: Health Services Evaluation, 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="Torrent, Aina" sort="Torrent, Aina" uniqKey="Torrent A" first="Aina" last="Torrent">Aina Torrent</name>
<affiliation wicri:level="3"><nlm:affiliation>Health and Life Sciences Faculty, Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Health and Life Sciences Faculty, Pompeu Fabra University (UPF), Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ballester, Laura" sort="Ballester, Laura" uniqKey="Ballester L" first="Laura" last="Ballester">Laura Ballester</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>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Program 6: Health Services Evaluation, 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>
<affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Girona University (UdG), Girona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Psychology, Girona University (UdG), Girona</wicri:regionArea>
<wicri:noRegion>Girona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Almenara, Jose" sort="Almenara, Jose" uniqKey="Almenara J" first="José" last="Almenara">José Almenara</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Biomedicine, Biotechnology and Public Health, University of Cadiz (UCA), Cádiz, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Biomedicine, Biotechnology and Public Health, University of Cadiz (UCA), Cádiz</wicri:regionArea>
<wicri:noRegion>Cádiz</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>Department of Biomedicine, Biotechnology and Public Health, University of Cadiz (UCA), Cádiz, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Biomedicine, Biotechnology and Public Health, University of Cadiz (UCA), Cádiz</wicri:regionArea>
<wicri:noRegion>Cádiz</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Roca, Miquel" sort="Roca, Miquel" uniqKey="Roca M" first="Miquel" last="Roca">Miquel Roca</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, 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>Department of Psychology, 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="Sese, Albert" sort="Sese, Albert" uniqKey="Sese A" first="Albert" last="Sesé">Albert Sesé</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, 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>Department of Psychology, 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="Piqueras, Jose Antonio" sort="Piqueras, Jose Antonio" uniqKey="Piqueras J" first="José Antonio" last="Piqueras">José Antonio Piqueras</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante</wicri:regionArea>
<wicri:noRegion>Alicante</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>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante</wicri:regionArea>
<wicri:noRegion>Alicante</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rodriguez Marin, Jesus" sort="Rodriguez Marin, Jesus" uniqKey="Rodriguez Marin J" first="Jesús" last="Rodríguez-Marín">Jesús Rodríguez-Marín</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante</wicri:regionArea>
<wicri:noRegion>Alicante</wicri:noRegion>
</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>Department of Personality, Psychological Evaluation and Treatment, University of the Basque Country (UPV-EHU), Bilbao, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Personality, Psychological Evaluation and Treatment, University of the Basque Country (UPV-EHU), Bilbao</wicri:regionArea>
<wicri:noRegion>Bilbao</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>Department of Mental Health and Psychiatric Care, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Biodonosti Health Research Institute, San Sebastian, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Mental Health and Psychiatric Care, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Biodonosti Health Research Institute, San Sebastian</wicri:regionArea>
<wicri:noRegion>San Sebastian</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>Department of Psychiatry, Universitair Psychiatrisch Centrum, KU Leuven (UPC-KUL), Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Psychiatry, 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, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Psychiatry, Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:affiliation>Department of Child and Adolescent Psychiatry, Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Child and Adolescent Psychiatry, Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Mortier, Philippe" sort="Mortier, Philippe" uniqKey="Mortier P" first="Philippe" last="Mortier">Philippe Mortier</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>
</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, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Health Care Policy, Harvard Medical School, Boston</wicri:cityArea>
</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>Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Health & Experimental Sciences, 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>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Program 6: Health Services Evaluation, 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">Depression and anxiety</title>
<idno type="eISSN">1520-6394</idno>
<imprint><date when="2019" type="published">2019</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term>
<term>Anxiety Disorders (epidemiology)</term>
<term>Child (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mood Disorders (epidemiology)</term>
<term>Parents (psychology)</term>
<term>Peer Group (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Protective Factors (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Sex Factors (MeSH)</term>
<term>Students (psychology)</term>
<term>Students (statistics & numerical data)</term>
<term>Suicidal Ideation (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Universities (MeSH)</term>
<term>Violence (statistics & numerical data)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Facteurs de protection (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs sexuels (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Groupe de pairs (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Idéation suicidaire (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Parents (psychologie)</term>
<term>Prévalence (MeSH)</term>
<term>Troubles anxieux (épidémiologie)</term>
<term>Troubles de l'humeur (épidémiologie)</term>
<term>Universités (MeSH)</term>
<term>Violence (statistiques et données numériques)</term>
<term>Études transversales (MeSH)</term>
<term>Étudiants (psychologie)</term>
<term>Étudiants (statistiques et données numériques)</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Anxiety Disorders</term>
<term>Mood Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Parents</term>
<term>Étudiants</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parents</term>
<term>Students</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Students</term>
<term>Violence</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Violence</term>
<term>Étudiants</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Troubles anxieux</term>
<term>Troubles de l'humeur</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Peer Group</term>
<term>Prevalence</term>
<term>Protective Factors</term>
<term>Risk Factors</term>
<term>Sex Factors</term>
<term>Suicidal Ideation</term>
<term>Surveys and Questionnaires</term>
<term>Universities</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Enfant</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs de protection</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Groupe de pairs</term>
<term>Humains</term>
<term>Idéation suicidaire</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Universités</term>
<term>Études transversales</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>AIM</b>
</p>
<p>To assess gender differences in the association between risk/protective factors and suicidal thoughts and behaviors (STB); and whether there is any gender-interaction with those factors and STB; among Spanish university students.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Data from baseline online survey of UNIVERSAL project, a multicenter, observational study of first-year Spanish university students (18-24 years). We assessed STB; lifetime and 12-month negative life-events and family adversities; mental disorders; personal and community factors. Gender-specific regression models and gender-interactions were also analyzed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>We included 2,105 students, 55.4% women. Twelve-month prevalence of suicidal ideation (SI) was 10%, plans 5.7%, attempts 0.6%. Statistically significant gender-interactions were found for lifetime anxiety disorder, hopelessness, violence between parents, chronic health conditions and family support. Lifetime mood disorder was a common risk factor of SI for both genders (Females: OR= 5.5; 95%CI 3.3-9.3; Males: OR= 4.4; 95%CI 2.0-9.7). For females, exposure to violence between parents (OR= 3.5; 95%CI 1.7-7.2), anxiety disorder (OR= 2.7; 95%CI 1.6-4.6), and alcohol/substance disorder (OR= 2.1; 95%CI 1.1-4.3); and for males, physical childhood maltreatment (OR= 3.6; 95%CI 1.4-9.2), deceased parents (OR= 4.6; 95%CI 1.2-17.7), and hopelessness (OR= 7.7; 95%CI 2.8-21.2), increased SI risk. Family support (OR= 0.5; 95%CI 0.2-0.9) and peers/others support (OR= 0.4; 95%CI 0.2-0.8) were associated to a lower SI risk only among females.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Only mood disorder was a common risk factor of SI for both genders, whereas important gender-differences were observed regarding the other factors assessed. The protective effect from family and peers/others support was observed only among females. Further research assessing underlying mechanisms and pathways of gender-differences is needed.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31609064</PMID>
<DateCompleted><Year>2020</Year>
<Month>04</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1520-6394</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>36</Volume>
<Issue>11</Issue>
<PubDate><Year>2019</Year>
<Month>11</Month>
</PubDate>
</JournalIssue>
<Title>Depression and anxiety</Title>
<ISOAbbreviation>Depress Anxiety</ISOAbbreviation>
</Journal>
<ArticleTitle>Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross-sectional study of Spanish university students.</ArticleTitle>
<Pagination><MedlinePgn>1102-1114</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/da.22960</ELocationID>
<Abstract><AbstractText Label="AIM">To assess gender differences in the association between risk/protective factors and suicidal thoughts and behaviors (STB); and whether there is any gender-interaction with those factors and STB; among Spanish university students.</AbstractText>
<AbstractText Label="METHODS">Data from baseline online survey of UNIVERSAL project, a multicenter, observational study of first-year Spanish university students (18-24 years). We assessed STB; lifetime and 12-month negative life-events and family adversities; mental disorders; personal and community factors. Gender-specific regression models and gender-interactions were also analyzed.</AbstractText>
<AbstractText Label="RESULTS">We included 2,105 students, 55.4% women. Twelve-month prevalence of suicidal ideation (SI) was 10%, plans 5.7%, attempts 0.6%. Statistically significant gender-interactions were found for lifetime anxiety disorder, hopelessness, violence between parents, chronic health conditions and family support. Lifetime mood disorder was a common risk factor of SI for both genders (Females: OR= 5.5; 95%CI 3.3-9.3; Males: OR= 4.4; 95%CI 2.0-9.7). For females, exposure to violence between parents (OR= 3.5; 95%CI 1.7-7.2), anxiety disorder (OR= 2.7; 95%CI 1.6-4.6), and alcohol/substance disorder (OR= 2.1; 95%CI 1.1-4.3); and for males, physical childhood maltreatment (OR= 3.6; 95%CI 1.4-9.2), deceased parents (OR= 4.6; 95%CI 1.2-17.7), and hopelessness (OR= 7.7; 95%CI 2.8-21.2), increased SI risk. Family support (OR= 0.5; 95%CI 0.2-0.9) and peers/others support (OR= 0.4; 95%CI 0.2-0.8) were associated to a lower SI risk only among females.</AbstractText>
<AbstractText Label="CONCLUSIONS">Only mood disorder was a common risk factor of SI for both genders, whereas important gender-differences were observed regarding the other factors assessed. The protective effect from family and peers/others support was observed only among females. Further research assessing underlying mechanisms and pathways of gender-differences is needed.</AbstractText>
<CopyrightInformation>© 2019 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Miranda-Mendizabal</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<Identifier Source="ORCID">0000-0003-3649-7509</Identifier>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Castellví</LastName>
<ForeName>Pere</ForeName>
<Initials>P</Initials>
<Identifier Source="ORCID">0000-0002-3920-8576</Identifier>
<AffiliationInfo><Affiliation>Department of Psychology, University of Jaén, Jaén, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Alayo</LastName>
<ForeName>Itxaso</ForeName>
<Initials>I</Initials>
<Identifier Source="ORCID">0000-0002-7333-3450</Identifier>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vilagut</LastName>
<ForeName>Gemma</ForeName>
<Initials>G</Initials>
<Identifier Source="ORCID">0000-0002-3714-226X</Identifier>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Blasco</LastName>
<ForeName>Maria Jesús</ForeName>
<Initials>MJ</Initials>
<Identifier Source="ORCID">0000-0002-3614-292X</Identifier>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Torrent</LastName>
<ForeName>Aina</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Health and Life Sciences Faculty, Pompeu Fabra University (UPF), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ballester</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
<Identifier Source="ORCID">0000-0002-4892-7003</Identifier>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Psychology, Girona University (UdG), Girona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Almenara</LastName>
<ForeName>José</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Biomedicine, Biotechnology and Public Health, University of Cadiz (UCA), Cádiz, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lagares</LastName>
<ForeName>Carolina</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Biomedicine, Biotechnology and Public Health, University of Cadiz (UCA), Cádiz, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Roca</LastName>
<ForeName>Miquel</ForeName>
<Initials>M</Initials>
<Identifier Source="ORCID">0000-0001-7301-8373</Identifier>
<AffiliationInfo><Affiliation>Department of Psychology, 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>Sesé</LastName>
<ForeName>Albert</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Psychology, 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>
<Identifier Source="ORCID">0000-0002-3604-5441</Identifier>
<AffiliationInfo><Affiliation>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Soto-Sanz</LastName>
<ForeName>Victoria</ForeName>
<Initials>V</Initials>
<Identifier Source="ORCID">0000-0003-2918-6905</Identifier>
<AffiliationInfo><Affiliation>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rodríguez-Marín</LastName>
<ForeName>Jesús</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Health Psychology, Miguel Hernandez University of Elche (UMH), Alicante, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Echeburúa</LastName>
<ForeName>Enrique</ForeName>
<Initials>E</Initials>
<Identifier Source="ORCID">0000-0001-7654-0781</Identifier>
<AffiliationInfo><Affiliation>Department of Personality, Psychological Evaluation and Treatment, University of the Basque Country (UPV-EHU), Bilbao, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gabilondo</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Mental Health and Psychiatric Care, Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Biodonosti Health Research Institute, San Sebastian, 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>Department of Psychiatry, 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>
<Identifier Source="ORCID">0000-0003-2319-4744</Identifier>
<AffiliationInfo><Affiliation>Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry, Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mortier</LastName>
<ForeName>Philippe</ForeName>
<Initials>P</Initials>
<Identifier Source="ORCID">0000-0003-2113-6241</Identifier>
<AffiliationInfo><Affiliation>Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kessler</LastName>
<ForeName>Ronald C</ForeName>
<Initials>RC</Initials>
<Identifier Source="ORCID">0000-0003-4831-2305</Identifier>
<AffiliationInfo><Affiliation>Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.</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>Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Program 6: Health Services Evaluation, CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<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>2019</Year>
<Month>10</Month>
<Day>14</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Depress Anxiety</MedlineTA>
<NlmUniqueID>9708816</NlmUniqueID>
<ISSNLinking>1091-4269</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001008" MajorTopicYN="N">Anxiety Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019964" MajorTopicYN="N">Mood Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010290" MajorTopicYN="N">Parents</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010379" MajorTopicYN="N">Peer Group</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D065840" MajorTopicYN="Y">Protective Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013334" MajorTopicYN="N">Students</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D059020" MajorTopicYN="Y">Suicidal Ideation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014495" MajorTopicYN="Y">Universities</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014754" MajorTopicYN="N">Violence</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">anxiety/anxiety disorders</Keyword>
<Keyword MajorTopicYN="Y">depression</Keyword>
<Keyword MajorTopicYN="Y">gender</Keyword>
<Keyword MajorTopicYN="Y">mood disorders</Keyword>
<Keyword MajorTopicYN="Y">suicide/self-harm</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year>
<Month>04</Month>
<Day>29</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2019</Year>
<Month>08</Month>
<Day>12</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>09</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>10</Month>
<Day>15</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>4</Month>
<Day>15</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>10</Month>
<Day>15</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31609064</ArticleId>
<ArticleId IdType="doi">10.1002/da.22960</ArticleId>
</ArticleIdList>
<ReferenceList></ReferenceList>
</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>Madrid</li>
</settlement>
</list>
<tree><country name="Espagne"><region name="Catalogne"><name sortKey="Miranda Mendizabal, Andrea" sort="Miranda Mendizabal, Andrea" uniqKey="Miranda Mendizabal A" first="Andrea" last="Miranda-Mendizabal">Andrea Miranda-Mendizabal</name>
</region>
<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>
<name sortKey="Ballester, Laura" sort="Ballester, Laura" uniqKey="Ballester L" first="Laura" last="Ballester">Laura Ballester</name>
<name sortKey="Ballester, Laura" sort="Ballester, Laura" uniqKey="Ballester L" first="Laura" last="Ballester">Laura Ballester</name>
<name sortKey="Ballester, Laura" sort="Ballester, Laura" uniqKey="Ballester L" first="Laura" last="Ballester">Laura Ballester</name>
<name sortKey="Blasco, Maria Jesus" sort="Blasco, Maria Jesus" uniqKey="Blasco M" first="Maria Jesús" last="Blasco">Maria Jesús Blasco</name>
<name sortKey="Blasco, Maria Jesus" sort="Blasco, Maria Jesus" uniqKey="Blasco M" first="Maria Jesús" last="Blasco">Maria Jesús Blasco</name>
<name sortKey="Castellvi, Pere" sort="Castellvi, Pere" uniqKey="Castellvi P" first="Pere" last="Castellví">Pere Castellví</name>
<name sortKey="Cebria, Ana Isabel" sort="Cebria, Ana Isabel" uniqKey="Cebria A" first="Ana Isabel" last="Cebrià">Ana Isabel Cebrià</name>
<name sortKey="Echeburua, Enrique" sort="Echeburua, Enrique" uniqKey="Echeburua E" first="Enrique" last="Echeburúa">Enrique Echeburúa</name>
<name sortKey="Gabilondo, Andrea" sort="Gabilondo, Andrea" uniqKey="Gabilondo A" first="Andrea" last="Gabilondo">Andrea Gabilondo</name>
<name sortKey="Lagares, Carolina" sort="Lagares, Carolina" uniqKey="Lagares C" first="Carolina" last="Lagares">Carolina Lagares</name>
<name sortKey="Miranda Mendizabal, Andrea" sort="Miranda Mendizabal, Andrea" uniqKey="Miranda Mendizabal A" first="Andrea" last="Miranda-Mendizabal">Andrea Miranda-Mendizabal</name>
<name sortKey="Mortier, Philippe" sort="Mortier, Philippe" uniqKey="Mortier P" first="Philippe" last="Mortier">Philippe Mortier</name>
<name sortKey="Piqueras, Jose Antonio" sort="Piqueras, Jose Antonio" uniqKey="Piqueras J" first="José Antonio" last="Piqueras">José Antonio Piqueras</name>
<name sortKey="Roca, Miquel" sort="Roca, Miquel" uniqKey="Roca M" first="Miquel" last="Roca">Miquel Roca</name>
<name sortKey="Rodriguez Marin, Jesus" sort="Rodriguez Marin, Jesus" uniqKey="Rodriguez Marin J" first="Jesús" last="Rodríguez-Marín">Jesús Rodríguez-Marín</name>
<name sortKey="Sese, Albert" sort="Sese, Albert" uniqKey="Sese A" first="Albert" last="Sesé">Albert Sesé</name>
<name sortKey="Soto Sanz, Victoria" sort="Soto Sanz, Victoria" uniqKey="Soto Sanz V" first="Victoria" last="Soto-Sanz">Victoria Soto-Sanz</name>
<name sortKey="Torrent, Aina" sort="Torrent, Aina" uniqKey="Torrent A" first="Aina" last="Torrent">Aina Torrent</name>
<name sortKey="Vilagut, Gemma" sort="Vilagut, Gemma" uniqKey="Vilagut G" first="Gemma" last="Vilagut">Gemma Vilagut</name>
<name sortKey="Vilagut, Gemma" sort="Vilagut, Gemma" uniqKey="Vilagut G" first="Gemma" last="Vilagut">Gemma Vilagut</name>
</country>
<country name="Belgique"><noRegion><name sortKey="Bruffaerts, Ronny" sort="Bruffaerts, Ronny" uniqKey="Bruffaerts R" first="Ronny" last="Bruffaerts">Ronny Bruffaerts</name>
</noRegion>
</country>
<country name="États-Unis"><region name="Massachusetts"><name sortKey="Auerbach, Randy P" sort="Auerbach, Randy P" uniqKey="Auerbach R" first="Randy P" last="Auerbach">Randy P. Auerbach</name>
</region>
<name sortKey="Auerbach, Randy P" sort="Auerbach, Randy P" uniqKey="Auerbach R" first="Randy P" last="Auerbach">Randy P. Auerbach</name>
<name sortKey="Kessler, Ronald C" sort="Kessler, Ronald C" uniqKey="Kessler R" first="Ronald C" last="Kessler">Ronald C. Kessler</name>
</country>
</tree>
</affiliations>
</record>
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