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Mental disorder comorbidity and suicidal thoughts and behaviors in the World Health Organization World Mental Health Surveys International College Student initiative

dc.creatorAuerbach, Randy P.es_ES
dc.creatorMortier, Philippees_ES
dc.creatorBruffaerts, Ronnyes_ES
dc.creatorAlonso, Jordies_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorCuijpers, Pimes_ES
dc.creatorDemyttenaere, Koenes_ES
dc.creatorEbert, David D.es_ES
dc.creatorGreif Green, Jenniferes_ES
dc.creatorHasking, Penelopees_ES
dc.creatorLee, Suees_ES
dc.creatorLochner, Christinees_ES
dc.creatorMcLafferty, Margaretes_ES
dc.creatorNock, Matthew K.es_ES
dc.creatorPetukhova, Maria V.es_ES
dc.creatorPinder-Amaker, Stephaniees_ES
dc.creatorRosellini, Anthony J.es_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorVilagut, Gemmaes_ES
dc.creatorZaslavsky, Alan M.es_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorWHO WMH-ICS Collaboratorses_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.date2019
dc.date.accessioned2023-09-25T17:25:58Z
dc.date.available2023-09-25T17:25:58Z
dc.date.issued2019
dc.identifierJC42DIEP20es_ES
dc.identifier.issn1049-8931
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7771
dc.identifier.urihttps://doi.org/10.1002/mpr.1752
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6877246/
dc.descriptionObjectives: Comorbidity is a common feature of mental disorders. However, needs assessment surveys focus largely on individual disorders rather than on comorbidity even though the latter is more important for predicting suicidal thoughts and behaviors. In the current report, we take a step beyond this conventional approach by presenting data on the prevalence and correlates (sociodemographic factors, college-related factors, and suicidal thoughts and behaviors) of the main multivariate profiles of common comorbid Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV disorders among students participating in the first phase of the World Health Organization World Mental Health International College Student initiative. Method: A web-based mental health survey was administered to first year students in 19 colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States; 45.5% pooled response rate) to screen for seven common DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, attention-deficit/hyperactivity disorder, alcohol use disorder, and drug use disorder. We focus on the 14,348 respondents who provided complete data; 38.4% screened positive for at least one 12-month disorder. Results: Multivariate disorder profiles were detected using latent class analysis (LCA). The least common class (C1; 1.9% of students) was made up of students with high comorbidity (four or more disorders, the majority including mania/hypomania). The remaining 12-month cases had profiles of internalizing-externalizing comorbidity (C2; 5.8%), internalizing comorbidity (C3; 14.6%), and pure disorders (C4; 16.1%). The 1.9% of students in C1 had much higher prevalence of suicidal thoughts and behaviors than other students. Specifically, 15.4% of students in C1 made a suicide attempt in the 12 months before the survey compared with 1.3-2.6% of students with disorders in C2-4, 0.2% of students with lifetime disorders but no 12-month disorders (C5), and 0.1% of students with no lifetime disorders (C6). Conclusions: In line with prior research, comorbid mental disorders were common; however, sociodemographic correlates of LCA profiles were modest. The high level of comorbidity underscores the need to develop and test transdiagnostic approaches for treatment in college students.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherJohn Wiley & Sonses_ES
dc.relation28(2):e1752
dc.rightsAcceso Cerradoes_ES
dc.titleMental disorder comorbidity and suicidal thoughts and behaviors in the World Health Organization World Mental Health Surveys International College Student initiativees_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Psychiatry, Columbia University, New York, New York.
dc.contributor.emailrpa2009@columbia.edu (Randy P. Auerbach)
dc.relation.jnabreviadoINT J METHODS PSYCHIATR RES
dc.relation.journalInternational Journal of Methods in Psychiatric Research
dc.identifier.placeEstados Unidos
dc.date.published2019
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1557-0657
dc.identifier.doi10.1002/mpr.1752
dc.subject.kwCollege student mental health
dc.subject.kwComorbidity
dc.subject.kwMental disorders
dc.subject.kwSuicide thoughts and behaviors


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