Lifetime and 12‐Month Nonsuicidal Self‐Injury and Academic Performance in College Freshmen

Kiekens, Glenn; Claes, Laurence; Demyttenaere, Koen; Auerbach, Randy P.; Green, Jennifer; Kessler, Ronald C.; Mortier, Philippe; Nock, Matthew K.; Bruffærts, Ronny

doi:10.1111/sltb.12237

Cited by 83 publications

(76 citation statements)

References 70 publications

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“…Between 2014 and 2016, all 8,530 freshmen were eligible for inclusion in the study (i.e., census sampling ). Detailed recruitment strategies of the LCS are described elsewhere (Kiekens et al., ). In brief, all eligible students were invited to participate, with nonrespondents sent up to seven reminder emails.…”

Section: Methodsmentioning

confidence: 99%

The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors

et al. 2018

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Section: Methodsmentioning

confidence: 99%

The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors

et al. 2018

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“…In addition, this is the first study that investigates the association between BPB and objective academic performance, and so our approach is exploratory in nature. As previous studies found that certain sociodemographic characteristics and mental health problems were related to reduced academic performance (Auerbach et al, ; Bruffaerts et al, ; Kiekens et al, ; Mortier et al, ), we controlled for sociodemographic confounders and the presence of other mental health problems.…”

Section: Introductionmentioning

confidence: 99%

Binge eating and purging in first‐year college students: Prevalence, psychiatric comorbidity, and academic performance

Serra

Kiekens

Vanderlinden

et al. 2019

Intl J Eating Disorders

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Background Binge eating and purging behaviors (BPB) are common among college students, but evidence is scant on prevalence and associations of BPB with mental health problems and objective academic performance. This study aims to investigate: (a) 12‐month prevalence of BPB among college first‐year students, (b) comorbidity patterns of BPB with various mental health problems, and (c) the association of BPB with objective academic functioning. Methods Using data from the Leuven College Surveys (Belgium), as part of the World Mental Health Surveys International College Student initiative, we cross‐sectionally assessed 12‐month BPB and mental health problems among college first‐year students (n = 4,889; response rate = 73.2%) at the beginning of the academic year. Objective measures of academic functioning (final grades, expressed in academic year percentage “AYP” [0–100%] and academic failure) were obtained from administrative records at the end of the academic year. Results Twelve‐month prevalence of BPB was 7.6% (7.3%binge eating and 1.0%purging), with higher rates among females than males. Bivariate models showed an association between BPB and numerous mental health problems (ORs = 3.4–18.4). Multivariate models showed associations with non‐suicidal self‐injury, post‐traumatic stress, internalizing/externalizing problems and suicidal ideation. After controlling for sociodemographic characteristics and comorbid mental health problems, BPB were still associated with lower AYP (−4.1 to −11.2% range) and elevated odds of academic year failure (ORs = 1.4–4.2). Conclusions BPB (especially binge eating) are relatively common and associated with mental health problems, comparatively low academic performance, and higher risk of academic failure among college first‐year students. Further study is needed to examine the causal dynamics underlying these associations.

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“…Predictors included in this study are well-established risk factors for STB (Nock et al, 2012) that have also shown to be related to college STB: parental psychopathology (Abramson et al, 1998; Wilcox et al, 2010), early traumatic experiences (Gibb et al, 2001; Zhang and Tao, 2013), mental disorders (Paul et al, 2015; Whitlock et al, 2013), and recent stressful experiences (Chou et al, 2013; You et al, 2014). We build on earlier LCS studies that found self-injurious behaviours to be widespread among incoming freshmen (Kiekens et al, 2016; Mortier et al, 2015). The current study’s objectives are to: (1) estimate one-year incidence proportions of first-onset STB during college, (2) evaluate individual-level and population-level risk for first-onset STB, and (3) test a multivariate model for first-onset STB in terms of prediction accuracy.…”

Section: Introductionmentioning

confidence: 99%

First onset of suicidal thoughts and behaviours in college

Mortier

Demyttenaere

Auerbach

et al. 2017

Journal of Affective Disorders

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Background College students are a worldwide increasing group of young people at risk for suicidal thoughts and behaviours (STB). However, no previous studies have prospectively investigated the first onset of STB during the college period. Methods Using longitudinal data from the Leuven College Surveys, 2,337 (response rate [RR]=66.6%) incoming freshmen provided baseline data on STB, parental psychopathology, childhood-adolescent traumatic experiences, 12-month risk for mental disorders, and 12-month stressful experiences. A total of 1,253 baseline respondents provided data on 12-month STB in a two-year annual follow-up survey (conditional RR=53.6%; college dropout adjusted conditional RR=70.2%). Results One-year incidence of first-onset STB was 4.6–6.4%. Effect sizes of the included risk factors varied considerably whether viewed from individual-level (ORs 1.91–17.58) or population-level perspective (PARPs 3.4–34.3%). Dating violence prior to the age of 17, physical abuse prior to the age of 17, and 12-month betrayal by someone else than the partner were most strong predictors for first-onset suicidal ideation (ORs=4.23–12.25; PARPs=8.7–27.1%) and plans (ORs=6.57–17.58; PARPs=15.2–34.3%). Multivariate prediction (AUC=.84–.91) revealed that 50.7–65.7% of first-onset STB cases were concentrated in the 10% at highest predicted risk. Limitations As this is a first investigation of STB onset in college, future studies should use validation samples to test the accuracy of our multivariate prediction model. Conclusions The first onset of STB in college appears to be higher than in the general population. Screening at college entrance is a promising strategy to identify those students at highest prospective risk, enabling the cost-efficient clinical assessment of young adults in college.

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Lifetime and 12‐Month Nonsuicidal Self‐Injury and Academic Performance in College Freshmen

Cited by 83 publications

References 70 publications

The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors

The DSM-5 nonsuicidal self-injury disorder among incoming college students: Prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors

Binge eating and purging in first‐year college students: Prevalence, psychiatric comorbidity, and academic performance

First onset of suicidal thoughts and behaviours in college

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