Chris Brownson

Differences in Suicidal Experiences of Male and Female Undergraduate and Graduate Students

Differences in the suicidal experiences of males and females and of undergraduate and graduate students have not been thoroughly explored. Furthermore, given the changing dynamics of college student suicidality and the challenges of suicide prevention, it is important to continue updating the research in this area. This article presents findings from a 2006 national survey with responses from over 26,000 undergraduate and graduate students at 70 colleges and universities. Gender and undergraduate versus graduate student differences were found in suicidal thoughts and behaviors, related experiences such as professional and informal help-seeking during a suicidal crisis, events that precipitated and contributed to the suicidal crisis, and factors that protected against attempting suicide. Among the many findings, some are consistent with previous research, some are unexpected, and some have not previously been studied. The results of this survey have implications for targeting specific interventions to better meet the needs of undergraduate and graduate student males and females.

A Mediation Model of Professional Psychological Help Seeking for Suicide Ideation among Asian American and White American College Students

This study examined professional psychological help seeking among 1,045 White American and Asian American students from 70 U.S. colleges and universities who had seriously considered attempting suicide. The authors found that Asian American college students had lower rates of professional psychological help seeking for their suicide ideation than White American college students. Guided by social network perspectives on professional psychological help seeking, the authors also tested mediators of this racial disparity. Relative to White Americans, Asian Americans were advised by fewer people (especially fewer family members) to seek professional help, which was, in turn, associated with lower rates of professional psychological help seeking for suicide ideation. These findings underscore the importance of gatekeeping as a suicide prevention strategy for Asian American college students.

The associations of race/ethnicity and suicidal ideation among college students: a latent class analysis examining precipitating events and disclosure patterns

The aim of this paper was to examine precipitating events for suicidal ideation and how these experiences relate to disclosure in a diverse sample of college students were examined. Among non-Hispanic White students, relationship/academic problems were most associated with ideation. A romantic break-up increased the odds of getting help. Among racial/ethnic minority students, family/academic problems were most associated with ideation and students who reported multiple events were less likely to get help compared with those not reporting events. Future research should examine the reasons for interpersonal conflict among this high-risk group and their attitudes about help-seeking, and identify cultural norms associated with disclosure.

Distress and Suicidality in Higher Education: Implications for Population-Oriented Prevention Paradigms

ABSTRACT College students respond to stressful experiences along a continuum of distress and suicidality. This study investigated, from students’ perspectives, the contributors to stress, nature of stress, coping strategies used, and role of drugs and alcohol during stressful periods—all with particular relevance for suicidality. Undergraduate and graduate students were sampled on an online survey from 73 institutions, totaling 26,292 respondents. The pervasiveness of stressful experiences students endorse appears to be more than traditional clinical interventions can manage on their own. Recommendations are, therefore, made about how to utilize population-based prevention to reduce students’ distress and suicidality and improve their mental health.

College Students’ Sense of Coherence and Connectedness as Predictors of Suicidal Thoughts and Behaviors

This study aimed to explore the relationship between college students’ sense of coherence and connectedness and their development of suicidal thoughts and behaviors. Using archival data from a larger survey with responses from 26,742 undergraduate and graduate students at 74 colleges and universities, we applied Exploratory Factor Analysis to derive these protective factors (coherence and connectedness) as well as hypothesized distal and proximal risk factors (pre-existing vulnerabilities and distress). Structural Equation Modeling was used to explore latent variable interactions among these factors with regards to outcomes on a continuum of suicidal thinking and behavior. Sense of coherence mitigated the impact of pre-existing vulnerabilities on movement along the continuum, while connectedness mitigated the impact of distress. Findings suggest that including both connectedness and coherence in suicide prevention frameworks will increase the impact of suicide prevention programming.

Suicidal Asian American College Students' Perceptions of Protective Factors: A Qualitative Study.

This study addresses the paucity of knowledge on protective factors associated with Asian American college students’ suicidal behavior. Participants were 58 Asian American college students who seriously considered suicide within the past 12 months and responded to open-ended online survey questions about what was helpful during their suicide crisis. A phenomenological analysis of participants’ narratives revealed the following protective factors: (a) a desire not to hurt or burden others, (b) social support, (c) fear, (d) self-reliance, and (e) insight. These findings can guide culturally informed clinical interventions by mental health professionals.

Association of Religiosity With Sexual Minority Suicide Ideation and Attempt

INTRODUCTION The purpose of this study is to explore how the associations between importance of religion and recent suicide ideation, recent suicide attempt, and lifetime suicide attempt vary by sexual orientation. METHODS Survey data were collected from the 2011 University of Texas at Austins Research Consortium data from 21,247 college-enrolled young adults aged 18-30 years. Respondents reported sexual identity as heterosexual, gay/lesbian, bisexual, or questioning. Two sets of multivariable models were conducted to explore the relations of religious importance and sexual orientation with the prevalence of suicidal behavior. The first model was stratified by sexual orientation and the second model was stratified by importance of religion. To explore potential gender differences in self-directed violence, the models were also stratified by gender identity. The main outcome measures were recent suicidal ideation, recent suicide attempt, and lifetime suicide attempt. RESULTS Overall, increased importance of religion was associated with higher odds of recent suicide ideation for both gay/lesbian and questioning students. The association between sexual orientation and self-directed violence were mixed and varied by strata. Lesbian/gay students who viewed religion as very important had greater odds for recent suicidal ideation and lifetime suicide attempt compared with heterosexual individuals. Bisexual and questioning sexual orientations were significantly associated with recent suicide ideation, recent attempt, and lifetime attempt across all strata of religious importance, but the strongest effects were among those who reported that religion was very important. CONCLUSIONS Religion-based services for mental health and suicide prevention may not benefit gay/lesbian, bisexual, or questioning individuals. Religion-based service providers should actively assure their services are open and supportive of gay/lesbian, bisexual, or questioning individuals.