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

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Abstract

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.

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The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)

Ronald C Kessler, T Üstün (2004)

This paper presents an overview of the World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and a discussion of the methodological research on which the development of the instrument was based. The WMH‐CIDI includes a screening module and 40 sections that focus on diagnoses (22 sections), functioning (four sections), treatment (two sections), risk factors (four sections), socio‐demographic correlates (seven sections), and methodological factors (two sections). Innovations compared to earlier versions of the CIDI include expansion of the diagnostic sections, a focus on 12‐month as well as lifetime disorders in the same interview, detailed assessment of clinical severity, and inclusion of information on treatment, risk factors, and consequences. A computer‐assisted version of the interview is available along with a direct data entry software system that can be used to keypunch responses to the paper‐and‐pencil version of the interview. Computer programs that generate diagnoses are also available based on both ICD‐10 and DSM‐IV criteria. Elaborate CD‐ROM‐based training materials are available to teach interviewers how to administer the interview as well as to teach supervisors how to monitor the quality of data collection. Copyright © 2004 Whurr Publishers Ltd.

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WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders.

Nancy Sampson, Alan Zaslavsky, Dan J. Stein … (2018)

Increasingly, colleges across the world are contending with rising rates of mental disorders, and in many cases, the demand for services on campus far exceeds the available resources. The present study reports initial results from the first stage of the WHO World Mental Health International College Student project, in which a series of surveys in 19 colleges across 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States) were carried out with the aim of estimating prevalence and basic sociodemographic correlates of common mental disorders among first-year college students. Web-based self-report questionnaires administered to incoming first-year students (45.5% pooled response rate) screened for six common lifetime and 12-month DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, alcohol use disorder, and substance use disorder. We focus on the 13,984 respondents who were full-time students: 35% of whom screened positive for at least one of the common lifetime disorders assessed and 31% screened positive for at least one 12-month disorder. Syndromes typically had onsets in early to middle adolescence and persisted into the year of the survey. Although relatively modest, the strongest correlates of screening positive were older age, female sex, unmarried-deceased parents, no religious affiliation, nonheterosexual identification and behavior, low secondary school ranking, and extrinsic motivation for college enrollment. The weakness of these associations means that the syndromes considered are widely distributed with respect to these variables in the student population. Although the extent to which cost-effective treatment would reduce these risks is unclear, the high level of need for mental health services implied by these results represents a major challenge to institutions of higher education and governments. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

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A systematic review of studies of depression prevalence in university students.

Ahmed Ibrahim, Shona Kelly, Clive E Adams … (2013)

Depression is a common health problem, ranking third after cardiac and respiratory diseases as a major cause of disability. There is evidence to suggest that university students are at higher risk of depression, despite being a socially advantaged population, but the reported rates have shown wide variability across settings. To explore the prevalence of depression in university students. PubMed, PsycINFO, BioMed Central and Medline were searched to identify studies published between 1990 and 2010 reporting on depression prevalence among university students. Searches used a combination of the terms depression, depressive symptoms, depressive disorders, prevalence, university students, college students, undergraduate students, adolescents and/or young adults. Studies were evaluated with a quality rating. Twenty-four articles were identified that met the inclusion and exclusion criteria. Reported prevalence rates ranged from 10% to 85% with a weighted mean prevalence of 30.6%. The results suggest that university students experience rates of depression that are substantially higher than those found in the general population. Study quality has not improved since 1990. Copyright © 2012 Elsevier Ltd. All rights reserved.

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Author and article information

Journal

Title: International Journal of Methods in Psychiatric Research

Abbreviated Title: Int J Methods Psychiatr Res

Publisher: Wiley

ISSN (Print): 1049-8931

ISSN (Electronic): 1557-0657

Publication date Created: December 26 2018

Publication date Created: June 2019

Publication date (Electronic): November 18 2018

Publication date (Print): June 2019

Volume: 28

Issue: 2

Page: e1752

Affiliations

[1 ]Department of PsychiatryColumbia University New York New York

[2 ]Universitair Psychiatrisch Centrum, Campus GasthuisbergKatholieke Universiteit Leuven (UPC‐KUL) Leuven Belgium

[3 ]Health Services Research Unit, IMIM (Hospital del Mar Medical Research Institute), CIBER en Epidemiología y Salud Pública (CIBERESP)Pompeu Fabra University (UPF) Barcelona Spain

[4 ]Department of Epidemiologic and Psychosocial ResearchNational Institute of Psychiatry Ramón de la Fuente Muñiz Mexico City Mexico

[5 ]Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research InstituteVrije Universiteit Amsterdam The Netherlands

[6 ]Department for Psychology, Clinical Psychology and PsychotherapyFriedrich‐Alexander University Erlangen Nuremberg Erlangen Germany

[7 ]Wheelock College of Education and Human DevelopmentBoston University Boston Massachusetts

[8 ]School of PsychologyCurtin University Perth Western Australia Australia

[9 ]Department of Health Care PolicyHarvard Medical School Boston Massachusetts

[10 ]MRC Unit on Risk and Resilience in Mental Disorders, Department of PsychiatryStellenbosch University Cape Town South Africa

[11 ]Psychology Research InstituteUlster University Coleraine UK

[12 ]Department of PsychologyHarvard University Cambridge Massachusetts

[13 ]Department of PsychiatryHarvard Medical School, McLean Hospital Belmont Massachusetts

[14 ]Psychological and Brain SciencesBoston University Boston Massachusetts

Article

DOI: 10.1002/mpr.1752

PMC ID: 6877246

PubMed ID: 30450753

SO-VID: 619e8648-f77a-46b6-93d1-7de91576e6fb

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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

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Most cited references 30

The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)

WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders.

A systematic review of studies of depression prevalence in university students.

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