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      Suicidal behavior and problematic Internet use in college students Translated title: Conducta suicida y uso problemático de Internet en estudiantes universitarios

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          Abstract

          Abstract: Background: Suicidal behavior, especially in young populations such as university students, is currently one of the most concerning health problems worldwide, suicide being the second leading cause of death among students. Although literature is still scarce, one of the risk factors that correlates the most with suicidal behavior in young people appears to be problematic internet use (PIU). The aim of this study was to investigate the relationship between PIU and suicidal behavior in a Spanish university population. Method: An ex post facto prospective design was used with a sample of 1,386 Spanish university students (68.7% women and 31.3% men). PIU was assessed by means of the Internet Addiction Test (IAT) and psychological problems by means of the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Results: The results confirm the relationship between PIU and suicidal behavior, principally alongside those of social isolation and depression, this risk being 3.78 times higher among women with PIU and 5.58 times higher in men. Conclusions: PIU appears as a risk factor for suicidal behavior that must be taken into account together with social isolation, subjective distress and depression.

          Translated abstract

          Resumen Antecedentes: La conducta suicida, sobre todo en población joven como la universitaria, es actualmente uno de los problemas de salud que más preocupa a nivel mundial, siendo el suicidio la segunda causa de muerte en esta población. Aunque la literatura aún es escasa, parece que el uso problemático de Internet (UPI) se muestra como uno de los factores de riesgo que más correlaciona con la conducta suicida en jóvenes. El objetivo de esta investigación es estudiar la relación entre el UPI y la conducta suicida en población universitaria española. Método: Se utilizó un diseño prospectivo ex post facto con una muestra universitaria española de 1,386 (68.7% mujeres y 31.3% hombres), evaluando el UPI mediante el Internet Addiction Test (IAT) y los problemas psicológicos mediante el Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Resultados: Los resultados obtenidos confirman la relación existente entre el UPI y la conducta suicida, en relación también con el aislamiento social y la depresión principalmente, siendo este riesgo 3.78 veces mayor entre las mujeres con UPI y de 5.58 en hombres. Conclusiones: El UPI se presenta como un factor de riesgo para el suicido a tener en cuenta junto con el aislamiento social, la angustia subjetiva y la depresión.

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          Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research.

          Suicidal thoughts and behaviors (STBs) are major public health problems that have not declined appreciably in several decades. One of the first steps to improving the prevention and treatment of STBs is to establish risk factors (i.e., longitudinal predictors). To provide a summary of current knowledge about risk factors, we conducted a meta-analysis of studies that have attempted to longitudinally predict a specific STB-related outcome. This included 365 studies (3,428 total risk factor effect sizes) from the past 50 years. The present random-effects meta-analysis produced several unexpected findings: across odds ratio, hazard ratio, and diagnostic accuracy analyses, prediction was only slightly better than chance for all outcomes; no broad category or subcategory accurately predicted far above chance levels; predictive ability has not improved across 50 years of research; studies rarely examined the combined effect of multiple risk factors; risk factors have been homogenous over time, with 5 broad categories accounting for nearly 80% of all risk factor tests; and the average study was nearly 10 years long, but longer studies did not produce better prediction. The homogeneity of existing research means that the present meta-analysis could only speak to STB risk factor associations within very narrow methodological limits-limits that have not allowed for tests that approximate most STB theories. The present meta-analysis accordingly highlights several fundamental changes needed in future studies. In particular, these findings suggest the need for a shift in focus from risk factors to machine learning-based risk algorithms. (PsycINFO Database Record
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            Internet Addiction: The Emergence of a New Clinical Disorder

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              The psychology of suicidal behaviour

              The causes of suicidal behaviour are not fully understood; however, this behaviour clearly results from the complex interaction of many factors. Although many risk factors have been identified, they mostly do not account for why people try to end their lives. In this Review, we describe key recent developments in theoretical, clinical, and empirical psychological science about the emergence of suicidal thoughts and behaviours, and emphasise the central importance of psychological factors. Personality and individual differences, cognitive factors, social aspects, and negative life events are key contributors to suicidal behaviour. Most people struggling with suicidal thoughts and behaviours do not receive treatment. Some evidence suggests that different forms of cognitive and behavioural therapies can reduce the risk of suicide reattempt, but hardly any evidence about factors that protect against suicide is available. The development of innovative psychological and psychosocial treatments needs urgent attention.
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                Author and article information

                Journal
                psicothema
                Psicothema
                Psicothema
                Colegio Oficial de Psicólogos del Principado de Asturias (Oviedo, Asturias, Spain )
                0214-9915
                1886-144X
                2023
                : 35
                : 1
                : 77-86
                Affiliations
                [1] Andalucía orgnameUniversidad de Córdoba Spain
                [2] orgnameHospital Santa Ana
                Article
                S1886-144X2023000100009 S1886-144X(23)03500100009
                10.7334/psicothema2022.153
                36695853
                cd6668fb-a0ce-4169-a116-212f5a05e078

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 25 September 2022
                : 28 March 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 85, Pages: 10
                Product

                SciELO Spain

                Categories
                Articles

                Suicidal Behavior,Estudiantes universitarios,Problemas psicológicos,Uso problemático de Internet,Ideación suicida,Conducta suicida,College Students,Psychological Problems,Problematic Internet Use,Suicidal Ideation

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