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. Author manuscript; available in PMC: 2019 Apr 2.
Published in final edited form as: J Am Acad Child Adolesc Psychiatry. 2018 Feb 13;57(4):263–273.e1. doi: 10.1016/j.jaac.2018.01.018

Table 4.

Socio-demographic and college-specific factors for lifetime suicidal thoughts and behaviors (STB) in the WMH-ICS Surveys, country effect vs. overall effect.

Overall Effect Australia Belgium Germany Mexico Northern-Ireland South-Africa Spain USA
aOR (95%CI) aOR (95%CI) aOR (95%CI) aOR (95%CI) aOR (95%CI) aOR (95%CI) aOR (95%CI) aOR (95%CI) aOR (95%CI)
Being female 1.3 (1.2–1.5)* 0.6 (0.5–0.9)* 0.8 (0.7–1.0)* 0.9 (0.7–1.3) 1.4 (1.2–1.7)* 1.4 (1.0–1.9)* 1.1 (0.8–1.5) 0.9 (0.8–1.2) 0.9 (0.7–1.3)
Age
 20 years or more 1.2 (1.0–1.5)* 1.6 (1.0–2.4)* 1.6 (1.1–2.2)* 0.6 (0.4–0.9)* 0.8 (0.7–1.1) 1.2 (0.8–1.8) 0.8 (0.5–1.3) 0.7 (0.5–1.0)* 1.1 (0.4–3.1)
 19 years 0.9 (0.8–1.1) 0.9 (0.5–1.4) 1.5 (1.2–1.9)* 1.0 (0.7–1.5) 1.2 (0.9–1.4) 0.8 (0.5–1.2) 0.8 (0.5–1.1) 1.0 (0.8–1.3) 1.1 (0.8–1.6)
 18 yearsb (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref)
Parental education
 Low 1.0 (0.8–1.2) 1.1 (0.6–2.0) 1.1 (0.8–1.5) 0.9 (0.6–1.3) 0.9 (0.7–1.2) 1.0 (0.6–1.4) 1.6 (1.0–2.8) 1.0 (0.7–1.3) 0.7 (0.3–1.6)
 Medium 0.9 (0.7–1.0)* 1.0 (0.6–1.9) 1.0 (0.8–1.4) 1.2 (0.8–1.8) 1.0 (0.8–1.3) 0.9 (0.6–1.3) 1.1 (0.7–1.6) 1.1 (0.8–1.3) 0.7 (0.4–1.2)
 High (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref)
Parents not married or at least one parent deceased 1.4 (1.3–1.6)* 1.1 (0.6–1.9) 1.0 (0.8–1.3) 1.0 (0.7–1.4) 1.0 (0.8–1.2) 1.5 (1.0–2.1)* 0.8 (0.6–1.1) 1.2 (1.0–1.6) 0.6 (0.4–0.9)*
Place raised
 Rural area 1.0 (0.7–1.3) 0.9 (0.3–3.0) 1.2 (0.7–2.1) 0.8 (0.4–1.5) 1.1 (0.7–1.7) 0.7 (0.4–1.3) 1.6 (0.7–3.7) 1.5 (0.7–3.0) 0.6 (0.2–1.7)
 Suburbs 1.0 (0.8–1.2) 1.2 (0.6–2.6) 1.4 (0.9–2.2) 0.7 (0.4–1.2) 1.2 (0.7–1.9) 0.7 (0.4–1.3) 1.7 (0.9–3.1) 0.6 (0.4–1.0) 1.1 (0.7–1.7)
 Town/village 1.1 (0.9–1.4) 1.2 (0.6–2.5) 1.2 (0.8–1.7) 0.7 (0.5–1.1) 1.0 (0.7–1.4) 0.9 (0.5–1.5) 1.0 (0.3–3.1) 1.0 (0.8–1.4) 1.1 (0.6–2.0)
 Large city 0.9 (0.7–1.1) 1.3 (0.7–2.3) 1.2 (0.9–1.6) 0.7 (0.4–1.1) 1.0 (0.8–1.3) 0.6 (0.3–1.4) 1.3 (0.7–2.4) 1.5 (1.1–1.9)* 0.7 (0.5–1.2)
 Small city (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref)
Religion
 Another religion 1.4 (1.0–1.8)* 1.2 (0.5–2.7) 1.3 (0.8–2.1) 0.8 (0.4–1.5) 1.2 (0.8–1.9) 0.6 (0.2–2.3) 1.1 (0.6–2.0) 1.6 (0.8–3.0) 0.6 (0.4–1.1)
 No religion 1.5 (1.3–1.7)* 1.1 (0.7–1.7) 1.1 (0.8–1.3) 1.3 (0.9–1.9) 1.1 (0.9–1.4) 1.1 (0.8–1.6) 0.7 (0.5–1.1) 0.8 (0.7–1.0) 0.9 (0.6–1.3)
 Christian (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref)
Sexual orientation
 Non-heterosexual with same-sex sexual intercourse 5.1 (3.9–6.8)* 1.4 (0.6–3.3) 1.0 (0.6–1.8) 1.2 (0.5–2.7) 0.5 (0.3–0.7)* 1.5 (0.7–3.3) 1.0 (0.3–3.1) 0.6 (0.4–1.0) 1.2 (0.6–2.4)
 Non-heterosexual without same-sex sexual intercourse 3.6 (2.8–4.5)* 1.2 (0.5–2.8) 1.1 (0.7–1.6) 0.9 (0.5–1.5) 0.6 (0.4–0.8)* 0.9 (0.5–1.8) 1.4 (0.6–3.4) 1.0 (0.7–1.7) 1.2 (0.7–1.9)
 Heterosexual - some same-sex attraction 2.1 (1.8–2.5)* 0.8 (0.5–1.5) 1.0 (0.7–1.4) 1.1 (0.8–1.7) 1.0 (0.7–1.2) 2.4 (1.4–4.1)* 0.9 (0.5–1.8) 0.7 (0.5–0.9)* 0.7 (0.5–1.1)
 Heterosexual - no same-sex attraction (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref)
Current living situation
 Other 1.5 (0.8–3.0) 1.3 (0.3–5.9) 1.0 (0.4–2.7) 0.4 (0.1–1.2) 0.7 (0.3–1.9) 1.0 (0.3–3.6) 0.6 (0.0–10.4) 1.2 (0.5–2.7) 4.0 (0.2–78.1)
 Private hall of residence 1.2 (0.7–1.9) 0.9 (0.3–3.0) 1.0 (0.4–2.2) 0.8 (0.4–1.7) 0.7 (0.4–1.3) 1.9 (0.5–7.1) 0.8 (0.2–3.2) 0.9 (0.3–2.2) 1.5 (0.2–13.1)
 Shared house or apartment/flat 0.9 (0.5–1.5) 1.2 (0.5–3.0) 1.2 (0.7–2.3) 1.2 (0.6–2.4) 1.1 (0.6–1.9) 1.2 (0.6–2.5) 1.2 (0.4–3.4) 1.2 (0.7–2.2) 0.3 (0.0–10.0)
 University or college hall of residence 1.1 (0.8–1.5) 0.8 (0.4–1.6) 1.1 (0.7–1.7) 0.9 (0.5–1.5) 0.8 (0.4–1.6) 1.1 (0.7–1.8) 1.1 (0.6–1.8) 0.8 (0.5–1.3) 1.6 (0.3–10.2)
 Parents or other relative or own home (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref)
Expected to work on a student job 0.8 (0.7–1.0)* 1.1 (0.6–1.8) 1.0 (0.8–1.3) 0.6 (0.5–0.9)* 1.2 (0.9–1.4) 1.4 (0.9–2.1) 1.0 (0.6–1.6) 0.7 (0.6–0.9)* 1.4 (1.0–1.9)
Self-reported ranking high school
 Bottom 70% 1.2 (1.0–1.4) 1.0 (0.6–1.9) 1.0 (0.8–1.5) 0.6 (0.4–1.0)* 0.8 (0.7–1.1) 0.8 (0.5–1.4) 0.8 (0.5–1.4) 1.9 (1.4–2.5)* 1.4 (0.8–2.5)
 Top 30 to 10% 0.9 (0.8–1.1) 0.9 (0.5–1.6) 1.2 (0.9–1.7) 0.8 (0.5–1.3) 1.0 (0.8–1.2) 1.0 (0.6–1.8) 0.7 (0.5–1.1) 1.4 (1.1–1.9)* 1.0 (0.7–1.5)
 Top 10 to 5% 1.0 (0.8–1.1) 1.3 (0.7–2.3) 1.1 (0.8–1.5) 0.9 (0.5–1.5) 1.0 (0.7–1.2) 0.8 (0.4–1.5) 0.6 (0.4–1.0)* 1.5 (1.1–2.1)* 1.0 (0.7–1.5)
 Top 5% (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref) (ref)
Most important reason to go to college extrinsic 1.1 (0.8–1.3) 1.1 (0.5–2.5) 1.2 (0.8–1.8) 1.1 (0.6–1.9) 1.1 (0.9–1.5) 1.0 (0.5–2.0) 1.1 (0.6–2.1) 0.6 (0.4–1.2) 0.8 (0.4–1.6)

Note: each row shows a separate logistic regression model with any lifetime STB as the outcome variable, adjusting for all other predictor variables (rows), country membership, and predictor-by-country interaction dummies. The second column shows the overall adjusted predictor variable effect; the country columns show to what extent the country-specific adjusted predictor variable effect deviates from the overall adjusted predictor variable effect. For example, the country-specific effect for “Non-heterosexual with same-sex sexual intercourse” (versus “Heterosexual - no same-sex attraction”) in Mexico can be obtained by multiplying aOR = 5.1 (the overall effect) by aOR = 0.6 (the country-specific deviation), i.e., aOR = 2.6. Significant findings are indicated in bold and marked with an asterisk; aOR = adjusted odds ratio; CI = confidence interval; SE = standard error.

*

α = 0.05.

a

16 and 17 year old respondents (n = 2 [<0.01%], and n = 307 [0.8%], respectively) were classified in the 18 year old respondent group for all analyses.