title: Childhood adversity, recent life stressors and suicidal behavior in Chinese college students.
abstract: BACKGROUND
  Although the independent effects of childhood adversities and of recent negative events on suicidality have been well-documented, the combinative role of childhood and recent adversities on risk for suicidality is still underexplored, especially in the context of Chinese culture and in consideration of specific types of negative events.
  
  
  METHODS
  5989 students, randomly sampled from six universities in central China, completed the online survey for this study. Suicidal behavior, life adversity during childhood and stressful events in recent school life were assessed with designed questionnaires.
  
  
  RESULTS
  Students experiencing recent stressful life events more often reported an experience of life adversity during childhood. While recent stressful life events and childhood life adversity both were associated with an increased risk for suicidal behavior, the two exposures presented conjunctively and acted interactively to increase the risk. There was noticeable variation of effects associated with specific childhood life adversities, and sexual abuse, poor parental relationship, divorce of parents and loss of a parent were among the adversities associated with the highest increased risk. Recent conflicts with classmates, poor school performance and rupture of romantic relationships were the recent school life stressors associated with the highest increased risk.
  
  
  CONCLUSIONS
  Childhood adversity and recent school life stressors had a combinative role in predicting suicidality of young people studying in Chinese colleges. Unhappy family life during childhood and recent interpersonal conflicts in school were the most important predictors of suicidality in this population.
authors.affiliation: Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China; School of Psychology, Central China Normal University, Wuhan, China.
authors.forename: Zhiqi
authors.initials: Z
authors.lastname: You
authors.affiliation: Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China; School of Psychology, Central China Normal University, Wuhan, China.
authors.forename: Mingxi
authors.initials: M
authors.lastname: Chen
authors.affiliation: Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China; School of Psychology, Central China Normal University, Wuhan, China.
authors.forename: Sen
authors.initials: S
authors.lastname: Yang
authors.affiliation: Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China; School of Psychology, Central China Normal University, Wuhan, China.
authors.forename: Zongkui
authors.initials: Z
authors.lastname: Zhou
authors.affiliation: National Center for Register-based Research, University of Aarhus, Aarhus, Denmark; National Center for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
authors.forename: Ping
authors.initials: P
authors.lastname: Qin
mesh_terms: D000293:Adolescent; D000328:Adult; D002649:Child Abuse / Q000523:psychology; D016241:Child of Impaired Parents / Q000523:psychology; D002681:China; D004243:Divorce / Q000523:psychology; D005195:Family Relations; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D012306:Risk; D013334:Students / Q000523:psychology; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult