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Thus, the objective of the current study was to evaluate changes in the suicide risk rate from the period before to during the COVID-19 pandemic, as well as the factors associated with this outcome among Brazilian undergraduate students.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291722001933_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This was a nationwide survey carried out in Brazil with a cross-sectional design, including two data collection periods: a single-center in-person collection in 2019 and another multicenter online collection in 2020\/2021. Data were collected using self-administered instruments. The outcome was a high risk of suicide, measured through the Mini International Neuropsychiatric Interview. Analyses were carried out on data from two periods, i.e. before and during the pandemic (bivariate analysis and interaction tests), and a model of associated factors (multivariate analysis using Poisson regression) was developed including all participating universities distributed in the five regions of Brazil.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291722001933_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>In total, 6716 Brazilian undergraduate students participated (996 in 2019 and 5720 in 2020\/2021). The prevalence of a high suicide risk rose from 11.3% to 17.0%, especially among women and poorer individuals. The prevalence of a high risk of suicide among Brazilian undergraduates was 19.6% and was associated with several socioeconomic, academic, pandemic, and mental health factors.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291722001933_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of a high suicide risk increased from prepandemic to during the pandemic, appearing to be largely influenced by social determinants, in conjunction with the implications of the COVID-19 pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291722001933","type":"journal-article","created":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T07:42:54Z","timestamp":1655192574000},"page":"4977-4989","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":23,"title":["Suicide risk among undergraduate students in Brazil in the periods before and during the COVID-19 pandemic: results of the SABES-Grad national survey"],"prefix":"10.1017","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7285-2566","authenticated-orcid":false,"given":"Lauro Miranda","family":"Demenech","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7526-2238","authenticated-orcid":false,"given":"Lucas","family":"Neiva-Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7728-2304","authenticated-orcid":false,"given":"Sandra Mara Silva","family":"Brignol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5191-3331","authenticated-orcid":false,"given":"Samira Reschetti","family":"Marcon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5047-2466","authenticated-orcid":false,"given":"S\u00f4nia Maria","family":"Lemos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2713-8670","authenticated-orcid":false,"given":"Rafael Miranda","family":"Tassitano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5994-735X","authenticated-orcid":false,"given":"Samuel C.","family":"Dumith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,6,14]]},"reference":[{"key":"S0033291722001933_ref58","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.1592.2878"},{"key":"S0033291722001933_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadr.2021.100228"},{"key":"S0033291722001933_ref46","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002215"},{"key":"S0033291722001933_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30285-0"},{"key":"S0033291722001933_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.09.065"},{"key":"S0033291722001933_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113452"},{"key":"S0033291722001933_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2020.11.013"},{"key":"S0033291722001933_ref49","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311x00115320"},{"key":"S0033291722001933_ref29","first-page":"1","article-title":"COVID 19 fear, stress, anxiety, and substance use among Russian and Belarusian university students","author":"Gritsenko","year":"2020","journal-title":"International Journal of Mental Health and Addiction"},{"key":"S0033291722001933_ref51","doi-asserted-by":"publisher","DOI":"10.1590\/1516-4446-2017-2223"},{"key":"S0033291722001933_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102430"},{"key":"S0033291722001933_ref15","doi-asserted-by":"publisher","DOI":"10.47626\/2237-6089-2021-0367"},{"key":"S0033291722001933_ref61","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2212-6"},{"key":"S0033291722001933_ref55","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2020.104086"},{"key":"S0033291722001933_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcaa110"},{"key":"S0033291722001933_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102384"},{"key":"S0033291722001933_ref5","volume-title":"Abnormal psychology: An integrative approach","author":"Barlow","year":"2017"},{"key":"S0033291722001933_ref37","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2020.1853805"},{"key":"S0033291722001933_ref60","doi-asserted-by":"publisher","DOI":"10.1590\/1415-52732014000200010"},{"key":"S0033291722001933_ref1","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-44462000000300003"},{"key":"S0033291722001933_ref24","unstructured":"Furno, J. , Fogo, D. , Toneto, L. , Cardomingo, M. 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