{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:35:26Z","timestamp":1790735726289,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T00:00:00Z","timestamp":1577059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify factors associated with a history of suicide attempt in medical students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A Web\u2010based survey was sent out to a sample of medical students. A multi\u2010predictor Poisson regression was performed to identify factors associated with a history of suicide attempt. In addition, an elastic net regularization was used to build a risk calculator to identify students at risk for attempted suicide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 4,840 participants were included in the study. Prevalence of suicide attempts in the sample was 8.94%. Risk factors associated with past suicide attempt in the multi\u2010predictor Poisson regression were as follows: female gender (P\u00a0&lt;\u00a00.001); homosexuality (P\u00a0&lt;\u00a00.001); low income (P\u00a0=\u00a00.026); bullying by university peers (P\u00a0=\u00a00.006); childhood (P\u00a0=\u00a00.001) or adult (P\u00a0=\u00a00.001) trauma; family history of suicide (P\u00a0=\u00a00.005); suicidal ideation within the last month (P\u00a0&lt;\u00a00.001); daily tobacco use (P\u00a0=\u00a00.037); and being at severe risk for alcohol abuse (P\u00a0=\u00a00.023). Our elastic net model performed well with an AUC of 0.83.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study identifies a number of key factors associated with a history of suicide attempts among medical students. Future longitudinal studies should assess the causal relationship between these factors and suicide attempts. Additionally, these results demonstrate that current available data on suicide attempts among medical students can be used to develop an accurate risk algorithm.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.13137","type":"journal-article","created":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T02:41:00Z","timestamp":1575427260000},"page":"254-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Who attempts suicide among medical students?"],"prefix":"10.1111","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5151-4640","authenticated-orcid":false,"given":"G.","family":"Marcon","sequence":"first","affiliation":[{"name":"Post\u2010Graduation Program in Psychiatry and Behavioral Sciences Federal University of Rio Grande do Sul (UFRGS) Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Massaro Carneiro Monteiro","sequence":"additional","affiliation":[{"name":"Post\u2010Graduation Program in Psychiatry and Behavioral Sciences Federal University of Rio Grande do Sul (UFRGS) Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Ballester","sequence":"additional","affiliation":[{"name":"Post\u2010Graduation Program in Computer Science School of Technology Pontifical Catholic University of Rio Grande do Sul (PUCRS) Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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