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Nested logistic regression models were estimated and areas under the curve (<jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content>) compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2,118 students completed the survey (mean age\u00a0=\u00a018.8 [<jats:italic><jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content><\/jats:italic>\u00a0=\u00a01.4]\u00a0years; 55.4% female). Twelve\u2010month prevalence of suicide ideation (<jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>) was 9.9%, plans, 5.6%, and attempts, 0.6%. Risk factors of 12\u2010month <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content> were as follows: parental psychopathology (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.7, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.2\u20132.5); sexual assault (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a05.6, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.4\u201322.1); lifetime mood disorder (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a05.2, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.5\u20137.7); and lifetime anxiety disorder (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.7, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.1\u20132.5). Childhood positive relationships protected from <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content> were as follows: peers\/others (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.6, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.4\u20130.9 for the second highest tertile) and family (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.4, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.3\u20130.7 for the highest tertile). <jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content> of the final model was 0.82 (<jats:italic><jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content><\/jats:italic>\u00a0=\u00a00.015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results indicate a high prevalence of <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content> among Spanish university students and identify protective and risk factors from a comprehensive conceptual model.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.12491","type":"journal-article","created":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T05:40:02Z","timestamp":1532410802000},"page":"881-898","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Suicidal Thoughts and Behaviors: Prevalence and Association with Distal and Proximal Factors in Spanish University Students"],"prefix":"10.1111","volume":"49","author":[{"given":"Maria Jes\u00fas","family":"Blasco","sequence":"first","affiliation":[{"name":"Health Services Research Group IMIM\u2010Institut Hospital del Mar d\u2032Investigacions M\u00e8diques Barcelona Spain"},{"name":"Pompeu Fabra University (UPF) Barcelona Spain"},{"name":"CIBER Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP) Madrid 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