{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T10:51:17Z","timestamp":1782125477119,"version":"3.54.5"},"reference-count":62,"publisher":"South African Medical Association NPC","license":[{"start":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T00:00:00Z","timestamp":1678233600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["S Afr Med J"],"abstract":"<jats:p>Background. Although suicide prevention is recognised as a priority among university students in South Africa (SA), it is unclear whatproportion of students require urgent indicated interventions and what the characteristics are of these students.Objective. To assess the prevalence and sociodemographic correlates of 30-day suicidal ideation, frequency of ideation and self-reported intention to act on ideation in the next year among a national sample of SA university students.Methods. Self-report cross-sectional data were collected online from students (N=28 268) at 17 universities across SA as part of the national student mental health survey. Students reported suicidal ideation in the past 30 days, frequency of ideation and intention to act on ideation in the next year. Data were weighted within institutions by gender and population group, and across the four main types of universities (historically white, historically disadvantaged, technical and distance learning) to correct for response rate discrepancies. Prevalence was estimated with these weighted in the total sample and across types of universities. Poisson regression with robust error variances was used to investigate associations of sociodemographic characteristics with ideation and intention to act on suicidal ideation.\u00a0Results are reported as relative risks (RRs) with design-based 95% confidence intervals (CIs).Results. Thirty-day prevalence of suicidal ideation was 24.4% (standard error (SE) 0.3), with 2.1% (SE 0.1) and 4.1% (SE 0.1), respectively,reporting suicidal ideation all\/almost all the time, or most of the time. A total of 1.5% (SE 0.1) of respondents reported being very likely to act on their suicidal ideation, while 3.9% (SE 0.2) were somewhat likely, 8.7% (SE 0.2) were not very likely and 85.8 (SE 0.5) either reported no suicidal ideation or that they were not at all likely to act on this ideation. Risk of suicidal ideation with high intent in the total sample was elevated among females (RR 1.9, 95% CI 1.3 - 2.7) and gender non-conforming students (RR 4.3, 95% CI 1.4 - 13.0) relative to males, black African students compared with white students (RR 3.6, 95% CI 1.9 - 7.1), students whose parents did not progress to secondary school compared with students whose parents had a university education (RR 1.6, 95% CI 1.0 - 2.5) and sexual minority students compared with heterosexual students (RR 1.9, 95% CI 1.3 - 2.6). Among students with 30-day ideation (controlling for frequency of ideation), only two of these predictors of high intent remained significant: identifying as black African (RR 2.7, 95% CI 1.4 - 5.1), and having parents with less than secondary education (RR 1.5, 95% CI 1.0 - 2.1).Conclusion. Scalable suicide prevention interventions are needed to reach the large number of SA students who report suicidal ideation with intent.<\/jats:p>","DOI":"10.7196\/samj.2023.v113i4.16753","type":"journal-article","created":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T09:12:19Z","timestamp":1680599539000},"source":"Crossref","is-referenced-by-count":4,"title":["Prevalence and correlates of 30-day suicidal ideation and intent: Results of the South African National Student Mental Health Survey"],"prefix":"10.7196","author":[{"given":"J","family":"Bantjes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MJ","family":"Kessler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X","family":"Hunt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RC","family":"Kessler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DJ","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4425","published-online":{"date-parts":[[2023,3,8]]},"reference":[{"key":"15035","unstructured":"World Health Organization. Suicide worldwide in 2019: Global health estimates. Geneva: WHO, 2021."},{"key":"15036","unstructured":"World Health Organization. WHO-Western Pacific Region. Transforming mental health for all: World"},{"key":"15037","unstructured":"Mental Health Report 2022. Geneva: WHO, 2022."},{"key":"15038","unstructured":"Mortier P, Auerbach RP, Alonso J, et al. Suicidal thoughts and behaviours among first-year college"},{"key":"15039","unstructured":"students: Results from the WMH-ICS project. J Am Acad Child Adol Psychiatry 2018;57(4):263-273."},{"key":"15040","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.jaac.2018.01.018","DOI":"10.1016\/j.jaac.2018.01.018"},{"key":"15041","doi-asserted-by":"crossref","unstructured":"MortierP,CuijpersP,KiekensG,etal.Theprevalenceofsuicidalthoughtsandbehavioursamongcollege students: A meta-analysis. Psychol Med 2018;48(4):554-565. https:\/\/doi.org\/10.1017\/S0033291717002215","DOI":"10.1017\/S0033291717002215"},{"key":"15042","unstructured":"Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and suicidal behaviour. Epidemiol"},{"key":"15043","doi-asserted-by":"crossref","unstructured":"Rev 2008;30(1):133-154. https:\/\/doi.org\/10.1093\/EPIREV\/MXN002","DOI":"10.1093\/epirev\/mxn002"},{"key":"15044","unstructured":"Li W, Dorstyn DS, Jarmon E. Identifying suicide risk among college students: A systematic review."},{"key":"15045","doi-asserted-by":"crossref","unstructured":"Death Stud 2020;44(7):450-458. https:\/\/doi.org\/10.1080\/07481187.2019.1578305","DOI":"10.1080\/07481187.2019.1578305"},{"key":"15046","unstructured":"Centers for Disease Control and Prevention. Self-directed violence surveillance; uniform definitions"},{"key":"15047","unstructured":"and recommended data elements. Atlanta: CDC, 2011"},{"key":"15048","unstructured":"Shneidman ES. Anodyne psychotherapy for suicide: A psychological view of suicide. In: Pompili M"},{"key":"15049","unstructured":"(ed.). Phenomenology of Suicide. Berlin: Springer; 2018:209-217. https:\/\/doi.org\/10.1007\/978-3-319-"},{"key":"15050","unstructured":"-7_13\/COVER\/"},{"key":"15051","doi-asserted-by":"crossref","unstructured":"Jobes DA, Joiner TE. Reflections on suicidal ideation. Crisis 2019;40(4):227-230. https:\/\/doi.","DOI":"10.1027\/0227-5910\/a000615"},{"key":"15052","unstructured":"org\/10.1027\/0227-5910\/A000615"},{"key":"15053","doi-asserted-by":"crossref","unstructured":"Nock MK, Borges G, Bromet EJ, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatr 2008;192(2):98-105. https:\/\/doi.org\/10.1192\/BJP.BP.107.040113","DOI":"10.1192\/bjp.bp.107.040113"},{"key":"15054","unstructured":"Fitzgerald B. An existential view of adolescent development. Adolescence 2005;40(160):793."},{"key":"15055","unstructured":"Klonsky ED, Qiu T, Saffer BY. Recent advances in differentiating suicide attempters from suicide"},{"key":"15056","doi-asserted-by":"crossref","unstructured":"ideators. Curr Opin Psychiatr 2017;30(1):15-20. https:\/\/doi.org\/10.1097\/YCO.0000000000000294","DOI":"10.1097\/YCO.0000000000000294"},{"key":"15057","doi-asserted-by":"crossref","unstructured":"Hodes R. Questioning \u2018Fees Must Fall\u2019. Afr Affairs 2017;116(462):140-150. https:\/\/doi.org\/10.1093\/","DOI":"10.1093\/afraf\/adw072"},{"key":"15058","unstructured":"AFRAF\/ADW072"},{"key":"15059","doi-asserted-by":"crossref","unstructured":"Mavunga G. #FeesMustFall protests in South Africa: A critical realist analysis of selected newspaper articles. J Student Affairs Africa 2019;7(1):81-99. https:\/\/doi.org\/10.4314\/jssa.v7i1","DOI":"10.24085\/jsaa.v7i1.3694"},{"key":"15060","doi-asserted-by":"crossref","unstructured":"Shepherd N. After the #fall: The shadow of Cecil Rhodes at the University of Cape Town. City 2020;24(3-4):565-579. https:\/\/doi.org\/10.1080\/13604813.2020.1784579","DOI":"10.1080\/13604813.2020.1784579"},{"key":"15061","doi-asserted-by":"crossref","unstructured":"Ned LY, Chinyamurindi WT, Bantjes J. Content analysis of reports of student suicide deaths in South African print medium newspapers. J Public Mental Health 2022 (epub ahead of print). https:\/\/doi. org\/10.1108\/JPMH-10-2021-0129","DOI":"10.1108\/JPMH-10-2021-0129"},{"key":"15062","doi-asserted-by":"crossref","unstructured":"MakhubelaM.SuicideandDepressioninUniversityStudents:APossibleEpidemic.SAGEPublications: London; 2021. https:\/\/doi.org\/10.1177\/0081246321992179","DOI":"10.1177\/0081246321992179"},{"key":"15063","doi-asserted-by":"crossref","unstructured":"Bantjes J, Breet E, Lochner C, Roos J, Kessler RC, Stein DJ. Reducing nonfatal suicidal behaviour among university students: Actuarial analysis of potential effects of treating common mental disorders. S Afr J Psychol 2021;51(1):21-34. https:\/\/doi.org\/10.1177\/0081246320973838","DOI":"10.1177\/0081246320973838"},{"key":"15064","doi-asserted-by":"crossref","unstructured":"Bantjes JR, Kagee A, McGowan T, Steel H. Symptoms of post-traumatic stress, depression, and anxiety as predictors of suicidal ideation among South African university students. J Am Coll Health 2016;64(6):429-437. https:\/\/doi.org\/10.1080\/07448481.2016.1178120","DOI":"10.1080\/07448481.2016.1178120"},{"key":"15065","doi-asserted-by":"crossref","unstructured":"Nattrass N, Nattrass J. South Africa, the homelands and rural development. Dev South Afr 1990;7(Supp1):S517-S534. https:\/\/doi.org\/10.1080\/03768359008439560","DOI":"10.1080\/03768359008439560"},{"key":"15066","unstructured":"Council on Higher Education. Universities of Technology \u2013 Deepening the Debate. Pretoria: CHE, 2010. 22. Chen J, Choi YJ, Mori K, Sawada Y, Sugano S. Socio\u2010economic studies on suicide: A survey. J Econ"},{"key":"15067","doi-asserted-by":"crossref","unstructured":"Surv 2012;26(2):271-306. https:\/\/doi.org\/10.1111\/j.1467-6419.2010.00645.x","DOI":"10.1111\/j.1467-6419.2010.00645.x"},{"key":"15068","unstructured":"Bantjes J, Iemmi V, Coast E, et al. Poverty and suicide research in low- and middle-income countries: Systematic mapping of literature published in English and a proposed research agenda. Glob Mental"},{"key":"15069","doi-asserted-by":"crossref","unstructured":"Health 2016;3(32). https:\/\/doi.org\/10.1017\/gmh.2016.27","DOI":"10.12968\/eqhe.2016.27.32"},{"key":"15070","unstructured":"Lewinsohn PM, Rohde P, Seeley JR. Psychosocial risk factors for future adolescent suicide attempts."},{"key":"15071","doi-asserted-by":"crossref","unstructured":"J Consul Clin Psychol 1994;62(2):297. https:\/\/doi.org\/10.1037\/0022-006X.62.2.297","DOI":"10.1037\/0022-006X.62.2.297"},{"key":"15072","unstructured":"Pfeffer CR, Klerman GL, Hurt SW, Kakuma T, Peskin JR, Siefker CA. Suicidal children grow up: Rates and psychosocial risk factors for suicide attempts during follow-up. J Am Acad Child Adoles Psychiatr"},{"key":"15073","doi-asserted-by":"crossref","unstructured":";32(1):106-113. https:\/\/doi.org\/10.1097\/00004583-199301000-00016","DOI":"10.1097\/00004583-199301000-00016"},{"key":"15074","unstructured":"Cuijpers P, Auerbach RP, Benjet C, et al. Introduction to the special issue: The WHO world"},{"key":"15075","unstructured":"mental health international college student (WMH\u2010ICS) initiative. Int J Methods Psychiatric Res"},{"key":"15076","doi-asserted-by":"crossref","unstructured":";28(2):e1762. https:\/\/doi.org\/10.1002\/mpr.1762","DOI":"10.1002\/mpr.1762"},{"key":"15077","unstructured":"Posner K, Brown GK, Stanley B, et al. The Columbia Suicide Severity Rating Scale: Initial validity and"},{"key":"15078","unstructured":"internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatr"},{"key":"15079","doi-asserted-by":"crossref","unstructured":";168(12):1266-1277. https:\/\/doi.org\/10.1176\/appi.ajp.2011.10111704","DOI":"10.1176\/appi.ajp.2011.10111704"},{"key":"15080","unstructured":"Groves RM, Couper MP. Nonresponse in Household Interview Surveys. New York: John Wiley &"},{"key":"15081","unstructured":"Sons, 2012."},{"key":"15082","unstructured":"Chen W, Qian L, Shi J, Franklin M. 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