Background: There are longstanding concerns over the mental health and suicide risk of university students in the UK and internationally. Aims: This study aimed to identify risk factors for suicide among students attending universities in a UK city. Method: Suicide deaths between January 2010 and July 2018 were identified from university records. An audit tool was used to collate data from university records and coroners' inquest files. Results: A total of 37 student deaths were identified. Only 10.8% of the students had disclosed a mental health issue at university entry. There was strong statistical evidence that students who died by suicide were more likely to have been male, experiencing academic difficulties (repeated years, changing course, and suspension of studies were all associated with a 5-30-fold increased risk), and in need of financial support compared with other students. Limitations: The coroners' records were only available for around half of the deaths. Healthcare records were not available. Conclusion: Markers of academic and financial difficulty should be considered as flags to identify students at heightened risk. Whilst the relative risk associated with academic difficulties is high, the absolute risk is low. Improved disclosure of mental health issues at university registration could facilitate targeted support for vulnerable students.

中文翻译：

---

2010 年至 2018 年英国城市大学生自杀死亡案例系列。

背景：长期以来，人们一直担心英国和国际上大学生的心理健康和自杀风险。目的：本研究旨在确定在英国城市上大学的学生的自杀风险因素。方法：从大学记录中确定了 2010 年 1 月至 2018 年 7 月之间的自杀死亡人数。审计工具用于整理来自大学记录和验尸官调查文件的数据。结果：共确定了 37 名学生死亡。只有 10.8% 的学生在大学入学时披露了心理健康问题。有强有力的统计证据表明，自杀身亡的学生更有可能是男性，遇到学业困难（重读几年、改变课程和停学都与风险增加 5-30 倍有关），和其他学生相比需要经济支持。局限性：验尸官的记录仅适用于大约一半的死亡人数。没有医疗记录。结论：学业和经济困难的标志应被视为识别处于高风险学生的标志。虽然与学业困难相关的相对风险较高，但绝对风险较低。在大学注册时更好地披露心理健康问题可以促进对弱势学生的有针对性的支持。虽然与学业困难相关的相对风险较高，但绝对风险较低。在大学注册时更好地披露心理健康问题可以促进对弱势学生的有针对性的支持。虽然与学业困难相关的相对风险较高，但绝对风险较低。在大学注册时更好地披露心理健康问题可以促进对弱势学生的有针对性的支持。