Suicide is a leading cause of death among college students. Although previous work indicates that the (hazardous) use of alcohol contributes to suicidal ideation/risk, little work has examined potential underlying explanatory factors. One example is anxiety sensitivity (AS). The current study evaluated whether AS explains associations between hazardous drinking and suicidal ideation and risk among college students. Data from racially/ethnically diverse students (N = 1,206; 76.7% non-White; Mage = 22.13) were analyzed. Hazardous drinking was a significant predictor of suicidal ideation (p < 0.001) and risk (p < 0.001). There were significant indirect associations of hazardous drinking via AS with both ideation (b = 0.07, 95% CI [0.05, 0.10]) and risk (b = 0.04, 95% CI [0.03, 0.06]); AS explained a significant portion of variance in both associations (42.6-51.4%). AS cognitive concerns (but not physical or social concerns) contributed significantly to the explanatory pathways. Students who engaged in hazardous drinking were also greater than twice as likely to screen positive for suicide risk (p < 0.001). The findings suggest that AS, particularly cognitive concerns, partially accounts for the associations between hazardous drinking and suicidal ideation/risk. Hazardous drinking may exacerbate AS which, in turn, may influence suicidal ideation and risk; however, results need to be replicated with longitudinal data.

中文翻译：

---

大学生危险饮酒、自杀意念和自杀风险的理解：焦虑敏感性作为一个解释因素

自杀是大学生死亡的主要原因。尽管以前的工作表明（危险）使用酒精会导致自杀意念/风险，但很少有工作研究潜在的潜在解释因素。一个例子是焦虑敏感性（AS）。目前的研究评估了 AS 是否解释了大学生中危险饮酒与自杀意念和风险之间的关联。分析了来自不同种族/民族的学生（N = 1,206；76.7% 非白人；法师 = 22.13）的数据。危险饮酒是自杀意念 (p < 0.001) 和风险 (p < 0.001) 的重要预测因素。通过 AS 进行的危险饮酒与观念 (b = 0.07, 95% CI [0.05, 0.10]) 和风险 (b = 0.04, 95% CI [0.03, 0.06]) 之间存在显着的间接关联；AS 解释了两个关联中很大一部分差异（42.6-51.4%）。AS 认知问题（但不是身体或社会问题）对解释路径有显着影响。从事危险饮酒的学生的自杀风险筛查呈阳性的可能性也高出两倍以上（p < 0.001）。研究结果表明，AS，尤其是认知问题，部分解释了危险饮酒与自杀意念/风险之间的关联。危险饮酒可能会加剧 AS，进而可能影响自杀意念和风险；然而，结果需要用纵向数据复制。从事危险饮酒的学生的自杀风险筛查呈阳性的可能性也高出两倍以上（p < 0.001）。研究结果表明，AS，尤其是认知问题，部分解释了危险饮酒与自杀意念/风险之间的关联。危险饮酒可能会加剧 AS，进而可能影响自杀意念和风险；然而，结果需要用纵向数据复制。从事危险饮酒的学生的自杀风险筛查呈阳性的可能性也高出两倍以上（p < 0.001）。研究结果表明，AS，尤其是认知问题，部分解释了危险饮酒与自杀意念/风险之间的关联。危险饮酒可能会加剧 AS，进而可能影响自杀意念和风险；然而，结果需要用纵向数据复制。