Objective: Intimate partner abuse is a prevalent public health issue among college students and has been associated with suicidality and alcohol abuse. Evidence suggests that alcohol-related problems mediate the relationship between intimate partner abuse and suicidality, but it is limited to suicidal ideation among women. We aimed to expand the applicability of an existing mediation model by incorporating multiple indicators for intimate partner abuse and suicidality using a nationally representative sample of college students. Method: We used data from the National College Health Association Survey (N = 88,568). Key variables included involvement in intimate partner abuse (psychological, physical, and sexual), involvement in alcohol-related problems, and suicide-related behaviors (self-harm, ideation, and attempt). Results: We used structural equation modeling to test the mediation model. Results showed that alcohol-related problems partially mediated the association between abusive relationship involvement and suicidality. Furthermore, this association was equally present across men and women. Conclusions: Results demonstrate that psychological, physical, and sexual abuse involvement lead to self-harm, suicidal ideation, and suicide attempts via problematic alcohol use. The partial mediation by alcohol-related problems suggests the potential benefit of treatment focusing on both problematic alcohol use and intimate partner abuse in preventing suicidality.

中文翻译：

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酒精问题在大学生亲密伴侣滥用与自杀倾向之间的关联中的作用。

目的：亲密伴侣的虐待是大学生中普遍存在的公共卫生问题，与自杀和酗酒有关。有证据表明，与酒精有关的问题介导了亲密伴侣滥用与自杀之间的关系，但仅限于女性的自杀意念。我们的目标是通过使用具有全国代表性的大学生样本，纳入针对亲密伴侣虐待和自杀的多个指标，来扩展现有调解模型的适用性。方法：我们使用了美国大学健康协会调查的数据（N = 88,568）。关键变量包括参与亲密伴侣的虐待（心理，身体和性行为），参与与酒精有关的问题以及与自杀有关的行为（自我伤害，构想和尝试）。结果：我们使用结构方程模型来测试中介模型。结果表明，与酒精有关的问题部分地介导了虐待关系参与与自杀之间的关联。此外，这种联系在男女中同样存在。结论：结果表明，心理，身体和性虐待的参与通过有问题的饮酒导致自残，自杀意念和自杀企图。酒精相关问题的部分调解表明，针对有问题的酒精使用和亲密伴侣滥用，在预防自杀方面的潜在治疗益处。这种联系在男女中同样存在。结论：结果表明，心理，身体和性虐待的参与通过有问题的饮酒导致自残，自杀意念和自杀企图。酒精相关问题的部分调解表明，针对有问题的酒精使用和亲密伴侣滥用，在预防自杀方面的潜在治疗益处。这种联系在男女中同样存在。结论：结果表明，心理，身体和性虐待的参与通过有问题的饮酒导致自残，自杀意念和自杀企图。酒精相关问题的部分调解表明，针对有问题的酒精使用和亲密伴侣滥用，在预防自杀方面的潜在治疗益处。