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At the Edge: Disability, Crisis, and Non-Suicidal Self-Injury in Higher Education

Kodukula, G.

2025-07-30 epidemiology
10.1101/2025.07.29.25332248 medRxiv
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ObjectiveTo examine the differences in the prevalence of Non-suicidal Self-Injury (NSSI) over the past year between Students with Disabilities (SWD) and their peers. Participants128,310 students aged 18-35 years from universities throughout the United States. MethodsSecondary data analysis obtained from the Healthy Minds survey (2020-2021) was analyzed using multiple logistic regression to estimate the odds of reporting NSSI among SWD and their peers. Covariates included: demographics, stressful life experiences (SLE), physical and mental health, substance use, and institutional characteristics. ResultsNSSI was significantly associated with disability; unadjusted odds ratio = 1.95 (1.8, 2.1) and adjusted odds ratio = 1.26 (1.2, 1.4). Being 2SLGBTQIA+, a history of physical abuse, loneliness, depression, and suicidal ideation increased the odds of NSSI 50% or more. ConclusionsSWD were more likely to report NSSI in the past year compared to their peers. The results emphasize the need for holistic, targeted support for SWD.

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