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Supplemental data for this article can be accessed on the publisher’s website. We used a cross-sectional web-based survey and discrete-time survival analysis with person-year as unit of analysis and retrospective age-of-onset reports to estimate prevalence and predictors of suicidal ideation, plan, and attempt, and transitions from ideation to plan and attempt among South African university students ( n  = 1402). The lifetime prevalence of ideation, plan, and attempt were 46.4% ( n =  650), 26.5% ( n =  372), and 8.6% ( n =  120), respectively. Multiple temporally primary mental disorders predicted subsequent onset of suicidality and transitions from ideation to plan and attempt. Results highlight the need for campus-based suicide prevention in South Africa, vulnerability of historically disadvantaged students, and the importance of promoting mental health in suicide prevention.

Epidemiology of non-fatal suicidal behavior among first-year university students in South Africa