Abstract
This study aims to explore the effect of University Counseling Center (UCC) treatment in a nationally representative sample of 101,354 college students with suicide risk variables (i.e. recent suicidal ideation (SI), recent SI and history of suicide attempts (SA), history of SA) as compared to those without suicide risk seeking services from 160 UCCs. Time Varying Effects Modeling was used to assess changes in distress level and SI over the course of up to 20 sessions of treatment among students with the aforementioned risk variables compared to those without. Reductions in distress and SI were observed in all students with the most significant change seen in the first five sessions. Students with recent SI and no history of attempts seem to achieve comparable amount of improvement to students without suicide risks. Presence of suicide attempt history appears to limit the prognosis. These results entail that students with a history of SA whose levels of risk and chronicity of symptoms may require more treatment and be better managed with alternative forms of treatment.