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Cañon-Ayala MJ, Perdomo-Jurado YE, Caro-Delgado AG. Spatiotemporal analysis of suicide attempts in Colombia from 2018 to 2020. CAD SAUDE PUBLICA 2024; 40:e00119323. [PMID: 39292130 PMCID: PMC11405025 DOI: 10.1590/0102-311xen119323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 04/18/2024] [Indexed: 09/19/2024] Open
Abstract
Suicide is one of the leading death causes worldwide, mainly among young adults, and Colombia has experienced an increase during the XXI century. The suicide impact has diverged between age groups and locations in Colombia, where young adults have taken higher incidences than the other age groups. The COVID-19 lockdown induced changes in mental health, affecting the previous suicide trends in the country. We conducted a spatiotemporal analysis of suicide attempts in Colombia per age group, adopting Bayesian models that represent 85,526 individual records in 1,121 municipalities from 2018 to 2020 using R-INLA. We found that Colombia exhibited an increase in suicide-attempt incidence from 2018 to 2019, and suddenly, the incidence fell in the first semester of 2020. The fixed effect of the models evidenced the highest risk in overall municipalities per trimester in the age group between 15-19 years old. The spatial random effect per model evidenced municipalities with the highest risk in the age groups between 10 to 59 years, mainly in the states in the Andean region of Colombia, and other states such as Putumayo, Vaupés, Arauca, Córdoba, Amazonas, and Meta. The temporal random effect evidenced a decay in suicide trends from the fourth trimester of 2019 to 2020, except in the age group > 59 years old. Geographically, our study pinpointed specific regions in Colombia, particularly in the central, southwest, and southeast areas, where the incidence of suicide attempts exceeded 100 cases per 100,000 inhabitants. The nuanced breakdown of incidence across different age groups further underscores the importance of tailoring preventive strategies based on age-specific and regional risk factors.
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Hung YA, Liao SC, Chang CM, Chang SS, Yang AC, Chien YL, Wu CS, Gau SSF. Population-attributable risk of psychiatric disorders for suicide among adolescents and young adults in Taiwan. Psychol Med 2023; 53:6161-6170. [PMID: 36349368 PMCID: PMC10520582 DOI: 10.1017/s0033291722003361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 09/20/2022] [Accepted: 10/06/2022] [Indexed: 11/11/2022]
Abstract
BACKGROUND Youth suicide rates have increased markedly in some countries. This study aimed to estimate the population-attributable risk of psychiatric disorders associated with suicide among Taiwanese youth aged 10-24 years. METHODS Data were obtained from the National Death Registry and National Health Insurance (NHI) claims database between 2007 and 2019. Youth who died by suicide were included, and comparisons, 1:10 matched by age and sex, were randomly selected from the Registry for NHI beneficiaries. We used multivariable logistic regression to estimate suicide odds ratios for psychiatric disorders. The population-attributable fractions (PAF) were calculated for each psychiatric disorder. RESULTS A total of 2345 youth suicide and 23 450 comparisons were included. Overall, 44.8% of suicides had a psychiatric disorder, while only 7.9% of the comparisons had a psychiatric disorder. The combined PAF for all psychiatric disorders was 55.9%. The top three psychiatric conditions of the largest PAFs were major depressive disorder, dysthymia, and sleep disorder. In the analysis stratified by sex, the combined PAF was 45.5% for males and 69.2% for females. The PAF among young adults aged 20-24 years (57.0%) was higher than among adolescents aged 10-19 years (48.0%). CONCLUSIONS Our findings of high PAF from major depressive disorder, dysthymia, and sleep disorder to youth suicides suggest that youth suicide prevention that focuses on detecting and treating mental illness may usefully target these disorders.
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Affiliation(s)
- Yi-An Hung
- Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
| | - Shih-Cheng Liao
- Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
- Department of Psychiatry, College of Medicine, National Taiwan University, Taipei City, Taiwan
- Department of Psychiatry, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu Hospital, Hsin-Chu City, Taiwan
| | - Chia-Ming Chang
- Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan
| | - Shu-Sen Chang
- Institute of Health Behaviors and Community Sciences, National Taiwan University, Taipei, Taiwan
| | - Albert C. Yang
- Digital Medicine Center / Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Yi-Ling Chien
- Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
- Department of Psychiatry, College of Medicine, National Taiwan University, Taipei City, Taiwan
| | - Chi-Shin Wu
- Department of Psychiatry, College of Medicine, National Taiwan University, Taipei City, Taiwan
- National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan
- Department of Psychiatry, National Taiwan University Hospital, Yunlin Branch, Yunlin, Taiwan
| | - Susan Shur-Fen Gau
- Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
- Department of Psychiatry, College of Medicine, National Taiwan University, Taipei City, Taiwan
- Department of Psychology, Graduate Institute of Epidemiology, and Preventive Medicine, and Graduate Institute of Clinical Medicine, National Taiwan University, Taipei, Taiwan
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Song X, Zou S, Li Y, Chen L, Feng P, Xu P, Zhang H, Deng F, Xu H, Tao Y, Jin M, Ran M, Zhang H, Ma F, Wang Y, Yin L. Correlation between negative life events and suicide attempts among Yi adolescents with HIV/AIDS in Liangshan Prefecture. BMC Public Health 2023; 23:1600. [PMID: 37608310 PMCID: PMC10463523 DOI: 10.1186/s12889-023-16377-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 07/24/2023] [Indexed: 08/24/2023] Open
Abstract
OBJECTIVE To investigate the incidence of suicide attempts among adolescents with HIV/AIDS in Liangshan Prefecture, Sichuan Province, as well as the correlation between negative life events, sleep, exercise, drug therapy and suicide attempts. METHODS A total of 180 Yi adolescents aged 11-19 years with HIV/AIDS in a county of Liangshan Prefecture, Sichuan Province, China, were investigated by census. The main outcome indicators included the incidence of suicide attempts and whether negative life events, sleep, exercise, drug therapy and other factors were related to suicide attempts. RESULTS We found that the incidence rate of suicide attempts among Yi adolescents with HIV/AIDS in Liangshan Prefecture was 13.9%. Negative life events were a risk factor for suicide attempts (OR = 1.047, p < 0.001, 95% CI 1.027-1.067). In the factors of negative life events, adaptation was a risk factor for suicide attempts (OR = 1.203, p = 0.026, 95% CI 1.022-1.416), and academic pressure showed a tendency to be a risk factor for suicide attempts (OR = 1.149, p = 0.077, 95% CI 0.985-1.339). However, the punishment factor, interpersonal stress factor and loss factor had no significant correlation with suicide attempts. There was no significant correlation between sleep, exercise, drug therapy and suicide attempts. CONCLUSION The proportion of suicide attempts among Yi adolescents with HIV/AIDS in Liangshan Prefecture is high and should be considered. Negative life events are independent risk factors for suicide attempts, and it is necessary to strengthen the screening and early intervention for suicide attempts in HIV/AIDS adolescents with definite negative life events.
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Affiliation(s)
- Xiaozhen Song
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Shoukang Zou
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
- The Fourth People's Hospital of Chengdu, Chengdu, China
| | - Yangling Li
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Liyu Chen
- Center for Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China
| | - Ping Feng
- Center for Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China
| | - Peiwei Xu
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Hang Zhang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Fang Deng
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
- The Fourth People's Hospital of Chengdu, Chengdu, China
| | - Hanmei Xu
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Yuanmei Tao
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Meijiang Jin
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Maojia Ran
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Hong Zhang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Fanghua Ma
- Antiviral Treatment Center, Zhao jue County People's Hospital, Shenzhen, China
| | - Ying Wang
- Center for Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.
| | - Li Yin
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.
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Traumatic life-events and suicidality among Mexican adolescents as they grow up: A longitudinal community survey. J Psychiatr Res 2021; 142:171-178. [PMID: 34359012 DOI: 10.1016/j.jpsychires.2021.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 07/07/2021] [Accepted: 08/01/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Limited research exists on the impact of type and number of traumatic events on the incidence of suicide ideation and attempts (suicidality) among adolescents in low/middle income countries where violence is common. METHOD We estimated prospective associations of 7 types of events on the new occurrence of suicidality from a follow-up conducted in 2013 (n = 1071; ages 19-26) of the original Mexican Adolescent Mental Health Survey conducted in 2005 (ages 12-17), by using Hazard Ratios (HR) estimates. RESULTS For new onset of suicide ideation, those reporting "Ever raped or sexually assaulted" had the highest adjusted HR (3.8), followed by "Ever other traumatic event" (HR = 1.9), "Ever committed or witnessed violence" (HR = 1.7) and "Beaten as a child or witnessed physical fights at home" (HR = 1.5). For suicide attempt, those reporting "Ever beaten up by spouse, partner, someone else, mugged with a weapon, or stalked" (HR = 3.8) and "Ever other traumatic event" (HR = 2.0) had the higher hazards. Compared to those without a traumatic event, increased hazards of ideation and attempt were found for those reporting a greater number of types of events. CONCLUSIONS Our sample is representative of the largest metropolitan area in Mexico but does not include other cities or age groups that may differ in risk factors. Traumatic events that happened in the eight years between waves are not considered. Traumatic events increased the risk of suicidality, independent of common mental disorders. Identifying and addressing these events in clinical settings may therefore be important for preventing suicide in this population.
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Hu J, Song X, Li D, Zhao S, Wan Y, Fang J, Zhang S. Interaction of smoking and being bullied on suicidal behaviors: a school-based cross-sectional survey in China. Environ Health Prev Med 2021; 26:79. [PMID: 34388978 PMCID: PMC8364102 DOI: 10.1186/s12199-021-00999-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Accepted: 07/16/2021] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Suicidal behaviors are seriously social issues among adolescents in the world. Exposed to smoking and being bullied are risk factors of suicidal behaviors. The present study was aimed to examine the interaction of smoking and being bullied on suicidal behaviors among Chinese adolescents. METHODS A total of 18,900 students were involved in the questionnaire study, in four cities of China from November 2017 to January 2018. Suicidal behaviors, smoking, and being bullied were measured by self-reported validated instruments. Chi-square tests and logistic regression were used to analyze the associations of suicidal ideation (SI)/suicidal plan (SP)/suicidal attempt (SA), smoking, and being bullied. RESULTS The prevalence of smoking, being bullied, SI/SP/SA, were 3.1%, 20.6%, 26.4%, 13.2%, and 5.2% respectively. Interaction analysis indicated that being bullied was associated with a greater increase in the likelihood of suicidal behaviors for adolescents with smoking than for those without smoking. CONCLUSIONS These finding suggest that smoking exacerbates the association between being bullied and suicidal behaviors. Future research should explore how and why smoking appears to more bully-victims than for those without smoking and how to mitigate it.
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Affiliation(s)
- Jie Hu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, No. 81 Meishan Road, Hefei, 230032, Anhui, China
| | - Xianbing Song
- Department of Human Anatomy, Histology & Embryology, Anhui Medical College, Hefei, 230032, China
| | - Danlin Li
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, No. 81 Meishan Road, Hefei, 230032, Anhui, China
| | - Shuai Zhao
- Department of Toxicology, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032, Anhui, China
| | - Yuhui Wan
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, No. 81 Meishan Road, Hefei, 230032, Anhui, China
| | - Jun Fang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, No. 81 Meishan Road, Hefei, 230032, Anhui, China.
- Department of Toxicology, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032, Anhui, China.
- Faculty of Pharmaceutical Science, Sojo University, Ikeda 4-22-1, Kumamoto, 860-0082, Japan.
| | - Shichen Zhang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, No. 81 Meishan Road, Hefei, 230032, Anhui, China.
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Song J, Kweon YS, Hong SH, Kim J, Chun KH, Bahn GH, Yook KH, Shin D, Hong HJ. Characteristics of First Visit Pediatric Patients with Suicidal Ideation and Behavior: An 8-Year Retrospective Chart Review. Soa Chongsonyon Chongsin Uihak 2020; 31:185-192. [PMID: 33110355 PMCID: PMC7584277 DOI: 10.5765/jkacap.200029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 07/31/2020] [Accepted: 08/05/2020] [Indexed: 02/05/2023] Open
Abstract
Objectives Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later. Methods This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6–18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively. Results There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association. Conclusion Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.
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Affiliation(s)
- Jungeun Song
- Department of Psychiatry, National Health Insurance Service Ilsan Hospital, Goyang, Korea.,Suicide and School Mental Health Institute, Anyang, Korea
| | - Yong-Sil Kweon
- Suicide and School Mental Health Institute, Anyang, Korea.,Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Sung Hee Hong
- Suicide and School Mental Health Institute, Anyang, Korea
| | - Joonbeom Kim
- Suicide and School Mental Health Institute, Anyang, Korea.,Yonsei University Interdisciplinary Graduate Program in Social Welfare Policy, Seoul, Korea
| | - Ka Hye Chun
- Department of Psychiatry, Hallym University Sacred Heart Hospital, Anyang, Korea
| | - Geon Ho Bahn
- Department of Psychiatry, Kyung Hee University School of Medicine, Seoul, Korea
| | - Ki-Hwan Yook
- Department of Psychiatry, Bundang CHA Hospital, School of Medicine, CHA University, Seongnam, Korea
| | - Dongwon Shin
- Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Hyun Ju Hong
- Suicide and School Mental Health Institute, Anyang, Korea.,Department of Psychiatry, Hallym University Sacred Heart Hospital, Anyang, Korea
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Jenkins JH, Sanchez G, Lidia Olivas-Hernández O. Loneliness, adolescence, and global mental health: Soledad and structural violence in Mexico. Transcult Psychiatry 2020; 57:673-687. [PMID: 31648608 DOI: 10.1177/1363461519880126] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In this article, we call into question recent public health claims that loneliness is a problem of epidemic proportions. Current research on this topic is hindered by an overreliance on limited survey data and by paradigmatic imbalance that delineates the study of loneliness to psychological, cognitive, neuroendocrinological and immunological effects, social functioning, physical health, mortality, and gene effects. The article emphasizes that scientific approaches to the phenomena of loneliness are more appropriately conceived and investigated as inherently matters for social, relational, cultural, and contextual analysis of subjective experience. Studies of loneliness and possible relationships to mental health status require investigations of social, environmental, and institutional structures as well as families, peers, friends, counselors, and health providers. This article takes a step in this direction through examining the lived experience of 35 high school students and their families living under conditions of social adversity in Tijuana, B.C., Mexico, with attention to anxiety and depression. Utilizing ethnographic interviews, observations, and psychological screening tools, we provide an overview for the group and illustrate the interrelations of subjective experience and social environment through a case study. These data reveal the vital role of understandings of loneliness, depression, and anxiety from the perspectives of adolescents themselves. We conclude that future studies of loneliness are best informed by in-depth data on subjective experience in relation to social features to advance understandings within the field of global mental health and allied fields.
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Specific traumatic events elevate the risk of a suicide attempt in a 10-year longitudinal community study on adolescents and young adults. Eur Child Adolesc Psychiatry 2020; 29:179-186. [PMID: 31054127 DOI: 10.1007/s00787-019-01335-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Accepted: 04/11/2019] [Indexed: 12/17/2022]
Abstract
Traumatic events (TEs) have been associated with suicide attempts (SAs). However, the empirical status of some TEs is inconclusive. This also concerns community adolescents and young adults, known to be a high-risk group for SAs. We examined associations between (a) a range of prior TEs (physical attack, rape/sexual abuse, serious accident, and witnessing somebody else experiencing a TE) and a subsequent SA, and (b) the number of prior TEs and an SA, and (c) we estimated attributable proportions of SAs, in relation to each TE. Over a 10-year period, the Early Developmental Stages of Psychopathology (EDSP) study prospectively assessed community members, aged 14-24 years at baseline. Starting with 3021 subjects, each individual was assessed up to four times. Assessment was based on the Munich-Composite International Diagnostic Interview. Temporal associations were estimated using the Cox model with time-dependent covariates. Attributable proportions were based on the results of the Cox models. All four TEs elevated the risk for a subsequent SA, adjusting for confounders. Highest risk was found for the combined TE rape/sexual abuse. Results showed that 56-90% of SAs could be attributed to TEs in the exposed group; on the population level, attributable proportions ranged between 6.9% and 23.5%. Different TEs have been shown to elevate the risk of an SA in a young community sample. Our results suggest that both health professionals and health policy decision-makers consider specific TEs and the number of prior TEs as risk factors for SAs.
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Boyas JF, Villarreal-Otálora T, Alvarez-Hernandez LR, Fatehi M. Suicide ideation, planning, and attempts: the case of the Latinx LGB youth. Health Promot Perspect 2019; 9:198-206. [PMID: 31508340 PMCID: PMC6717921 DOI: 10.15171/hpp.2019.28] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2019] [Accepted: 07/10/2019] [Indexed: 12/24/2022] Open
Abstract
Background: Guided by an ecological systems theory (EST) framework, the purpose of the present study was to investigate how multiple micro, mezzo, and macro factors influence the suicidality continuum from suicidal ideation to suicide attempt among Latinx LGB (lesbian, gay, and bisexual) youth living in the United States. Methods: Data for this cross sectional-study included 451 participants who self-identified as Latinx LGB on the 2017-National Youth Risk Behavioral Survey. The analysis explored micro, mezzo, and macro-level factors' association with three suicidality outcomes (ideation, planning, and attempt) at the bivariate and multivariate level. Since the outcome variables were dichotomized, univariate logistic regressions and backward elimination logistic regressions were used. Results: The most commonly reported suicidal behavior was ideation (n = 173; 40%), followed by planning (n = 150; 34%), and then attempt (n = 64; 21%). Findings from the backward elimination logistic regression on suicidal ideation suggest the best set of independent variables are being bullied at school (odds ratio [OR] = 2.81; CI: 1.61-4.89), experiencing sexual assault(OR = 2.32; CI: 1.32-4.07), experiencing depressive symptoms (OR = 1.99; CI: 1.07- 3.69),being cannabis use (OR = 1.76; CI: 1.08-2.89), and being female (OR = 1.72; CI: 1.01-2.93).For suicide planning the model suggested, experiencing depressive symptoms (OR = 3.21; CI:1.74-5.91), cannabis use (OR = 2.46; CI: 1.49-4.07), being bullied at school (OR = 2.04; CI:1.17-3.58), and experiencing sexual assault (OR = 1.88; CI: 1.07-3.31) exhibited the strongest relationships. Suicide attempt was significantly associated with cannabis use (OR = 3.12; CI:1.60-6.08), experiencing depression (OR= 2.89; CI: 1.30-6.43), experiencing sexual assault (OR = 2.77; CI: 1.34-5.71), and being bullied at school (OR = 2.34; CI: 1.12-4.91). Conclusion: Given the findings of this study, it is essential that tailored suicide prevention efforts be established that uniquely address the intersections of race/ethnicity and sexual orientation and how this intersection influences micro, mezzo, and macro factors associated with suicide ideation, planning, and attempt among Latinx LGB adolescents.
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Affiliation(s)
- Javier F. Boyas
- University of Georgia, School of Social Work, 279 Williams St., Athens, GA, 30602, USA
| | | | | | - Mariam Fatehi
- University of Georgia, School of Social Work, 279 Williams St., Athens, GA, 30602, USA
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Goodday SM, Bondy S, Sutradhar R, Brown HK, Rhodes A. The Cumulative Incidence of Self-Reported Suicide-Related Thoughts and Attempts in Young Canadians. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2019; 64:107-115. [PMID: 29976094 PMCID: PMC6405801 DOI: 10.1177/0706743718787794] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
OBJECTIVE To estimate the cumulative incidence of self-reported suicide-related thoughts (SRTs) and suicide attempts (SAs) in males and females from 11 to 25 years of age in Canada. METHODS A cohort study was conducted by linking cycles 2 to 8 from the National Longitudinal Survey of Children and Youth, a representative survey of Canadians aged 11 to 25 years conducted from 1996 to 2009. The 11- to 25-year cumulative incidence of self-reported SRTs and SAs (with suicidal intent) was estimated in males and females using a novel application of a counting process approach to account for discontinuous risk intervals between survey cycles. RESULTS The risk of SRTs was 29% (95% confidence interval [CI], 26% to 31%) in females and 19% (95% CI, 16% to 23%) in males. The risk of SAs was 16% (95% CI, 14% to 19%) in females and 7% (95% CI, 6% to 8%) in males. Over 70% of SRTs and SAs first occur between 11 and 16 years of age and 30% between 11 and 13 years of age, respectively. CONCLUSIONS The risk of SRTs and SAs is high in young Canadians, with most events first occurring in early to mid-adolescence and possibly earlier. Females are at a higher risk compared to males. This research underscores the need for better longitudinal surveillance of SRTs and SAs in the population. A counting process framework could be useful for future research using existing longitudinal surveys suffering from design limitations relating to gaps in respondent follow-up. Furthermore, these findings have implications for younger SRT and SA risk management by clinicians and earlier implementation of suicide prevention programs.
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Affiliation(s)
- Sarah M Goodday
- 1 Department of Epidemiology, University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario
| | - Susan Bondy
- 1 Department of Epidemiology, University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario
| | - Rinku Sutradhar
- 2 Department of Biostatistics, University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario.,3 Institute for Clinical Evaluative Sciences, Toronto, Ontario
| | - Hilary K Brown
- 1 Department of Epidemiology, University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario.,4 Department of Psychiatry, University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario
| | - Anne Rhodes
- 1 Department of Epidemiology, University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario.,4 Department of Psychiatry, University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario.,5 The Offord Centre for Child Studies, McMaster University, Toronto, Ontario
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