Lifetime Prevalence Of Suicidal Ideation Research Articles

Ideas autolíticas, violencia autoinfligida, y síntomas depresivos en escolares chilenos

Suicidal behaviors and depression are prevalent phenomena among adolescents, and are considered a public health problem. To determine the prevalence of depressive symptoms and suicidal behaviors and the relationship between both phenomena, in a representative sample of students from ninth grade in Santiago, Chile. We recruited a probability sample of 2,597 adolescents who answered a questionnaire with questions about suicidal behavior and the Beck Depression Inventory (BDI-II). The lifetime prevalence of suicidal ideation and planning was 21 and 14%, respectively. The prevalence for the past two weeks was 6.7 and 4.4% for suicidal ideation and planning, respectively. Autolytic behaviors, once in lifetime and in the past week were referred by 26 and 4% of respondents, respectively. In one third of these, self-harm coincided with recent suicide ideation or planning. All levels of suicidal behavior were more frequently reported by women. Clinically significant depressive symptoms were present in 23.5% of adolescents. Females doubled male rates. Severe depressive symptoms were present in 9.4% of the sample. A higher level of suicidal behavior correlated with more severe forms of depression. Sixty percent of adolescents who reported recent self-harm, had clinically relevant depressive symptoms. Two thirds of them had severe symptoms. Suicidal behavior in Chilean adolescents is prevalent, and there is an association between this behavior and the level of depression. The school is a good place to identify and develop preventive measures for teenagers.

Suicidal thoughts and behaviors in older adults in rural China: a preliminary study

One purpose of this study was to examine the feasibility of conducting epidemiological survey on suicidal thoughts and behaviors (hereafter "suicidal thoughts/behaviors"; i.e., any suicidal ideation, serious ideation, planning, and attempts) among older adults in rural China. Another purpose was to investigate among older people in rural China the prevalence of suicidal thoughts/behaviors, as well as their sociodemographic and clinical correlates. A randomly selected sample of 263 subjects, 50 years or older, was recruited in a remote rural area of Southwestern China (Mianyang Region, Sichuan Province) and interviewed using structured instruments. Basic sociodemographic and clinical data were collected. There was no refusal among approached subjects, and subjects were willing to answer questions on suicidal thoughts/behaviors. The lifetime prevalence of suicidal ideation, serious ideation, planning, and attempt was 28.9% (23.4%-34.4%), 19.7% (14.9%-24.6%), 11.4% (7.5%-15.3%), and 5.3% (2.6%-8.1%), respectively. The corresponding 12-month prevalence was 8.8% (5.3%-12.2%), 5.3% (2.6%-8.1%), 2.7% (0.7%-4.6%), and 0%, respectively. The 2-week prevalence was 3.4% (1.2%-5.6%), 2.3% (0.5%-4.1%), 2.3% (0.5%-4.1%), and 0%, respectively. Correlates of suicidal thoughts/behaviors of this group are similar to findings from other community studies, such as female gender, unmarried status, major medical conditions, insomnia, financial difficulties and lower education, depressive symptoms, recent stressful life events, greater life dissatisfaction. Our findings suggest that larger scale epidemiological survey of suicidal thoughts/behaviors on older adults in rural China would be feasible. Suicidal thoughts/behaviors are common among older people in rural China, as seen in this preliminary study, which points to the need for further larger scale investigations.

Religious Beliefs along the Suicidal Path in Northern Taiwan

This study aimed to understand the current inclinations toward depression and compulsion for members of four different religious groups, and to predict religious beliefs along the suicide path through analyzing the lifetime prevalence of suicidal ideation and suicide attempts for members of these religious groups. Participants in this cross-sectional study, which adopted purposive sampling, were members of Christianity, Catholicism, Buddhism, and Taoism in northern Taiwan. In the case of suicide experiences, suicides among people one knows, and tendency toward compulsion and depression, there are statistical differences between the four religions. According to the results, some people with suicidal tendency will attend religious activities; therefore, we predict that religious beliefs play an important role in suicide prevention.

P03-459 - Drug addiction and suicide - retrospective study

Impulsiveness has an important role in suicide behaviour and substance abuse.In this context, it's important to assess suicide risk among drug users and to determine which factors play a protective role and which factors increase the risk.In this study the authors propose to determine the prevalence of actual or past suicidal ideation in a sample of substance users; to determine the prevalence of previous suicidal behaviours in the same sample; and to study the relation with clinical and sociodemographic variables.The sample included 119 patients with drug addiction behaviours receiving treatment in an inpatient detoxication unit (Unidade de Desabituação do Norte do IDT - Instituto da Droga e das Toxicodependências), admitted between May 2010 and July 2010.Data was obtained from the patient clinical chart, including the admission protocol form.SPSS was used for statistical analysis.The results founded were:18,5% (n = 22) had previous suicidal ideation at least once in their lifetime.2,5% (n = 3) had suicidal ideation at admission.10,9% (n = 13) had previous suicidal attempts.According to literature, in general population, lifetime prevalence of suicidal ideation is 10–18% and history of suicidal attempt is 3–5%.In the studied sample, suicidal ideation during lifetime is slightly raised (18,5%) and history of suicidal behaviours is strongly higher (10.9%).These data suggest a raised suicidal risk in drug abuse population, probably reflecting a higher impulsiveness in this population.

Lifetime Prevalence and Correlates of Suicidal Ideation, Plan, and Single and Multiple Attempts in a Korean Nationwide Study

This was the first Korean national study to evaluate prevalence and correlates of suicidal behavior, and to compare multiple and single attempts. A total of 6510 adults completed face-to-face interviews (response rate, 81.7%) through randomly chosen one-person-per-households. Lifetime prevalence and correlates were evaluated with the Korean version of Composite International Diagnostic Interview (K-CIDI), and a questionnaire to inquire about suicidal behaviors. The lifetime prevalence of suicidal ideation, plan, and attempt in South Korea was 15.2%, 3.3%, and 3.2% (single 2.1% and multiple 1.1%), respectively. Younger age was associated with attempts and more strongly associated with multiple attempts. Attempts were the most strongly associated with mood disorders, especially bipolar disorder, which was more strongly associated with multiple attempts. In conclusion, suicidal behaviors are highly prevalent in Korea, especially in young adults. Bipolar disorder was the most strongly associated disorder with suicide attempts, more with multiple attempts.

Lifetime suicidal ideation and suicide attempts in Asian Americans.

Few studies have examined the role of culturally relevant factors in suicidal behavior among Asian Americans. Using the National Latino and Asian American Study (NLAAS) (Alegria et al., 2004; Heeringa et al., 2004), the current study examined the role of culturally related variables (family conflict, perceived discrimination, and ethnic identity) on suicidal ideation and suicide attempts in a nationally representative sample of 2,095 Asian Americans. Important covariates were sociodemographic characteristics (gender, age, marital status, years of education, household poverty, and nativity status), depressive and anxiety disorders, and number of chronic conditions. Gender related correlates were also explored. The lifetime prevalence of suicidal ideation and attempts was 8.8% and 2.5%, respectively. Female gender, family conflict, perceived discrimination, and the presence of lifetime depressive or anxiety disorders were positively correlated with suicidal ideation and attempts. A high level of identification with one's ethnic group was associated with lower rates of suicide attempts. Among Asian men, but not women, the presence of chronic medical conditions was associated with suicidal ideation. Findings highlight the contributions to suicide risk of cultural factors and gender differences in Asian Americans.

Has Adolescent Suicidality Decreased in the United States? Data From Two National Samples of Adolescents Interviewed in 1995 and 2005

We compared the prevalence and correlates of adolescent suicidal ideation and attempts in two nationally representative probability samples of adolescents interviewed in 1995 (National Survey of Adolescents; N = 4,023) and 2005 (National Survey of Adolescents-Replication; N = 3,614). Participants in both samples completed a telephone survey that assessed major depressive episode (MDE), post-traumatic stress disorder, suicidal ideation and attempts, violence exposure, and substance use. Results demonstrated that the lifetime prevalence of suicidal ideation among adolescents was lower in 2005 than 1995, whereas the prevalence of suicide attempts remained stable. MDE was the strongest predictor of suicidality in both samples. In addition, several demographic, substance use, and violence exposure variables were significantly associated with increased risk of suicidal ideation and attempts in both samples, with female gender, nonexperimental drug use, and direct violence exposure being consistent risk factors in both samples.

Lifetime Prevalence of Suicidal Ideation, Suicide Plans and Attempts in Rural and Urban Regions of Beijing, China

There has been no large-scale survey of suicide-related behaviours including suicidal ideations, plans and attempts in China involving both rural and urban areas and using standardized assessment tools. The aim of the present study was to determine the lifetime prevalence of suicide-related behaviour and its relationship with sociodemographic factors and psychiatric disorders in the rural and urban regions of Beijing, China. A total of 5926 subjects were randomly selected in Beijing and interviewed using the Composite International Diagnostic Interview. Basic sociodemographic and clinical data and data on suicide-related behaviour were also collected. The overall lifetime prevalence estimates of suicidal ideation, plans and attempts were 2.3%, 1.4%, and 1.0%, respectively; the corresponding figures were 2.8%, 1.6%, and 1.3% in the rural sample, and 1.8%, 1.3%, and 0.9% in the urban sample. Age (>25 years), female sex, unmarried status, lower education level, lower (<RMB500 month(-1)) or higher (>RMB2000 month(-1)) monthly income and presence of major medical disorders were significantly associated with increased risk of suicide-related behaviour. 36.2% of subjects with suicide-related behavior consulted a medical practitioner and 20.7% consulted a psychiatrist. The prevalence of lifetime suicide-related behaviour in Beijing is lower than in Western countries, but the low percentage of subjects treated for suicide-related behaviour indicates a major public health problem that should be addressed. National surveys are needed to further explore the prevalence of suicide-related behaviour in China.

Lifetime prevalence of suicidal ideation in a representative sample of Canadians with Type 1 diabetes

Data from a regionally representative sample were obtained from the Canadian Community Health Survey conducted by Statistics Canada. We compared the lifetime prevalence of suicidal ideation among those with and without Type 1 diabetes.

Risk Factors for Self-Harm and Suicide in Incarcerated Young Offenders: Implications for Policy and Practice

This study identified common and unique risk factors for suicidal and self-harming (SSH) behavior in 242 incarcerated young offenders. Lifetime prevalence of suicidal ideation was 19.2% and was 18.2% for self-harm ideation; 8.4% had attempted suicide (44% in detention), and 9.1% had inflicted self-harm in the past 12 months (75% in detention). SSH young offenders reported more severe psychopathology, childhood trauma, and psychological distress than non-SSH young offenders. Past emotional abuse, current psychological distress, and depersonalization disorder were significant risk factors for suicidal ideation. Past physical abuse and current psychological distress were significant risk factors for self-harm ideation. Suicidality and self-harm co-occurred. Two approaches to the assessment of self-harm risk—past behavior and scores on a scale of self-harm risk—were compared. Some support for the equivalence of assessment methods was found; however, significant differences emerged that indicated that a multi-factorial approach to the assessment of self-harm risk is advised. Screening on entry to detention could identify young offenders at risk and direct them into treatment. The high rates of self-harm in detention suggest that the detention environment and management practices should be reviewed to identify structural elements that contribute to distress in some young offenders that for a significant minority is associated with SSH ideation and behavior.

Cross-national prevalence and risk factors for suicidal ideation, plans and attempts

Suicide is a leading cause of death worldwide; however, the prevalence and risk factors for the immediate precursors to suicide - suicidal ideation, plans and attempts - are not wellknown, especially in low- and middle-income countries. To report on the prevalence and risk factors for suicidal behaviours across 17 countries. A total of 84 850 adults were interviewed regarding suicidal behaviours and socio-demographic and psychiatric risk factors. The cross-national lifetime prevalence of suicidal ideation, plans, and attempts is 9.2% (s.e.=0.1), 3.1% (s.e.=0.1), and 2.7% (s.e.=0.1). Across all countries, 60% of transitions from ideation to plan and attempt occur within the first year after ideation onset. Consistent cross-national risk factors included being female, younger, less educated, unmarried and having a mental disorder. Interestingly, the strongest diagnostic risk factors were mood disorders in high-income countries but impulse control disorders in low- and middle-income countries. There is cross-national variability in the prevalence of suicidal behaviours, but strong consistency in the characteristics and risk factors for these behaviours. These findings have significant implications for the prediction and prevention of suicidal behaviours.

Risk factors for suicidality in Europe: Results from the ESEMED study

Background Precise knowledge of the epidemiology of suicidality provides necessary information for designing prevention programs. The aims of the present study were to investigate the prevalence and correlates of suicidal ideas and attempts in the general population of Europe. Methods The European Study on the Epidemiology of Mental Disorders (ESEMED) is a cross-sectional household survey carried out in a probability representative sample of non-institutionalised adults (aged 18 years or older) of six European countries (Belgium, France, Germany, Italy, the Netherlands and Spain). The Composite International Diagnostic Interview (CIDI 3.0) was administered to 21,425 individuals. Results Lifetime prevalence of suicidal ideation was 7.8% and of suicidal attempts 1.3%. Being women, younger and divorced or widowed were associated with a higher prevalence of suicide ideation and attempts. Psychiatric diagnoses were strongly related to suicidality. Among them, major depressive episode (Rate ratio 2.9 for lifetime ideas and 4.8 for lifetime attempts), dysthymia (RR 2.0 and 1.6), GAD (RR 1.8 and 2.3 for lifetime), PTSD (RR 1.9 and 2.0) and alcohol dependence (RR 1.7 and 2.5) were the most important. Population attributable risks for lifetime suicidal attempt was 28% for major depression. Limitations Information about suicidal ideas and attempts was self reported, psychiatric diagnoses were made using fully structured lay interviews rather than clinician-administered interviews. Conclusions In spite of meaningful country variation in prevalence, risk factors for suicidality are consistent in the European countries. Population prevention programmes should focus on early diagnosis and treatment of major depression and alcohol abuse and in those individuals with recent appearance of suicidal ideas.

Lifetime risk of suicide ideation and attempts in an Australian community: Prevalence, suicidal process, and help-seeking behaviour

Background The World Health Organisation SUicide PREvention-Multisite Intervention Study on Suicide (WHO/SUPRE-MISS) investigates suicidal behaviours in a number of nations. The feasibility of the different branches of the study was piloted in Queensland, Australia. This paper reports on the community survey component. Method Randomised telephone interviews ( n = 11,572) were conducted to determine the lifetime prevalence of suicidal ideation and attempts, and corresponding socio-demographic and cultural characteristics. A subsequent postal survey sent to consenting individuals reporting lifetime suicide ideation/attempt ( n = 1311) was meant to ascertain the possible development of that behaviour along a continuum, psychiatric and psychological factors, suicidal transmission, help-seeking, and service utilisation. Results Suicide ideation and attempts prevailed in individuals aged 25–44 years, and declined with increasing age. In most cases, suicidal experience/s did not develop over time with progressively increasing severity. Knowledge of someone else's suicidal behaviour significantly increased the risk of similar acts. Almost half of the subjects contended with their suicidal crisis by over-drinking alcohol, and 1/3 through other forms of reckless behaviour. The ratio completed/attempted suicide was 1 to 23. Less than 30% of subjects went to the hospital after their suicidal behaviour, and treatment received and staff attitudes were rated less favourably than that of General Practitioners. Conclusions This survey provides a reliable picture of suicide ideation and behaviour in the general population. Information on the development of suicidal process, recklessness, and help-seeking attitudes may be valuable for future prevention strategies.

Multiple sclerosis and alcohol: a study of problem drinking.

Multiple sclerosis (MS) patients are known to be at increased risk from mood disorders and suicidal ideation. Although these are often associated with alcohol disorders, the drinking habits of MS patients have not been well studied to date. Our study assessed drinking patterns in 140 MS patients, focusing on a possible link between problem drinking and mood and anxiety disorders. Lifetime psychiatric diagnoses were ascertained using the Structured Clinical Interview for DSM-IV disorders (SCID-IV). Results demonstrate that one in six MS patients drink to excess over the course of their lifetime. Those with a history of problem drinking display a higher lifetime prevalence of anxiety (P = 0.006), but not mood disorders. There were also significant associations between problem drinking and a lifetime prevalence of suicidal ideation (P = 0.006), substance abuse (P = 0.001), and a family history of mental illness (P = 0.008). Clinicians should be aware of the possibility of problem drinking in MS patients, and how this may complicate the course of their disease. Clues to problem drinking in MS patients are the presence of a positive family history of mental illness and prominent anxiety.

Selecting Your Options: A Pilot Study of Short Interventions with Patients Who Deliberately Self Harm

The National Survey of Mental Health and Wellbeing 1 reported lifetime prevalence of suicidal ideation as 14.3% and rates of suicidal attempts as 3.1%. The highest rates for ideation were 2.9% for men and 5.3% for women from 18–24 years (with rates of 0.7% for men and 1.0% for women for suicide attempts), but rates for the 25 to 44 year group were almost as high. At least 10% of attempters will eventually die by suicide and at least half of those who complete suicide have had a previous attempt.2