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Citation
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Wang Y, Sareen J, Afifi TO, Bolton SL, Johnson EA, Bolton JM. Arch. Suicide Res. 2015; 19(2): 202-217. |
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Affiliation
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Department of Psychology , University of Manitoba , Winnipeg , Manitoba , Canada. |
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Abstract
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BACKGROUND: The purpose of this study is to investigate whether the type and number of stressful life events (SLEs) will be associated with suicidal behavior in a 3-year follow-up period in persons with major depressive disorder (MDD).
METHODS: Data came from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative longitudinal survey of mental health in non-institutionalized adults in the United States. The survey consisted of two waves: Wave 1 (2001-2002) and Wave 2 (2004-2005), n = 34,653. Twelve past-year SLEs were assessed at baseline. These SLEs were categorized into the following groups based on previous research: Loss or victimization; Relationship, friendship, or interpersonal stress; Financial stress; and Legal problems. Only respondents with MDD at Wave 1 were included (n = 6004).
RESULTS: Several SLEs were strongly associated with suicide attempts, among which, "serious problems with neighbor, friend or relative" [adjusted odds ratio (AOR) = 2.21; 95% confidence interval (95% CI): 1.41, 3.45] and "major financial crisis, bankruptcy or unable to pay bills" [AOR = 2.31; 95% CI: 1.45, 3.66] were the most robust predictors of suicide attempts even after adjusting for sociodemographic variables and any anxiety, substance use, or personality disorder.
CONCLUSIONS: People with MDD who had been exposed to certain SLEs are at elevated risk for future suicide attempts, even after accounting for the demographic factors and psychiatric comorbidity.
Language: en |