
@article{ref1,
title="Patterns of stressful life events: distinguishing suicide ideators from suicide attempters",
journal="Journal of affective disorders",
year="2014",
author="McFeeters, Danielle and Boyda, David and O'Neill, Siobhan",
volume="175C",
number="",
pages="192-198",
abstract="BACKGROUND: Suicidal ideation is an important indicator for subsequent suicidal behaviour, yet only a proportion of ideators transit from thought to action. This has led to interest surrounding the factors that distinguish ideators who attempt from non-attempters. The study aimed to identify distinct classes of life event categories amongst a sample of ideators and assess the ability of the classes to predict the risk of a suicide attempt. <br><br>METHODS: A subsample of ideators was extracted based on responses to the suicidality section of the Adult Psychiatric Morbidity Survey (N=7403). Fifteen stressful life events (SLEs) were grouped into six broad categories. <br><br>RESULTS: Using Latent Class Analysis (LCA), three distinct classes emerged; class 1 had a high probability of encountering interpersonal conflict, class 2 reported a low probability of experiencing any of the SLE categories with the exception of minor life stressors, whereas class 3 had a high probability of endorsing multiple SLE categories. The Odds Ratio for attempted suicide were highest among members of Class 3. LIMITATIONS: The use of broad event categories as opposed to discrete life events may have led to an underestimation of the true exposure to SLEs. <br><br>CONCLUSIONS: The findings suggest the experience of multiple types of SLEs may predict the risk of transitioning towards suicidal behaviour for those individuals who have contemplated suicide. In application, this re-emphasises the need for a routine appraisal of risk amongst this vulnerable group and an assessment of the variety of events which may signal the individuals who may be at immediate risk.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2014.12.034",
url="http://dx.doi.org/10.1016/j.jad.2014.12.034"
}