@article{ref1,
title="Substance use as a mediator of the association between demographics, suicide attempt history, and future suicide attempts in emergency department patients",
journal="Crisis",
year="2016",
author="Arias, Sarah A. and Orianne, Dumas and Sullivan, Ashley F. and Boudreaux, Edwin D. and Miller, Ivan W. and Camargo, Carlos A.",
volume="37",
number="5",
pages="385-391",
abstract="BACKGROUND: Identification of factors that predict and protect against attempted suicide are critical for the development of effective suicide prevention and intervention programs. AIMS: To examine whether substance use mediates the association between demographic characteristics, suicide attempt history, and reports of a suicide attempt within 12 months after screening positive for active suicidal ideation or behavior during the index emergency department (ED) visit. <br><br>METHOD: Data were collected during the first two phases of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study. Data collection included baseline interview; 6- and 12-month chart reviews; and 6-, 12-, 24-, 36-, and 52-week telephone follow-up assessments. Structural equation modeling was used. All p values were two-tailed, with p <.05 considered statistically significant. <br><br>RESULTS: Among the 874 subjects, 195 (22%) reported a suicide attempt within 12 months after the index ED visit. Of participants reporting a suicide attempt, 59% were < 40 years old, 59% female, and 76% non-Hispanic White. Associations between race, sex, and suicide attempt 12 months after the index ED visit may be mediated by a combination of alcohol misuse and cocaine use. <br><br>CONCLUSION: Findings from the mediation analyses provide insight into the impact of substance use on future suicide attempts in various sociodemographic groups.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000380",
url="http://dx.doi.org/10.1027/0227-5910/a000380"
}