Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore, Maryland

Kuo, Wang-Chuang; Gallo, Joseph J.; Tien, Allen Y.

doi:10.1017/s0033291701004482

Cited by 211 publications

(136 citation statements)

References 30 publications

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“…Our estimates of new onsets of suicide ideation (6.2%), plan (2.3%), gesture (0.7%), and attempt (0.9%) during the 10-year time interval between the two surveys are consistent with estimates from prior studies using similar time frames (Kuo et al, 2001;Sareen et al, 2005;Wang et al, 2006), but extend these earlier studies by using nationally representative data and by examining a broader range of suiciderelated outcomes (i.e., suicide plans and gestures). Importantly, more than one-third of the respondents who reported a history of suicide ideation at baseline continued to experience suicide ideation during the follow-up period.…”

Section: Discussionsupporting

confidence: 87%

“…First, most studies used crosssectional designs that restricted the inferences that could be drawn about temporal order between predictors and outcomes. Second, most studies, including the few that used prospective designs (e.g., Bourgeois et al, 2004;Kuo et al, 2001;Pokorny, 1983), relied on non-representative samples, limiting the generalizability of results. Third, virtually all prior studies focused on a limited range of SROs and failed to examine predictors of transitions among different SROs.…”

mentioning

confidence: 99%

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Risk factors for the incidence and persistence of suicide-related outcomes: A 10-year follow-up study using the National Comorbidity Surveys

Borges

Angst

Nock

et al. 2008

Journal of Affective Disorders

276

210

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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

Risk factors for the incidence and persistence of suicide-related outcomes: A 10-year follow-up study using the National Comorbidity Surveys

Borges

Angst

Nock

et al. 2008

Journal of Affective Disorders

276

210

View full text Add to dashboard Cite

show abstract

“…The disparity in the relationship between cholesterol and suicide completions versus suicide attempts is not without precedent. A parallel may be drawn to gender differences in suicidal behaviors with more attempts by women and more completions by men (Kuo et al, 2001;APA, 2003). Our findings caution the at times reflexive substitution of suicidal thoughts or suicide attempts as a surrogate for risk of completed suicide.…”

Section: Discussionmentioning

confidence: 99%

Cholesterol and suicide attempts: A prospective study of depressed inpatients

Fiedorowicz

Coryell

2007

Psychiatry Research

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Low cholesterol levels have commonly been associated with various suicide measures. We sought to examine suicide attempts in a prospective sample of depressed patients that on prior analysis demonstrated an association between low cholesterol and subsequent suicide completions. Seventyfour inpatients with Research Diagnostic Criteria unipolar major depression, bipolar depression or schizoaffective depression entered a prospective follow-up study from 1978 -1981. Kaplan-Meier survival analysis and Cox regression were utilized to elucidate the relationship between cholesterol levels and subsequent severe suicide attempts as well as all suicide attempts regardless of severity. Attempts preceding index hospitalization and other lifetime attempts were evaluated crosssectionally. Low serum cholesterol levels did not predict subsequent suicide attempts. Contrary to our hypothesis, the high cholesterol group was associated with increased risk of suicide attempts on survival analysis in those less than median age. Nonetheless, in cross-sectional analysis, the low cholesterol group had more suicide attempts preceding index hospitalization and more remote lifetime attempts. The results from this prospective dataset do not support an association between low cholesterol and subsequent suicide attempts despite replicating the retrospective findings of previous case-control and cross-sectional studies.

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“…Although quality of life decreased with age, regardless of suicide behaviors, the pattern of a reduction in EQ-5D scores accompanied by an increase in the degree of suicidal behaviors was also common in all age groups. Because that suicide ideation is an important antecedent to suicide attempts and because these non-fatal suicide behaviors are relatively high-risk factors for eventual suicide [18][19][20], quality of life assessment deserves more attention for suicide prevention in community and medical care.…”

Section: Discussionmentioning

confidence: 99%

Suicide Behaviors and Health-Related Quality of Life: Results from the Korean Community Health Survey of 393,073 Adults

Min

2015

J Psychiatry

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Background: Suicide is a major public health concern worldwide, but it is largely preventable. Although previous studies have suggested quality of life as a predictor of suicide risk, knowledge about this topic is limited by the small number of available subjects and insufficient information. The aim of this study is to investigate the association between the EuroQoL 5 dimension (EQ-5D) measurement and the risk of suicidal behaviors among adults in a representative sample of Korea. Subjects and Methods:The data were obtained from the 2008 and 2009 Korean Community Health Survey. A total of 393,073 participants older than 20 years were included in this study. These participants had no missing information on questionnaires about the EQ-5D measures, suicide behaviors, and other covariates. Of these subjects, 37,689 experienced only suicide ideation and 1,910 subjects experienced both suicide ideation and suicide attempts. Results:We found that participants who experienced suicide ideation and/or suicide attempts had significantly lower quality of life than those who had not experienced such behaviors. After adjusting for confounding variables, the estimate of EQ-5D score was lowest in subjects with both suicide ideation and suicide attempts, followed by subjects with only ideation and then subjects without suicide behaviors. Conclusions:Considering that suicide ideation and suicide attempts are important factors in the likelihood of eventual suicide, assessing quality of life may be beneficial for identifying adults at high-risk of suicide and for reducing suicide-related risks at the population level.

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Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore, Maryland

Abstract: Suicidal ideation is a common and important antecedent to suicide attempts and deserves more attention in community and general medical settings.

Cited by 211 publications

References 30 publications

Risk factors for the incidence and persistence of suicide-related outcomes: A 10-year follow-up study using the National Comorbidity Surveys

Risk factors for the incidence and persistence of suicide-related outcomes: A 10-year follow-up study using the National Comorbidity Surveys

Cholesterol and suicide attempts: A prospective study of depressed inpatients

Suicide Behaviors and Health-Related Quality of Life: Results from the Korean Community Health Survey of 393,073 Adults

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