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

Nock, Matthew K.; Borges, Guilherme; Bromet, Evelyn J.; Alonso, Jordi; Angermeyer, Matthias C.; Beautrais, Annette L.; Bruffærts, Ronny; Chiu, Wai Tat; Girolamo, Giovanni de; Gluzman, Semyon; Graaf, Ron de; Gureje, Oye; Haro, Josep María; Huang, Yueqin; Karam, Elie G.; Kessler, Ronald C.; Lépine, Jean Pierre; Levinson, Daphna; Medina‐Mora, María Elena; Ono, Yutaka; Posada‐Villa, José; Williams, David R.

doi:10.1192/bjp.bp.107.040113

Cited by 2,191 publications

(1,993 citation statements)

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“…This study extends these observations to highlight that not only do 35% experience significant psychological distress, but also that 20% report suicidal ideation. This prevalence is greatly in excess of the 9% lifetime prevalence13 and the 2% 12‐month prevalence14 previously identified in large population studies, but very similar to the 17% rate reported in patients with symptomatic congestive heart failure15 and the 21% rate in those with coronary artery disease undergoing active management 16. Prevalence of 5% after successful rhythm control with catheter ablation observed in this study population is more in line with these population prevalence rates.…”

Section: Discussionsupporting

confidence: 87%

Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

Walters

Wick

Tan

et al. 2018

JAHA

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BackgroundAn association between atrial fibrillation (AF), anxiety, and depression is recognized, but the spectrum of psychological distress remains unclear. We aimed to characterize the severity and predictors of distress associated with AF in a tertiary population and its response to AF management.Methods and ResultsSeventy‐eight patients with symptomatic AF underwent evaluation, including of AF symptom severity, health‐related quality of life, psychological distress, suicidal ideation, and specific personality traits. Twenty participants underwent AF ablation and 58 were managed medically, with repeat assessments at 4, 8, and 12 months. Severe distress (Hospital Anxiety and Depression Scale score, ≥15/42) was identified in 27 of 78 (35%). Independent predictors were a personality marked by vulnerability to stress (Perceived Stress Scale: R 2, 0.54; β=0.7±0.1; t=7.8; P<0.001) and 1 marked by negativity/social inhibition (Type D Personality Scale: R 2, 0.47; β=0.7±0.1; t=6.7; P<0.001). Suicidal ideation was reported by 16 of 78 (20%) and was predicted by personality traits (Perceived Stress Scale score: R 2, 0.35; odds ratio, 1.22±0.06; P<0.001; Type D Personality Scale score: R 2, 0.48; odds ratio, 1.43±0.14; P<0.001). Effective AF ablation (median AF burden 1% [0–1%] over 12 months) was associated with significant reductions in distress (Hospital Anxiety and Depression Scale score, 13.9±1.8 to 4.3±1.8; P<0.05) and prevalence of suicidal ideation (30–5%; P=0.02).ConclusionsThere was a high prevalence of severe psychological distress (35%) and of suicidal ideation (20%) in a tertiary AF population, with personality traits predicting both. Effective AF ablation was associated with significant improvements, suggesting AF itself may be a treatable causative factor of distress.

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Section: Discussionsupporting

confidence: 87%

Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

Walters

Wick

Tan

et al. 2018

JAHA

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“…This is important, as despite widespread recognition that the aetiology of suicide is complex, encompassing a wide array of factors, few studies have looked at the ways in which factors may together contribute to the development of suicidal behaviour. Indeed, most prior research has examined the extent to which individual factors predict the onset and persistence of suicidal behaviour (i.e., suicide ideation, plans, and attempts) (Nock et al, 2008). Thus, by applying a latent variable modelling approach, we were able to yield estimates closer to the true values for the relations between the involved variables.…”

Section: Discussionmentioning

confidence: 96%

A structural test of the Integrated Motivational-Volitional model of suicidal behaviour

Dhingra

Boduszek

O’Connor

2016

Psychiatry Research

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Suicidal behaviours are highly complex, multi-determined phenomena. Despite this, historically research has tended to focus on bivariate associations between atheoretical demographic and/or psychiatric factors and suicidal behaviour. The aim of this study was to empirically test the Integrated Motivational-Volitional model of suicidal behaviour using structural equation modeling. Healthy adults (N = 1, 809) completed anonymous self-report surveys. The fit of the proposed model was good, and explained 79% of variance in defeat, 83% of variance in entrapment, 61% of variance in suicidal ideation, and 27% of variance in suicide attempts. All proposed paths were significant except for those between goal reengagement and two factors of suicide resilience (Internal Protective and External Protective) and suicidal ideation; and impulsivity and discomfort intolerance and suicide attempts. These findings represent a preliminary step towards greater clarification of the mechanisms driving suicidal behaviour, and support the utility of basing future research on the Integrated Motivational-Volitional model of suicidal behaviour.

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“…virtually all prior studies have tested bivariate associations between mental disorders and suicidal behaviour (e.g., Kessler, Berglund, & Borges et al, 2005;Nock, Borges, & Bromet et al, 2008); whereas, we carried out both univariate (ANOVAS) and multivariate analyses.…”

Section: Discussionmentioning

confidence: 99%

Differentiating suicide attempters from suicide ideators using the Integrated Motivational–Volitional model of suicidal behaviour

Dhingra

Boduszek

O’Connor

2015

Journal of Affective Disorders

138

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

Abstract: 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.

Cited by 2,191 publications

References 23 publications

Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

A structural test of the Integrated Motivational-Volitional model of suicidal behaviour

Differentiating suicide attempters from suicide ideators using the Integrated Motivational–Volitional model of suicidal behaviour

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