Life time suicidal thoughts in an urban community in Hanoi, Vietnam

Abstract

Background: Suicidal thought is a risk factor and a stage in the suicidal process from planning to attempting and dying by suicide. To date, studies on suicidal thought in the general population, especially in Asian communities, have been limited.

Suicide and poverty in low-income and middle-income countries: a systematic review

“…However, where multivariate analysis was performed in two Indian studies, only null associations were found for value of livestock and value of agricultural produce amongst farmers 61 and for monthly household income. 56 Of the eleven studies on non-fatal SIB, six 35,41,42,48,57,65 using bivariate analysis reported a positive association and four 37,55,57,58 a null association. However, all studies 34,37,38,41,48,57,64 performing multivariate analysis found a positive association except one 34 which found a null association between perceived financial status and suicide attempts in China.…”

“…56 Of the eleven studies on non-fatal SIB, six 35,41,42,48,57,65 using bivariate analysis reported a positive association and four 37,55,57,58 a null association. However, all studies 34,37,38,41,48,57,64 performing multivariate analysis found a positive association except one 34 which found a null association between perceived financial status and suicide attempts in China. In Chinese studies, financial status was associated with suicidal ideation (OR=2•93, 95% CI 1•82-4•71), severe suicidal ideation (OR=2•25, 95% CI 1•21-4•19) and suicide plan (OR=2•15, 95% CI 1•04-4•41), 34 family economic status was associated with six-month prevalence of severe suicidal ideation (OR=1•52, 95% CI 1•07-2•15), 48 and monthly income was associated with lifetime prevalence of suicidal attempts (OR=0•2, 95% CI 0•06-0•6).…”

“…We assessed 29 (78%) studies to be of high [30][31][32][33][34][35][36][37][38][39][40][41][42][43] or acceptable [44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] quality (Table 3). Eight studies [59][60][61][62][63][64][65][66] were of low quality due to problems with risk of bias: performance, attrition and detection bias (interrupted-time series); selection bias, unclear case definitions, detection bias, lack of adjustment for confounding factors (case-control studies); detection bias, lack of adjustment for confounding factors (cross sectional and ecological studies).…”

“…64 In Vietnam, low income was associated with lifetime prevalence of suicidal ideation (OR=1•7, 95% CI 1•1-2•6). 41 In Turkey, low income was associated with life-time prevalence of self-harm (OR=2•10, 95% CI 1•07-4•12). 57 …”

“…Six 31,38,49,51,59,62 focused on completed suicide and six 30,32,39,41,46,54 on non-fatal SIB, with one 52 looking at both dimensions. Among the seven studies reporting on completed suicide, three 31,51,62 reported a positive and one 38 a null association between completed suicide and unemployment using bivariate analysis.…”