Suicide Risk and Its Relationship to Change in Marital Status

Roškar, Saška; Podlešek, Anja; Kuzmanić, Marja; Demšar, Lucija Omejc; Zaletel, Metka; Marušič, Andrej

doi:10.1027/0227-5910/a000054

Cited by 27 publications

(22 citation statements)

References 28 publications

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“…Being married and being in‐training status were associated with lower suicide risk. Marriage has been documented as a protective factor against suicide risk in the civilian research literature (Roskar et al., ). Those in training likely have lower risk due to the selection criteria for training as well as being on active duty with greater opportunity for suicide‐risk soldiers being noticed.…”

Section: Discussionmentioning

confidence: 99%

“…Other more frequent events included the following: family conflicts (28% of all ARNG suicides), substance abuse (27%), past behavioral health problems (20%), and income and employment problems (22% and 18%, respectively). Interpersonal problems, financial difficulties, substance abuse and behavioral health conditions, and performance problems have been associated with suicide cases among active duty personnel (Millikan, Spiess, Mitchell, Fulcher et al., ; Millikan, Spiess, Mitchell, Watts et al., ) and civilian suicides (Roskar et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, risk factors have included the following: young age (early adulthood), gender (male), and race (White) (Karch, Logan, & Patel, ; Kessler, Berglund, Borges, Nock, & Wang, ; Pagliaro, ). Other conditions associated with suicide have been past and current mental health problems (Nock et al., ; Pompili et al., ), alcohol and substance abuse (Conner et al., ), and marital/interpersonal relationship difficulties (Roskar et al., ). Greater access to firearms has also been associated with suicide (Gagne, Robitaille, Hamel, & St.‐Laurent, ; Johnson, ).…”

Section: Suicide Risk Factorsmentioning

confidence: 99%

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A Description of Suicides in the Army National Guard During 2007–2014 and Associated Risk Factors

Griffith

2016

Suicide & Life Threat Behav

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Suicide, due to its increased occurrence in recent years, has been a chief concern of the U.S. military. While there have been many published studies on the topic, conspicuously absent are studies that have included reserve military personnel. To fill this gap, this study reports descriptive statistics of personnel information and events surrounding 706 Army National Guard suicides that had occurred from 2007 through 2014. Comparative personnel information for random samples of nonsuicides for similar years (8 years, 1,000 cases per year) allowed examining factors associated most with suicide. Findings were very similar to those observed in the active duty Army and civilian populations. Primary risk factors for suicide were as follows: age (young), gender (male), and race/ethnicity (White). Most suicides occurred in nonmilitary status (86%) involving personal firearms (72%). Most frequent events surrounding the suicide were as follows: poor military performance (36% of all suicides), parent-family relationship problems (28%), substance abuse (27%), past behavioral health problem (20%), current behavioral health problems (10%), income problems (22%), and full-time employment problems (18%). Implications of findings for suicide prevention are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Suicide Risk Factorsmentioning

confidence: 99%

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A Description of Suicides in the Army National Guard During 2007–2014 and Associated Risk Factors

Griffith

2016

Suicide & Life Threat Behav

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“…Moreover, Turvey et al (Turvey et al, 2002) studied 1,617 subjects living in Iowa and found that financial losses were associated with higher rates of suicidal ideation. In regards to relationship losses, Roskar et al (Roskar et al, 2011) examined 1,614 suicide victims and 4,617 controls and found that suicide was associated with a change in marital status, especially in the first year right after the status change.…”

Section: Discussionmentioning

confidence: 99%

Predictors of suicide attempts in 3.322 patients with affective disorders and schizophrenia spectrum disorders

Gallego¹,

Rachamallu²,

Yuen³

et al. 2015

Psychiatry Research

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This study explores risk factors for suicide attempts using the electronic health records of 3,322 patients with either schizophrenia spectrum disorders or affective disorders who underwent a comprehensive psychiatric evaluation at the Emergency Department at the Long Island Jewish Medical Center or the Hillside Evaluation Center at The Zucker Hillside Hospital from August 3rd 2011 to July 5th 2012. Multivariate regression analyses showed, after adjusting for sex, that previous suicidal attempts and financial or relationship losses were significantly associated with a current suicidal attempt. Additionally, higher odds of having a suicidal attempt were also found in those subjects with a diagnosis of an affective disorder, compared to a schizophrenia spectrum diagnosis, and those patients in the children/adolescent group compared to those in the adult/elderly group. Our study results confirm and expand results from prior studies. Therefore, physicians should be alert for the presence of any or all of these factors upon evaluation of psychiatric patients, and if present, either psychiatric hospitalization or a close psychiatric follow up in collaboration with family and a therapist would be key in reducing the risk of potential suicidal behavior.

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“…In population‐based samples from nine countries, divorced or separated individuals had higher rates of suicidal ideation and suicide attempts than currently married individuals (Weissman et al., ). Interestingly, authors of a study of suicide in Slovenia proposed that changes in marital status were more important than current marital status in predicting suicidal behavior (Roškar et al., ). The study found that individuals who had been divorced, widowed, or married in the preceding 5 years were at an increased risk of committing suicide relative to individuals who had not had a change in marital status and had stayed married or unmarried over the previous 5 years.…”

Section: Marriage and Suicidementioning

confidence: 99%

Marital Discord and Suicidal Outcomes in a National Sample of Married Individuals

Robustelli

Trytko

et al. 2015

Suicide & Life Threat Behav

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Suicide is the tenth leading cause of death in the United States, with an average of 105 suicides committed daily. The association between marital discord and 12-month prevalence of suicidal ideation and suicide attempt was studied in a population-based sample of married adults (N = 1,384). Marital discord was significantly and positively associated with suicidal ideation and suicide attempt, and these associations remained significant when controlling for demographics and 12-month prevalence of mood, anxiety, and substance use disorders. Results suggest that marital discord is an important correlate of suicidal outcomes and may be important to target in preventing and treating suicide.

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Suicide Risk and Its Relationship to Change in Marital Status

Abstract: Marital status change represents a risk factor for suicidal behavior. The first year after the change is critical for elevated suicidal risk, in particular for older people.

Cited by 27 publications

References 28 publications

A Description of Suicides in the Army National Guard During 2007–2014 and Associated Risk Factors

A Description of Suicides in the Army National Guard During 2007–2014 and Associated Risk Factors

Predictors of suicide attempts in 3.322 patients with affective disorders and schizophrenia spectrum disorders

Marital Discord and Suicidal Outcomes in a National Sample of Married Individuals

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