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Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study

Fairweather-Schmidt, A Kate; Salim, Agus; Rodgers, Bryan; Anstey, Kaarin

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BACKGROUND Although often providing more reliable and informative findings relative to other study designs, longitudinal investigations of prevalence and predictors of suicidal behaviour remain uncommon. This paper compares 12-month prevalence rates for suicidal ideation and suicide attempt at baseline and follow-up; identifies new cases and remissions; and assesses the capacity of baseline data to predict serious suicidality at follow-up, focusing on age and gender differences. METHODS 6,666...[Show more]

dc.contributor.authorFairweather-Schmidt, A Kate
dc.contributor.authorSalim, Agus
dc.contributor.authorRodgers, Bryan
dc.contributor.authorAnstey, Kaarin
dc.date.accessioned2015-12-21T05:07:59Z
dc.date.available2015-12-21T05:07:59Z
dc.identifier.issn1471-244X
dc.identifier.urihttp://hdl.handle.net/1885/95151
dc.description.abstractBACKGROUND Although often providing more reliable and informative findings relative to other study designs, longitudinal investigations of prevalence and predictors of suicidal behaviour remain uncommon. This paper compares 12-month prevalence rates for suicidal ideation and suicide attempt at baseline and follow-up; identifies new cases and remissions; and assesses the capacity of baseline data to predict serious suicidality at follow-up, focusing on age and gender differences. METHODS 6,666 participants aged 20-29, 40-49 and 60-69 years were drawn from the first (1999-2001) and second (2003-2006) waves of a general population survey. Analyses involved multivariate logistic regression. RESULTS At follow-up, prevalence of suicidal ideation and suicide attempt had decreased (8.2%-6.1%, and 0.8%-0.5%, respectively). However, over one quarter of those reporting serious suicidality at baseline still experienced it four years later. Females aged 20-29 never married or diagnosed with a physical illness at follow-up were at greater risk of serious suicidality (OR = 4.17, 95% CI = 3.11-5.23; OR = 3.18, 95% CI = 2.09-4.26, respectively). Males aged 40-49 not in the labour force had increased odds of serious suicidality (OR = 4.08, 95% CI = 1.6-6.48) compared to their equivalently-aged and employed counterparts. Depressed/anxious females aged 60-69 were nearly 30% more likely to be seriously suicidal. CONCLUSIONS There are age and gender differentials in the risk factors for suicidality. Life-circumstances contribute substantially to the onset of serious suicidality, in addition to symptoms of depression and anxiety. These findings are particularly pertinent to the development of effective population-based suicide prevention strategies.
dc.description.sponsorshipFunding was provided by National Health and Medical Research Council Grants 179805 and 79839, a grant from the AlcoholRelated Medical Research Grant Scheme of the Australian Brewers' Foundation and a grant from the Australian Rotary Health Research Fund. Associate Professor Kaarin Anstey was supported by National Health and Medical Research Council Fellowship Grant (366756). At the time this research was conducted, Dr Kate Fairweather-Schmidt was partially supported by an AFFIRM scholarship.
dc.publisherBioMed Central
dc.rights© 2010 Fairweather-Schmidt et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceBMC Psychiatry
dc.subjectadult
dc.subjectage distribution
dc.subjectage factors
dc.subjectaged
dc.subjectazepines
dc.subjectcause of death
dc.subjectdata collection
dc.subjectdepressive disorder
dc.subjectfemale
dc.subjectfollow-up studies
dc.subjecthealth status
dc.subjecthumans
dc.subjectlongitudinal studies
dc.subjectmale
dc.subjectmental disorders
dc.subjectmiddle aged
dc.subjectpiperidines
dc.subjectprevalence
dc.subjectrisk factors
dc.subjectsex factors
dc.subjectsuicide
dc.subjectsuicide, attempted
dc.titleBaseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume10
dc.date.issued2010-06-09
local.identifier.absfor111700
local.identifier.ariespublicationu9406909xPUB415
local.type.statusPublished Version
local.contributor.affiliationFairweather-Schmidt, Kate, University of Adelaide, Australia
local.contributor.affiliationAnstey, Kaarin, College of Medicine, Biology and Environment, CMBE Research School of Population Health, National Institute for Mental Health Research, The Australian National University
local.contributor.affiliationSalim, Agus, National University of Singapore, Singapore
local.contributor.affiliationRodgers, Bryan, College of Arts and Social Sciences, CASS Research School of Social Sciences, Australian Demographic and Social Research Institute, The Australian National University
dc.relationhttp://purl.org/au-research/grants/nhmrc/179805
dc.relationhttp://purl.org/au-research/grants/nhmrc/79839
dc.relationhttp://purl.org/au-research/grants/nhmrc/366756
local.identifier.essn1471-244X
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage41
local.bibliographicCitation.lastpage10
local.identifier.doi10.1186/1471-244X-10-41
dc.date.updated2016-02-24T11:59:08Z
local.identifier.scopusID2-s2.0-77953220830
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

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