Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study
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Fairweather-Schmidt, A Kate; Salim, Agus; Rodgers, Bryan; Anstey, Kaarin
Description
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.author | Fairweather-Schmidt, A Kate | |
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dc.contributor.author | Salim, Agus | |
dc.contributor.author | Rodgers, Bryan | |
dc.contributor.author | Anstey, Kaarin | |
dc.date.accessioned | 2015-12-21T05:07:59Z | |
dc.date.available | 2015-12-21T05:07:59Z | |
dc.identifier.issn | 1471-244X | |
dc.identifier.uri | http://hdl.handle.net/1885/95151 | |
dc.description.abstract | 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 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.sponsorship | Funding 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.publisher | BioMed 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.source | BMC Psychiatry | |
dc.subject | adult | |
dc.subject | age distribution | |
dc.subject | age factors | |
dc.subject | aged | |
dc.subject | azepines | |
dc.subject | cause of death | |
dc.subject | data collection | |
dc.subject | depressive disorder | |
dc.subject | female | |
dc.subject | follow-up studies | |
dc.subject | health status | |
dc.subject | humans | |
dc.subject | longitudinal studies | |
dc.subject | male | |
dc.subject | mental disorders | |
dc.subject | middle aged | |
dc.subject | piperidines | |
dc.subject | prevalence | |
dc.subject | risk factors | |
dc.subject | sex factors | |
dc.subject | suicide | |
dc.subject | suicide, attempted | |
dc.title | Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 10 | |
dc.date.issued | 2010-06-09 | |
local.identifier.absfor | 111700 | |
local.identifier.ariespublication | u9406909xPUB415 | |
local.type.status | Published Version | |
local.contributor.affiliation | Fairweather-Schmidt, Kate, University of Adelaide, Australia | |
local.contributor.affiliation | Anstey, 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.affiliation | Salim, Agus, National University of Singapore, Singapore | |
local.contributor.affiliation | Rodgers, Bryan, College of Arts and Social Sciences, CASS Research School of Social Sciences, Australian Demographic and Social Research Institute, The Australian National University | |
dc.relation | http://purl.org/au-research/grants/nhmrc/179805 | |
dc.relation | http://purl.org/au-research/grants/nhmrc/79839 | |
dc.relation | http://purl.org/au-research/grants/nhmrc/366756 | |
local.identifier.essn | 1471-244X | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | 41 | |
local.bibliographicCitation.lastpage | 10 | |
local.identifier.doi | 10.1186/1471-244X-10-41 | |
dc.date.updated | 2016-02-24T11:59:08Z | |
local.identifier.scopusID | 2-s2.0-77953220830 | |
dcterms.accessRights | Open Access | |
Collections | ANU Research Publications |
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