Background. Mental disorders amplify suicide risk across the lifecourse, but most people with mental disorder do not take their own lives. Few controlled studies have examined contribution of stressors to risk. Method. A case–control design was used compare 86 suicides and controls aged 50 years older, matched on age, gender, race county residence. Structured interviews were conducted proxy respondents for controls. Results. Perceived physical illness, family discord employment change...

Background. Sociological studies have shown that poor social integration confers suicide risk. It is not known whether amplifies risk after adjusting statistically for the effects of mental disorders and employment status. Method. A case-control design was used to compare 86 suicides living controls 50 years age older, matched on age, gender, race, county residence. Structured interviews were conducted with proxy respondents controls. Social defined in reference two broad levels analysis:...

Few studies have examined the role of culturally relevant factors in suicidal behavior among Asian Americans. Using National Latino and American Study (NLAAS) (Alegria et al., 2004; Heeringa 2004), current study related variables (family conflict, perceived discrimination, ethnic identity) on ideation suicide attempts a nationally representative sample 2,095 Important covariates were sociodemographic characteristics (gender, age, marital status, years education, household poverty, nativity...

Abstract Objective To examine the associations of suicide in second half life with medical and psychiatric illness, functional limitations, reported use inpatient, ambulatory, home health care services. Method A retrospective case‐control design was used to compare 86 people over age 50 years who died by a comparison group living community participants that were individually matched on age, gender, race, county residence. Results Suicide decedents had more Axis I diagnoses, including current...

Objectives: Barriers associated with the decision not to seek treatment for symptoms of combat-related posttraumatic stress disorder (PTSD) were examined. Methods: Participants 143 military men and women who served in Operation Enduring Freedom or Iraqi (OEF/OIF) screened positive (PTSD), as assessed by PTSD Checklist–Military Version, had sought PTSD. During a cognitive-behavioral telephone intervention, participants asked about their beliefs concerning seeking treatment. Results: Four...

Although it is well known that people with alcohol dependence are at a markedly elevated risk for suicide, much less about the role of acute use in suicidal behaviours. The primary aims this epidemiological study were to assess prevalence and factors associated intoxication among 57 813 suicide decedents 16 states.Data from restricted National Violent Death Reporting System 2003-2009 male female aged 18 years older analysed by multiple logistic regression compare without (defined as blood...

Disrupted social connectedness is associated with suicidal thoughts and behaviors among individuals substance use disorders (SUDs). The current study sought to further characterize this relationship by examining several indices of connectedness--(a) living alone, (b) perceived support, (c) interpersonal conflict, (d) belongingness. Participants (n = 814) were recruited from 4 residential substance-use treatment programs completed self-report measures as well whether they had ever thought...

We examined the role of sleep disturbance in time to suicide since last treatment visit among veterans receiving Veterans Health Administration (VHA) services.Among 423 veteran decedents from 2 geographic areas, systematic chart reviews were conducted on 381 (90.1%) who had a VHA year life. Veteran suicides with documented (45.4%) compared those without (54.6%) death their using an accelerated failure model.Veterans died sooner after than did disturbance, we adjusted for presence mental...

OBJECTIVE: Violent behavior may represent a risk factor for suicide. The authors tested the hypothesis that violent in last year of life is associated with completed suicide, even after controlling alcohol use disorders. METHOD: analyzed data from 1993 National Mortality Followback Survey, nationally representative survey conducted by telephone interview decedents' next kin. Data on 753 victims suicide were compared 2,115 accident victims. Decedents ranged age 20 to 64. Dichotomous measures...

Information on the association of impulsivity and measures aggression with suicidal ideation in adolescents young adults is limited. Data were gathered from a community sample 625 adolescent adult males. Analyses based multivariate generalized estimating equations. Impulsivity irritability associated strongly after accounting for alcohol dependence other aggression-related constructs including psychopathy. Given that irritable, impulsive males appear to contemplate behavior, their heightened...

Objective: Alcohol dependence is a potent risk factor for completed suicide and medically serious attempts, but data are limited on factors that distinguish within this high-risk population. The purpose of study to identify suicidal behavior among individuals with alcohol dependence. Method: Data suicides attempters controls were gathered in the Canterbury region New Zealand, using psychological autopsy methodology. A subsample adult alcoholic subjects was selected analyses yielding 38...

Background. Acts of suicide differ widely in the amount planning preceding act. Correlates completed China identified a previous investigation were re-examined to identify those that may be especially relevant low-planned (impulsive) and high-planned suicidal behavior. The association method was also assessed. Method. A psychological autopsy study 505 decedents aged [ges ]18 years sampled representative suicides conducted. Multinomial regression analyses compared three levels (low,...

The psychological autopsy (PA) is a systematic method to understand the and contextual circumstances preceding suicide. requires interviews with one or more proxy respondents (i.e., informants) of decedents. methodological challenges that need be addressed when determining content these research for PA studies are described recommendations made meeting in future investigations. Ways improve data collected about mental disorders life events—domains assessed almost all studies—are discussed at...