Article

Suicidal ideation and suicide attempts in the United States: 1991-1992 and 2001-2002

Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Molecular Psychiatry (Impact Factor: 14.5). 10/2008; 15(3):250-9. DOI: 10.1038/mp.2008.98
Source: PubMed

ABSTRACT

The aim of the study is to compare the prevalence of suicidal ideation and attempts in the United States in 1991-1992 and 2001-2002, and identify sociodemographic groups at increased risk for suicidal ideation and attempts. Data were drawn from the National Institute on Alcohol Abuse and Alcoholism 1991-1992 National Longitudinal Alcohol Epidemiologic Survey (n=42,862) and the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (n=43,093), two nationally representative household surveys of non-institutionalized civilians aged 18 years and older, residing in the United States. The lifetime prevalence of suicide attempts remained unchanged in the United States between 1991-1992 and 2001-2002. Specific groups, namely 18- to 24-year-old white and black women, 25- to 44-year-old white women and 45- to 64-year-old Native American men were identified as being at high risk for suicide attempts. Despite prevention and treatment efforts, the lifetime prevalence of suicide attempts remains unchanged. Given the morbidity and mortality associated with suicide attempts, urgent action is needed to decrease the prevalence of suicide attempts in the United States.

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Available from: M. Mercedes Perez-Rodriguez, Jun 11, 2014
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    • "The fi rst stage in suicidal behavior is suicidal ideation (SI; i.e., ever thinking of taking one's life), a common mental health problem (Nock et al., 2008). In epidemiological surveys , 8.4%–9.7% of the U.S. population reported a lifetime history of SI (Baca-Garcia et al., 2010), with 2.8%–3.3% reporting SI in the past 12 months (Kessler et al., 2005). "
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    • "Our study had four major findings: 1) Puerto Ricans were the Hispanic ethnic subgroup with the highest rates of lifetime suicide attempts, which were significantly higher than among whites, Mexicans and Cubans in the NESARC; 2) Puerto Rican women aged 45-to 64 are a high-risk group for suicide attempts; and 3) Although the lifetime prevalence of suicide attempts remained unchanged among the overall Hispanic sample (Baca-Garcia et al., 2010), the rate of suicide attempts among 18-to 24-year-old Puerto Rican women and Cuban men, and among 45-to 64-year- old Puerto Rican men significantly increased between 1991e1992 and 2001e2002; 4) After adjusting for several covariates, Puerto Ricans had significantly lower lifetime risk for suicide attempt than whites. After age stratification, only Puerto Ricans aged 45e64 years had significantly lower risk for suicide attempt than whites. "
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    ABSTRACT: To compare the prevalence of suicidal ideation/attempts among Hispanic subgroups in the US in 1991-1992 and 2001-2002, and identify high-risk groups. Data were drawn from the 1991-1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES, n = 42,862) and the 2001-2002 National Epidemiological Survey on Alcohol and Related Conditions (NESARC, n = 43,093), two nationally representative surveys of individuals aged 18 years and older. 1) Puerto Ricans are the Hispanic ethnic subgroup with the highest rates of suicide attempts; 2) 45- to 64-year-old Puerto Rican women are a high-risk group for suicide attempts; 3) Over the 10 year period between the two surveys, the lifetime prevalence of suicide attempts significantly increased among 18- to 24-year-old Puerto Rican women and Cuban men, and among 45- to 64-year-old Puerto Rican men. Hispanics in the US are not a homogeneous group. We identify high-risk groups among Hispanics. Specific interventions for subgroups of Hispanics at high risk for suicidal behaviors may be required.
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