Temporal effects of separation on suicidal thoughts and behaviours

被引:24
|
作者
Batterham, Philip J. [1 ]
Fairweather-Schmidt, A. Kate [2 ]
Butterworth, Peter [3 ]
Calear, Alison L. [1 ]
Mackinnon, Andrew J. [4 ]
Christensen, Helen [5 ]
机构
[1] Australian Natl Univ, Mental Hlth Res Ctr, Canberra, ACT 0200, Australia
[2] Flinders Univ S Australia, Sch Psychol, Adelaide, SA 5001, Australia
[3] Australian Natl Univ, Ctr Res Ageing Hlth & Wellbeing, Canberra, ACT 0200, Australia
[4] Univ Melbourne, Orygen Res Ctr, Melbourne, Vic, Australia
[5] Univ New S Wales, Black Dog Inst, Sydney, NSW, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会; 澳大利亚研究理事会;
关键词
Suicide; Ideation; Attempts; Separation; Divorce; Relationship breakdown; Mental health; RISK-FACTOR; DIVORCE; PROJECT; ANXIETY;
D O I
10.1016/j.socscimed.2014.04.004
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Divorce has been identified as a risk factor for suicide. However, little research has been conducted on the time trajectory of the influence of relationship separation on suicidal outcomes. This study aimed to assess the effects over time of relationship breakdown and separation on suicidality. Data were drawn from 6616 Australian adults participating in the PATH through Life Project, a population-based longitudinal study. Suicidal ideation was reported by 406 participants (6.1%), and 99 (1.5%) reported a suicide plan or attempt in the past year. The effects of separation on suicidality were strongest soon after separation, with a nearly three-fold increase in ideation (adjusted OR = 2.73, p <0.001) and an eight-fold increase in plans/attempts (adjusted OR = 7.75, p < 0.001) in the two years following separation, gradually diminishing subsequently. The period up to four years before a separation was also found to be a time of increased risk for suicidal thoughts and behaviours, while marriage was protective. Separation is a strong risk factor for suicidality and mental health services should target recently separated individuals. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:58 / 63
页数:6
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