Sarah A Arias1, Orianne Dumas2, Ashley F Sullivan2, Edwin D Boudreaux3, Ivan Miller1, Carlos A Camargo2,4. 1. 1 Department of Psychiatry and Human Behavior, Butler Hospital, Brown University, Providence, RI, USA. 2. 2 Department of Emergency Medicine, Massachusetts General Hospital, Boston MA, USA. 3. 3 Department of Emergency Medicine, Psychiatry, and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA. 4. 4 Harvard Medical School, Boston MA, USA.
Abstract
BACKGROUND: Identification of factors that predict and protect against attempted suicide are critical for the development of effective suicide prevention and intervention programs. AIMS: To examine whether substance use mediates the association between demographic characteristics, suicide attempt history, and reports of a suicide attempt within 12 months after screening positive for active suicidal ideation or behavior during the index emergency department (ED) visit. METHOD: Data were collected during the first two phases of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study. Data collection included baseline interview; 6- and 12-month chart reviews; and 6-, 12-, 24-, 36-, and 52-week telephone follow-up assessments. Structural equation modeling was used. All p values were two-tailed, with p < .05 considered statistically significant. RESULTS: Among the 874 subjects, 195 (22%) reported a suicide attempt within 12 months after the index ED visit. Of participants reporting a suicide attempt, 59% were < 40 years old, 59% female, and 76% non-Hispanic White. Associations between race, sex, and suicide attempt 12 months after the index ED visit may be mediated by a combination of alcohol misuse and cocaine use. CONCLUSION: Findings from the mediation analyses provide insight into the impact of substance use on future suicide attempts in various sociodemographic groups.
BACKGROUND: Identification of factors that predict and protect against attempted suicide are critical for the development of effective suicide prevention and intervention programs. AIMS: To examine whether substance use mediates the association between demographic characteristics, suicide attempt history, and reports of a suicide attempt within 12 months after screening positive for active suicidal ideation or behavior during the index emergency department (ED) visit. METHOD: Data were collected during the first two phases of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study. Data collection included baseline interview; 6- and 12-month chart reviews; and 6-, 12-, 24-, 36-, and 52-week telephone follow-up assessments. Structural equation modeling was used. All p values were two-tailed, with p < .05 considered statistically significant. RESULTS: Among the 874 subjects, 195 (22%) reported a suicide attempt within 12 months after the index ED visit. Of participants reporting a suicide attempt, 59% were < 40 years old, 59% female, and 76% non-Hispanic White. Associations between race, sex, and suicide attempt 12 months after the index ED visit may be mediated by a combination of alcohol misuse and cocaine use. CONCLUSION: Findings from the mediation analyses provide insight into the impact of substance use on future suicide attempts in various sociodemographic groups.
Authors: Sarah A Arias; Ivan Miller; Carlos A Camargo; Ashley F Sullivan; Amy B Goldstein; Michael H Allen; Anne P Manton; Edwin D Boudreaux Journal: Psychiatr Serv Date: 2015-12-01 Impact factor: 3.084
Authors: Edwin D Boudreaux; Ivan Miller; Amy B Goldstein; Ashley F Sullivan; Michael H Allen; Anne P Manton; Sarah A Arias; Carlos A Camargo Journal: Contemp Clin Trials Date: 2013-05-22 Impact factor: 2.226
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Authors: Milton Moçambique; Aline Hoffmann; Vinícius S Roglio; Felix H P Kessler; Carla Dalbosco; Jaqueline B Schuch; Flavio Pechansky Journal: Braz J Psychiatry Date: 2022-06-24