Philip Kreniske1, Claude Ann Mellins2, Curtis Dolezal2, Rehema Korich2, Cheng-Shiun Leu2, Andrew Wiznia3, Elaine J Abrams4. 1. HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, New York. Electronic address: pk2361@cumc.columbia.edu. 2. HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, New York. 3. Jacobi Medical Center, Albert Einstein College of Medicine, The Bronx, New York. 4. ICAP at Columbia University, Mailman School of Public Health, Vagelos College of Physicians & Surgeons, Columbia University, New York, New York.
Abstract
PURPOSE: Suicide is the second leading cause of death among youth in the U.S., yet there are few studies on suicide among youth with perinatally acquired HIV infection (YPHIV). Our aim was to determine if suicide attempts differed for YPHIV compared with perinatally HIV-exposed but uninfected peers (YPHEU). METHODS: Data come from a longitudinal behavioral health cohort (N = 340) of YPHIV (n = 206) and YPHEU (n = 134) recruited between ages 9 and 16 years and interviewed with psychosocial batteries every 12-18 months. Logistic regression analyses were conducted to assess the association between reported suicide attempt and participants' HIV status. We assessed whether baseline demographic characteristics and sexual orientation were potential confounding factors. Fisher's exact tests were used to evaluate the association between first attempted suicide and HIV status within age groups. RESULTS: YPHIV were more likely to make a suicide attempt than YPHEU (odds ratio = 2.35, 95% confidence interval = 1.28-4.34). Youth most often reported their first attempt between the ages of 14-18 years. Demographic characteristics and sexual orientation were not associated with attempted suicide. CONCLUSIONS: YPHIV compared with YPHEU were more likely to report a suicide attempt, and this difference emerged during late adolescence and persisted through young adulthood.
PURPOSE: Suicide is the second leading cause of death among youth in the U.S., yet there are few studies on suicide among youth with perinatally acquired HIV infection (YPHIV). Our aim was to determine if suicide attempts differed for YPHIV compared with perinatally HIV-exposed but uninfected peers (YPHEU). METHODS: Data come from a longitudinal behavioral health cohort (N = 340) of YPHIV (n = 206) and YPHEU (n = 134) recruited between ages 9 and 16 years and interviewed with psychosocial batteries every 12-18 months. Logistic regression analyses were conducted to assess the association between reported suicide attempt and participants' HIV status. We assessed whether baseline demographic characteristics and sexual orientation were potential confounding factors. Fisher's exact tests were used to evaluate the association between first attempted suicide and HIV status within age groups. RESULTS: YPHIV were more likely to make a suicide attempt than YPHEU (odds ratio = 2.35, 95% confidence interval = 1.28-4.34). Youth most often reported their first attempt between the ages of 14-18 years. Demographic characteristics and sexual orientation were not associated with attempted suicide. CONCLUSIONS: YPHIV compared with YPHEU were more likely to report a suicide attempt, and this difference emerged during late adolescence and persisted through young adulthood.
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Authors: Philip Kreniske; Corey Morrison; Bailey Holmes Spencer; Alina Levine; Lucy Liotta; Prudence W Fisher; Nadia Nguyen; Reuben N Robbins; Curtis Dolezal; Luke Kluisza; Andrew Wiznia; Elaine J Abrams; Claude A Mellins Journal: J Int AIDS Soc Date: 2022-09 Impact factor: 6.707