Twelve-Month Prevalence of and Risk Factors for Suicide Attempts in the World Health Organization World Mental Health Surveys

Author(s):Show less -

Borges, Guilherme ^[1] ; Nock, Matthew K. ^[2] ; Haro Abad, Josep M. ^[3] ; Hwang, Irving ^[4] ; Sampson, Nancy A. ^[4] ; Alonso, Jordi ^[5] ; Andrade, Laura Helena ^[6] ; Angermeyer, Matthias C. ^[7] ; Beautrais, Annette ^[8] ; Bromet, Evelyn ^[9] ; Bruffaerts, Ronny ^[10] ; de Girolamo, Giovanni ^[11] ; Florescu, Silvia ^[12] ; Gureje, Oye ^[13] ; Hu, Chiyi ^{[14, 15]} ; Karam, Elie G. ^[16] ; Kovess-Masfety, Viviane ^{[17, 18]} ; Lee, Sing ^[19] ; Levinson, Daphna ^[20] ; Elena Medina-Mora, Maria ^[1] ; Ormel, Johan ^[21] ; Posada-Villa, Jose ^[22] ; Sagar, Rajesh ^[23] ; Tomov, Toma ^[24] ; Uda, Hidenori ^[25] ; Williams, David R. ^[26] ; Kessler, Ronald C. ^[4]

Affiliation:Show less -

^[1] Natl Inst Psychiat, Mexico City, DF - Mexico

^[2] Harvard Univ, Dept Psychol, Cambridge, MA 02138 - USA

^[3] Inst Salud Carlos III, St Joan Deu SSM, Ctr Invest Biomed Red Salud Mental, Barcelona - Spain

^[4] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[5] Hosp del Mar, Hlth Serv Res Unit, Inst Municipal Invest Med, Ctr Invest Biomed Red CIBER Epidemiol & Salud Pub, Barcelona - Spain

^[6] Univ Sao Paulo, Sect Psychiat Epidemiol, Inst Psychiat, Sch Med, BR-05508 Sao Paulo - Brazil

^[7] Ctr Publ Mental Hlth, Gosing - Austria

^[8] Christchurch Sch Med & Hlth Sci, Otago - New Zealand

^[9] SUNY Stony Brook, Stony Brook, NY 11794 - USA

^[10] Univ Hosp Gasthuisberg, B-3000 Louvain - Belgium

^[11] Reg Hlth Care Agcy, Bologna, Emilia Romagna - Italy

^[12] Natl Sch Publ Hlth & Hlth Serv Management, Hlth Syst Res Dept, Bucharest - Romania

^[13] Univ Coll Hosp, Dept Psychiat, Ibadan - Nigeria

^[14] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China

^[15] Shenzhen Kangning Hosp, Shenzhen - Peoples R China

^[16] St George Hosp Univ Med Ctr, Inst Dev Res Advocacy & Appl Care, Beirut - Lebanon

^[17] Univ Paris 05, Paris - France

^[18] MGEN Fdn Publ Hlth, Paris - France

^[19] Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong - Peoples R China

^[20] Minist Hlth, Mental Hlth Serv, Jerusalem - Israel

^[21] Univ Groningen, Univ Med Ctr Groningen, NL-9700 AB Groningen - Netherlands

^[22] Colegio Mayor Cundinamarca Univ, Bogota - Colombia

^[23] All India Inst Med Sci, New Delhi - India

^[24] New Bulgarian Univ, Inst Human Relat, Sofia - Bulgaria

^[25] Osumi Reg Promot Bur, Social Welf & Environm Dept, Kagoshima - Japan

^[26] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 - USA

• Document type: Journal article
• Source: JOURNAL OF CLINICAL PSYCHIATRY; v. 71, n. 12, p. 1617-1628, DEC 2010.
• Web of Science Citations: 247

Abstract

Objective: Although suicide is a leading cause of death worldwide, clinicians and researchers lack a data-driven method to assess the risk of suicide attempts. This study reports the results of an analysis of a large cross-national epidemiologic survey database that estimates the 12-month prevalence of suicidal behaviors, identifies risk factors for suicide attempts, and combines these factors to create a risk index for 12-month suicide attempts separately for developed and developing countries. Method: Data come from the World Health Organization (WHO) World Mental Health (WMH) Surveys (conducted 2001-2007), in which 108,705 adults from 21 countries were interviewed using the WHO Composite International Diagnostic Interview. The survey assessed suicidal behaviors and potential risk factors across multiple domains, including socio-demographic characteristics, parent psychopathology, childhood adversities, DSM-IV disorders, and history of suicidal behavior. Results: Twelve-month prevalence estimates of suicide ideation, plans, and attempts are 2.0%, 0.6%, and 0.3%, respectively, for developed countries and 2.1%, 0.7%, and 0.4%, respectively, for developing countries. Risk factors for suicidal behaviors in both developed and developing countries include female sex, younger age, lower education and income, unmarried status, unemployment, parent psychopathology, childhood adversities, and presence of diverse 12-month DSM-IV mental disorders. Combining risk factors from multiple domains produced risk indices that accurately predicted 12-month suicide attempts in both developed and developing countries (area under the receiver operating characteristic curve = 0.74-0.80). Conclusions: Suicidal behaviors occur at similar rates in both developed and developing countries. Risk indices assessing multiple domains can predict suicide attempts with fairly good accuracy and may be useful in aiding clinicians in the prediction of these behaviors. J Clin Psychiatry 2010;71(12):1617-1628 (C) Copyright 2010 Physicians Postgraduate Press, Inc. (AU)

• FAPESP's process: 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden
• Grantee: Laura Helena Silveira Guerra de Andrade
• Support Opportunities: Research Projects - Thematic Grants