Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/61816
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Type: Journal article
Title: Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study
Author: Fairweather-Schmidt, A.
Anstey, K.
Salim, A.
Rodgers, B.
Citation: BMC Psychiatry, 2010; 10(41):1-10
Publisher: BioMed Central
Issue Date: 2010
ISSN: 1471-244X
1471-244X
Statement of
Responsibility: 
A Kate Fairweather-Schmidt, Kaarin J Anstey, Agus Salim and Bryan Rodgers
Abstract: Background: Although often providing more reliable and informative findings relative to other study designs, longitudinal investigations of prevalence and predictors of suicidal behaviour remain uncommon. This paper compares 12-month prevalence rates for suicidal ideation and suicide attempt at baseline and follow-up; identifies new cases and remissions; and assesses the capacity of baseline data to predict serious suicidality at follow-up, focusing on age and gender differences. Methods: 6,666 participants aged 20-29, 40-49 and 60-69 years were drawn from the first (1999-2001) and second (2003-2006) waves of a general population survey. Analyses involved multivariate logistic regression. Results: At follow-up, prevalence of suicidal ideation and suicide attempt had decreased (8.2%-6.1%, and 0.8%-0.5%, respectively). However, over one quarter of those reporting serious suicidality at baseline still experienced it four years later. Females aged 20-29 never married or diagnosed with a physical illness at follow-up were at greater risk of serious suicidality (OR = 4.17, 95% CI = 3.11-5.23; OR = 3.18, 95% CI = 2.09-4.26, respectively). Males aged 40-49 not in the labour force had increased odds of serious suicidality (OR = 4.08, 95% CI = 1.6-6.48) compared to their equivalently-aged and employed counterparts. Depressed/anxious females aged 60-69 were nearly 30% more likely to be seriously suicidal. Conclusions: There are age and gender differentials in the risk factors for suicidality. Life-circumstances contribute substantially to the onset of serious suicidality, in addition to symptoms of depression and anxiety. These findings are particularly pertinent to the development of effective population-based suicide prevention strategies.
Keywords: Humans
Azepines
Piperidines
Data Collection
Prevalence
Cause of Death
Risk Factors
Longitudinal Studies
Follow-Up Studies
Suicide
Suicide, Attempted
Mental Disorders
Depressive Disorder
Age Factors
Sex Factors
Age Distribution
Health Status
Adult
Aged
Middle Aged
Female
Male
Description: The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1471-244X/10/41
Rights: © 2010 Fairweather-Schmidt et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1186/1471-244X-10-41
Grant ID: http://purl.org/au-research/grants/nhmrc/179805
http://purl.org/au-research/grants/nhmrc/179839
http://purl.org/au-research/grants/nhmrc/366756
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