title: Suicide history and mortality: a follow-up of a national cohort in the United States.
abstract: Little is known about the cause-specific deaths among young suicide attempters from the general population, and the time window for intervention to reduce the elevated rate of death was unclear. We analyzed a nationally representative sample of young adults (17-39 years old) who participated in the third National Health and Nutrition Examination Survey (NHANES III, 1988-1994) and were followed up with vital status through December 31, 2006. The history of attempted suicide was associated with an increased rate for all-cause death (HR = 1.52 [95% CI = 0.92-2.52]) with borderline statistical significance. Previous suicide attempters experienced a 3-fold (HR = 2.68[=1.01-7.09]) increased rate for cardiovascular diseases (CVD), and a 7-fold (HR = 7.10 [95% CI = 1.37-36.9]) increased rate of death due to completed suicide compared with non-attempters. The survival curves of the attempters declined rapidly for the first 3 years of follow-up, and the distance between curves remained consistent starting from the third year to the end of the follow-up. Prevention services should be tailored not only for suicide, but also for cardiovascular diseases among populations with suicidal tendency, and the service should be intensified within first 3 years after suicidal behaviors occur.
authors: a College of Public Health , Georgia Southern University , Statesboro , Georgia , USA.
authors: Hasan
authors: H
authors: Al-Sayegh
authors: Joseph
authors: J
authors: Lowry
authors: Ram N
authors: RN
authors: Polur
authors: Robert B
authors: RB
authors: Hines
authors: Fengqi
authors: F
authors: Liu
authors: Jian
authors: J
authors: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000401:mortality*; D002423:Cause of Death; D015331:Cohort Studies; D003865:Major Depressive Disorder / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006708:Homicide / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009026:Mortality; D009369:Neoplasms / Q000401:mortality*; D016016:Proportional Hazards Models; D012907:Smoking / Q000453:epidemiology; D059020:Suicidal Ideation; D013405:Suicide / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000401:mortality*; D055815:Young Adult
keywords: cardiovascular disease; cohort; follow-up; homicide; mortality; suicide