title: Substance Use Disorders and Poverty as Prospective Predictors of Adult First-Time Suicide Ideation or Attempt in the United States.
abstract: This study examined whether substance use disorders (SUD) and poverty predicted first-time suicide ideation or attempt in United States national data. Respondents without prior histories of suicide ideation or attempt at Wave 1 of the NESARC (N = 31,568) were analyzed to determine the main and interactive effects of SUD and poverty on first-time suicide ideation or attempt by Wave 2, 3 years later. Adjusted for controls, poverty (AOR = 1.35, CI = 1.05-1.73) and drug use disorders (AOR = 2.10, CI = 1.07-4.14) independently increased risk for first-time suicide ideation or attempt at Wave 2. SUD and poverty did not interact to differentially increase risk for first-time suicide ideation or attempt, prior to or after adjustment for controls. This study reinforces the importance of SUD and poverty in the risk for first-time suicide ideation or attempt. Public health efforts should target messages to drug users and the impoverished that highlight their increased risk for first-time suicide.
authors.affiliation: Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 1051 Riverside Drive, Box 123, New York, NY, 10032, USA. rgt2101@cumc.columbia.edu.
authors.forename: Ronald G
authors.initials: RG
authors.lastname: Thompson
authors.affiliation: Graduate School of Social Service, Fordham University, West Harrison, NY, 10604, USA.
authors.forename: Dana
authors.initials: D
authors.lastname: Alonzo
authors.affiliation: Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 1051 Riverside Drive, Box 123, New York, NY, 10032, USA.
authors.forename: Mei-Chen
authors.initials: MC
authors.lastname: Hu
authors.affiliation: Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 1051 Riverside Drive, Box 123, New York, NY, 10032, USA.|New York State Psychiatric Institute, New York, NY, 10032, USA.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA.
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Hasin
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011203:Poverty; D011446:Prospective Studies; D036301:Qualitative Research; D019966:Substance-Related Disorders / Q000523:psychology*; D059020:Suicidal Ideation; D013406:Suicide, Attempted; D014481:United States; D055815:Young Adult
keywords: NESARC; Poverty; Substance use disorders; Suicide ideation or attempt