Prospective prediction of first lifetime suicide attempts in a multi-site study of substance users.
Although considerable empirical work has been devoted to identifying risk factors for suicide attempts, most longitudinal research has studied recurrent attempts rather than first lifetime attempts. The present study sought to examine prospective predictors of first lifetime suicide attempts among adults receiving treatment for substance use. Data were drawn from the National Treatment Improvement Evaluation Study, a study of addiction treatment programs. Data were collected at treatment intake, treatment exit, and one year post-treatment. Patients (n = 3518) with no lifetime history of suicide attempts at treatment intake were followed at treatment exit and one year post-treatment, when they reported on the occurrence of suicide attempts since the prior assessment. Prospective suicidal behavior was assessed using logistic regression in relation to sociodemographic variables, health-related work impairment, history of psychiatric treatment utilization, history of suicidal ideation, history of depressive symptoms, substance use, and childhood abuse, assessed at intake. Health-related work impairment, history of suicidal ideation, and childhood physical abuse significantly predicted first lifetime attempts in a multivariate analysis. Suicidal ideation, health-related functional impairments, and childhood physical abuse may be particularly important in assessing risk for first lifetime suicide attempts. Findings suggest that future clinical work and research would benefit from considering these factors when identifying individuals at heightened risk of making a first suicide attempt.
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, RI 02915, United States. Electronic address: zmtrout@email.wm.edu.
Zoë M
ZM
Trout
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, RI 02915, United States. Electronic address: evelyn_hernandez@brown.edu.
Evelyn M
EM
Hernandez
Department of Psychology, Harvard University, 33 Kirkland St, Cambridge, MA 02138, United States. Electronic address: ekleiman@fas.harvard.edu.
Evan M
EM
Kleiman
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, RI 02915, United States. Electronic address: rtliupsych@gmail.com.
Richard T
RT
Liu
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000628:therapy; D013406:Suicide, Attempted; D014481:United States
Longitudinal study; Substance use; Suicide
Obstet Gynecol Clin North Am. 2003 Sep;30(3):413-46
14664320
Br J Psychiatry. 2011 Jul;199(1):64-70
21263012
J Affect Disord. 2004 Oct 1;82(1):43-52
15465575
Am J Orthopsychiatry. 2007 Jan;77(1):56-60
17352585
J Consult Clin Psychol. 2000 Jun;68(3):371-7
10883553
Suicide Life Threat Behav. 2007 Jun;37(3):264-77
17579539
Am J Public Health. 2013 Sep;103(9):e69-75
23865651
Child Abuse Negl. 2007 Jan;31(1):7-26
17224181
Drug Alcohol Depend. 2011 Jan 15;113(2-3):222-8
20863629
J Psychoactive Drugs. 2007 Jun;39(2):159-66
17703710
Depress Anxiety. 2016 Jun;33(6):541-8
26393336
PLoS Med. 2012;9(11):e1001349
23209385
J Psychiatr Res. 2014 Sep;56:65-71
24853457
Am J Psychiatry. 2004 Mar;161(3):437-43
14992968
Epidemiol Rev. 2008;30:133-54
18653727
Psychol Rev. 2010 Apr;117(2):575-600
20438238
NCHS Data Brief. 2016 Apr;(241):1-8
27111185
Psychiatry Res. 1990 Jan;31(1):99-108
2315425
Am J Psychiatry. 2002 Jun;159(6):909-16
12042175
Drug Alcohol Depend. 2004 Dec 7;76 Suppl:S11-9
15555812
Suicide Life Threat Behav. 2014 Feb;44(1):1-5
24313594
Am J Epidemiol. 2000 Apr 15;151(8):781-9
10965975
J Am Acad Child Adolesc Psychiatry. 1999 Dec;38(12):1497-505
10596249
Arch Gen Psychiatry. 2010 Feb;67(2):124-32
20124112
Neuroimage. 2014 Aug 15;97:236-44
24736182
Br J Psychiatry. 1997 Mar;170:205-28
9229027
PLoS Med. 2009 Aug;6(8):e1000123
19668361
Twin Res Hum Genet. 2006 Aug;9(4):523-30
16899159
Soc Sci Med. 2008 Jan;66(2):232-41
17919796
Drug Alcohol Depend. 2011 Dec 1;119(1-2):106-12
21715108
J Am Acad Child Adolesc Psychiatry. 1999 Jun;38(6):660-71
10361783
Nat Rev Neurosci. 2009 Jun;10(6):434-45
19401723
Acta Psychiatr Scand. 1994 Jan;89(1):52-8
8140907
Subst Use Misuse. 2000 May-Jun;35(6-8):971-1014
10847219
Science. 1998 May 8;280(5365):867-73
9572724
Am J Addict. 2015 Mar;24(2):98-104
25644860
J Consult Clin Psychol. 2015 Apr;83(2):253-64
25622200
J Abnorm Psychol. 1996 Nov;105(4):541-50
8952187
Suicide Life Threat Behav. 2010 Aug;40(4):416-20
20822368
JAMA Psychiatry. 2013 Mar;70(3):300-10
23303463
Acta Psychiatr Scand. 2011 Jul;124(1):30-41
20946202
J Affect Disord. 2012 Feb;136(3):398-404
22154567