Suicidal ideation and behavior in youth in low- and middle-income countries: A brief review of risk factors and implications for prevention DOI Creative Commons
Johanne Renaud, Sasha MacNeil, Lakshmi Vijayakumar

et al.

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13

Published: Dec. 6, 2022

Although global rates of suicide have dropped in the last 30 years, youth low- and middle-income countries (LMICs) continue to be highly represented statistics yet underrepresented research. In this review we present epidemiology suicide, suicidal ideation, attempts among LMICs. We also describe population-level (attitudes toward socioeconomic, societal factors) individual-level clinical psychosocial risk factors, highlighting specific considerations pertaining These factors within population can inform how multi-level prevention strategies may targeted meet their needs. Prevention intervention relying on stepped-care framework focusing population-, community-, individual level targets while considering locally- culturally relevant practices are key addition, systemic approaches favoring school-based family-based interventions important youth. Cross-culturally adapted multimodal targeting heterogeneity that exists healthcare systems, rates, these should accorded a high priority reduce burden

Language: Английский

Global, regional, and national burden of suicide, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021 DOI Creative Commons
Nicole Davis Weaver,

Gregory J Bertolacci,

Emily Rosenblad

et al.

The Lancet Public Health, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Deaths from suicide are a tragic yet preventable cause of mortality. Quantifying the burden to understand its geographical distribution, temporal trends, and variation by age sex is an essential step in prevention. We aimed present comprehensive set global, regional, national estimates burden. produced number deaths age-standardised mortality rates globally, regionally, for 204 countries territories 1990 2021, disaggregated these results sex. The Global Burden Diseases, Injuries, Risk Factors Study (GBD) 2021 attributable were broken down into two categories: those firearms other specified means. For this analysis, we also mean at time death suicide, incidence attempts compared with deaths, firearm. acquired data vital registration, verbal autopsy, surveillance that included 23 782 study-location-years GBD 2021. Point calculated average 1000 randomly selected possible values age, sex, location. 95% uncertainty intervals (UIs) derived 2·5th 97·5th percentiles 1000-draw distribution. Globally, 746 000 (95% UI 692 000-800 000) occurred including 519 (485 000-556 among males 227 (200 000-255 females. rate has declined over time, 14·9 (12·8-15·7) per 100 population 9·0 (8·3-9·6) Regionally, due highest eastern Europe (19·2 [17·5-20·8] 000), southern sub-Saharan Africa (16·1 [14·0-18·3] central (14·4 [11·0-19·1] 000). which individuals died progressively increased during study period. males, was 43·0 years (38·0-45·8), increasing 47·0 (43·5-50·6) females, it 41·9 (30·9-46·7) 46·9 (41·2-52·8) requiring medical care consistently higher regional level females than males. using substantially varied country region. suicides USA, Uruguay, Venezuela. remain variable across locations, although have continued improve globally since 1990s. This presents, first GBD, quantification death, alongside throughout world. These analyses will help guide future approaches reduce consider public health framework Bill & Melinda Gates Foundation.

Language: Английский

Citations

1

National Incidence of Physician Suicide and Associated Features DOI
Hirsh Makhija, Judy E. Davidson, Kelly C. Lee

et al.

JAMA Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 26, 2025

Importance Previous reports regarding comparative suicide incidence among US physicians vs nonphysicians have been inconclusive. Objective To estimate the national of male and female physician analyze associated factors, comparing findings to general population. Design, Setting, Participants This retrospective cohort study investigated suicides aged 25 years older in from January 2017 December 2021. The analysis took place November 2023 September 2024. National Violent Death Reporting System data 30 states Washington, DC, were used. Decedents with missing age or sex excluded for incidence, race, ethnicity, marital status further analyses. Exposure Physician occupation. Main Outcome Measures Suicide rate ratios (IRRs) odds (aORs) adjusted by age, sex, used compare preceding circumstances, primary method, substances. Results A total 448 (354 [79%] 94 [21%] female; mean [SD] 60 [16] years) 97 467 population (76 697 20 770 51 [17] identified. Female had higher rates than (IRR, 1.88; 95% CI, 1.19-2.83) 2019 1.75; 1.09-2.65), overall 2021 risk 1.53; 1.23-1.87). Male lower 0.84; 0.75-0.93). Compared including all available jurisdiction data, depressed mood (aOR, 1.35; 1.14-1.61; P < .001) as well mental health 1.66; 1.39-1.97; .001), job 2.66; 2.11-3.35; legal 1.40, 1.06-1.84; = .02) problems use poisoning 1.85; 1.50-2.30; sharp instruments 4.58; 3.47-6.06; .001). Physicians also positive toxicology caffeine; poison; cardiovascular agents; benzodiazepines; anxiolytics, nonbenzodiazepines, hypnotics; drugs not prescribed home use. Conclusion Relevance These show a compared nonphysicians. Comprehensive multimodal prevention strategies remain warranted.

Language: Английский

Citations

1

Protocol for socioecological study of autism, suicide risk, and mental health care: Integrating machine learning and community consultation for suicide prevention DOI Creative Commons
Nicole M. Marlow, Jessica M. Kramer, Anne V. Kirby

et al.

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(3), P. e0319396 - e0319396

Published: March 19, 2025

Autistic people experience higher risk of suicidal ideation (SI) and suicide attempts (SA) compared to non-autistic people, yet there is limited understanding complex, multilevel factors that drive this disparity. Further, determinants mental health service receipt among population are unknown. This study will identify socioecological associated with increased SI SA for autistic evaluate care receipt. link information individuals aged 12-64 years in healthcare claims data (IBM® MarketScan® Research Database CMS Medicaid) publicly available databases containing community policy factors, thereby creating a unique, dataset includes health, demographic, community, information. Machine learning reduction methods be applied reduce the dimensionality prior nested, empirical estimation. These techniques allow robust identification clusters 1) 2) services (type, dose, delivery modality). Throughout, research team partner an established group partners promote relevance, as well receive input guidance from council practice advisors. We hypothesize nested individual (co-occurring conditions, age, sex), (healthcare availability, social vulnerabilities), (state legislation, state Medicaid expansion) heightened SA, receipt, interdependent at all three levels. The approach lead facilitate or impede delivery. then engage partners, advisors inform development recommendations improve population.

Language: Английский

Citations

1

Understanding Vulnerability to Late-Life Suicide DOI Open Access

Olivia Ding,

Gary J. Kennedy

Current Psychiatry Reports, Journal Year: 2021, Volume and Issue: 23(9)

Published: July 17, 2021

Language: Английский

Citations

46

Suicidal ideation and behavior in youth in low- and middle-income countries: A brief review of risk factors and implications for prevention DOI Creative Commons
Johanne Renaud, Sasha MacNeil, Lakshmi Vijayakumar

et al.

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13

Published: Dec. 6, 2022

Although global rates of suicide have dropped in the last 30 years, youth low- and middle-income countries (LMICs) continue to be highly represented statistics yet underrepresented research. In this review we present epidemiology suicide, suicidal ideation, attempts among LMICs. We also describe population-level (attitudes toward socioeconomic, societal factors) individual-level clinical psychosocial risk factors, highlighting specific considerations pertaining These factors within population can inform how multi-level prevention strategies may targeted meet their needs. Prevention intervention relying on stepped-care framework focusing population-, community-, individual level targets while considering locally- culturally relevant practices are key addition, systemic approaches favoring school-based family-based interventions important youth. Cross-culturally adapted multimodal targeting heterogeneity that exists healthcare systems, rates, these should accorded a high priority reduce burden

Language: Английский

Citations

37