tailieunhanh - Báo cáo y học: " Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study | Fairweather-Schmidt et al. BMC Psychiatry 2010 10 41 http 1471-244X 10 41 BMC Psychiatry RESEARCH ARTICLE Open Access Baseline factors predictive of serious suicidality at follow-up findings focussing on age and gender from a community-based study A Kate Fairweather-Schmidt 1 Kaarin J Anstey2 Agus Salim3 and Bryan Rodgers4 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 and 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 95 CI OR 95 CI respectively . Males aged 40-49 not in the labour force had increased odds of serious suicidality OR 95 CI 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