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Related Experiment Videos

The suicidal process; prospective comparison between early and later stages.

Jan Neeleman1, Ron de Graaf, Wilma Vollebergh

  • 1Julius Center for Health Sciences and Primary Care and Division of Psychiatry, University Medical Centre Utrecht Internal Mail Address STRG. 131, PO Box 85500, 3584 GA Utrecht, Netherlands. j.neeleman@jc.azu.nl

Journal of Affective Disorders
|October 7, 2004
PubMed
Summary

Suicidal behavior risks change with progression. Early stages are influenced by environment, later stages by mental illness. Management should align with the individual's stage in the suicidal process.

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Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • Suicidal behavior mechanisms may vary based on the individual's stage in the suicidal process.
  • Understanding these differences is crucial for effective intervention.

Purpose of the Study:

  • To investigate how sociodemographic factors, personality traits, life events, hopelessness, and mental diagnoses influence suicidality at different stages.
  • To examine if the impact of these factors differs based on prior history of suicidal behavior.

Main Methods:

  • Survey of 5618 Dutch adults assessing lifetime and 12-month incidence of suicidal ideation, wishes, contemplation, and self-harm.
  • Mokken's scale analysis to evaluate severity dimensions of suicidality.
  • Ordered logistic regression to analyze the influence of various risk factors on suicidality incidence, considering prior history.

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Main Results:

  • Mental illness showed a stronger association with 12-month suicidality when a prior history of suicidality was present.
  • Negative life events and sociodemographic risk factors were more strongly associated with first-onset suicidality.
  • Female gender was a risk factor for first-onset 12-month suicidality.

Conclusions:

  • Environmental influences are strongest in the early stages of suicidal behavior, which then becomes more linked to mental illness.
  • Men appear to progress through the suicidal process more rapidly than women.
  • Interventions for suicidal behavior should be tailored to the specific stage of the process.