@article{ref1,
title="A population-based longitudinal study of recent stressful life events as risk factors for suicidal behavior in major depressive disorder",
journal="Archives of suicide research",
year="2015",
author="Wang, Yunqiao and Sareen, Jitender and Afifi, Tracie O. and Bolton, Shay-Lee and Johnson, Edward A. and Bolton, James M.",
volume="19",
number="2",
pages="202-217",
abstract="BACKGROUND: The purpose of this study is to investigate whether the type and number of stressful life events (SLEs) will be associated with suicidal behavior in a 3-year follow-up period in persons with major depressive disorder (MDD). <br><br>METHODS: Data came from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative longitudinal survey of mental health in non-institutionalized adults in the United States. The survey consisted of two waves: Wave 1 (2001-2002) and Wave 2 (2004-2005), n = 34,653. Twelve past-year SLEs were assessed at baseline. These SLEs were categorized into the following groups based on previous research: Loss or victimization; Relationship, friendship, or interpersonal stress; Financial stress; and Legal problems. Only respondents with MDD at Wave 1 were included (n = 6004). <br><br>RESULTS: Several SLEs were strongly associated with suicide attempts, among which, &quot;serious problems with neighbor, friend or relative&quot; [adjusted odds ratio (AOR) = 2.21; 95% confidence interval (95% CI): 1.41, 3.45] and &quot;major financial crisis, bankruptcy or unable to pay bills&quot; [AOR = 2.31; 95% CI: 1.45, 3.66] were the most robust predictors of suicide attempts even after adjusting for sociodemographic variables and any anxiety, substance use, or personality disorder. <br><br>CONCLUSIONS: People with MDD who had been exposed to certain SLEs are at elevated risk for future suicide attempts, even after accounting for the demographic factors and psychiatric comorbidity.<p /> <p>Language: en</p>",
language="en",
issn="1381-1118",
doi="10.1080/13811118.2014.957448",
url="http://dx.doi.org/10.1080/13811118.2014.957448"
}