%0 Journal Article
%T Developmental model of suicide trajectories
%J British journal of psychiatry
%D 2014
%A Seguin, Monique
%A Beauchamp, Guy
%A Robert, Marie
%A Dimambro, Mélanie
%A Turecki, Gustavo
%V 205
%N 2
%P 120-126
%X BACKGROUND: Most developmental studies on suicide do not take into account individual variations in suicide trajectories. AIMS: Using a life course approach, this study explores developmental models of suicide trajectories. <br><br>METHOD: Two hundred and fourteen suicides were assessed with mixed methods. Statistical analysis using combined discrete-time survival (DTS) and growth mixture modelling (GMM) generated various trajectories, and path analysis (Mplus) identified exogenous and mediating variables associated with these trajectories. <br><br>RESULTS: Two groups share common risk factors, and independently of these major risk factors, they have different developmental trajectories: the first group experienced a high burden of adversity and died by suicide in their early 20s; and the second group experienced a somewhat moderate or low burden of adversity before they took their own life. Structural equation modelling identified variables specific to the early suicide trajectory: conduct and behavioural difficulties, social isolation/conflicts mediated by school-related difficulties, the end of a love relationship, and previous suicide attempts. <br><br>CONCLUSIONS: Psychosocial adversity between 10 and 20 years of age may warrant key periods of intervention.<p /> <p>Language: en</p>
%G en
%I Royal College of Psychiatry
%@ 0007-1250
%U http://dx.doi.org/10.1192/bjp.bp.113.139949