TY  - JOUR
PY  - 2015//
TI  - A population-based longitudinal study of recent stressful life events as risk factors for suicidal behavior in major depressive disorder
JO  - Archives of suicide research
A1  - Wang, Yunqiao
A1  - Sareen, Jitender
A1  - Afifi, Tracie O.
A1  - Bolton, Shay-Lee
A1  - Johnson, Edward A.
A1  - Bolton, James M.
SP  - 202
EP  - 217
VL  - 19
IS  - 2
N2  - 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, "serious problems with neighbor, friend or relative" [adjusted odds ratio (AOR) = 2.21; 95% confidence interval (95% CI): 1.41, 3.45] and "major financial crisis, bankruptcy or unable to pay bills" [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>
LA  - en
SN  - 1381-1118
UR  - http://dx.doi.org/10.1080/13811118.2014.957448
ID  - ref1
ER  -