TY  - JOUR
PY  - 2020//
TI  - Financial strain and suicide attempts in a nationally representative sample of US adults
JO  - American journal of epidemiology
A1  - Elbogen, Eric B.
A1  - Lanier, Megan
A1  - Montgomery, Ann Elizabeth
A1  - Strickland, Susan
A1  - Wagner, H. Ryan
A1  - Tsai, Jack
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Although research has identified many suicide risk factors, the relationship between financial strain and suicide has received less attention. Using data representative of the US adult population (n = 34,653) from wave 1 (2001-2002) and wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we investigated the association between financial strain-financial debt/crisis, unemployment, past homelessness, lower income-and subsequent suicide attempts and suicidal ideation. Multivariable logistic regression controlling for demographic and clinical covariates showed that cumulative financial strain was predictive of suicide attempts between waves 1 and 2 (odds ratio (OR) = 1.53; 95% confidence interval (CI): 1.32, 1.77). Wave 1 financial debt/crisis (OR = 1.58; 95% CI: 1.06, 2.34), unemployment (OR = 1.52; 95% CI: 1.10, 2.10), past homelessness (OR = 1.50; 95% CI: 1.03, 2.17), and lower income (OR = 1.51; 95% CI: 1.01, 2.25) were each associated with subsequent suicide attempts. Respondents endorsing these four financial strain variables had 20 times higher predicted probability of attempting suicide compared to respondents endorsing none of these variables. Analyses yielded similar results examining suicidal ideation. Financial strain accumulated from multiple sources (debt, housing instability, unemployment, low income) should be considered for optimal assessment, management, and prevention of suicide.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-9262
UR  - http://dx.doi.org/10.1093/aje/kwaa146
ID  - ref1
ER  -