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Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey

dc.creatorKessler, Ronald C.
dc.creatorBorges, Guilherme
dc.creatorWalters, Ellen E.
dc.date.accessioned2017-06-29T04:22:22Z
dc.date.available2017-06-29T04:22:22Z
dc.date.issued1999es_ES
dc.identifier279es_ES
dc.identifier.issn0003-990Xes_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4973
dc.identifier.urihttps://doi.org/10.1001/archpsyc.56.7.617es_ES
dc.language.isoenges_ES
dc.relation56 (7) 617-626 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshCohort Studieses_ES
dc.subject.meshComorbidityes_ES
dc.subject.meshEducational Statuses_ES
dc.subject.meshFemalees_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMental Disorders-diagnosises_ES
dc.subject.meshMental Disorders-epidemiologyes_ES
dc.subject.meshMental Disorders-psychologyes_ES
dc.subject.meshMultivariate Analysises_ES
dc.subject.meshPrevalencees_ES
dc.subject.meshPsychiatric Status Rating Scales-statistics & numerical dataes_ES
dc.subject.meshRetrospective Studieses_ES
dc.subject.meshRisk Factorses_ES
dc.subject.meshSuicide, Attempted-prevention & controles_ES
dc.subject.meshSuicide, Attempted-psychologyes_ES
dc.subject.meshSuicide, Attempted-statistics & numerical dataes_ES
dc.subject.meshSurvival Analysises_ES
dc.subject.meshUnited States-epidemiologyes_ES
dc.titlePrevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Surveyes_ES
dc.typearticlees_ES
dc.contributor.affiliationDepartment of Health Care Policy, Harvard Medical School, Boston, Mass., USA.es_ES
dc.contributor.emailkessler@hcp.med.harvard.edues_ES
dc.relation.jnabreviadoARCH GEN PSYCHIATRYes_ES
dc.relation.journalArchives of General Psychiatryes_ES
dc.identifier.placeChicagoes_ES
dc.date.published1999es_ES
dc.identifier.organizacionInstituto Mexicano de Psiquiatríaes_ES
dc.identifier.eissn1538-3636es_ES
dc.description.monthJules_ES
dc.description.abstractotrodiomaBACKGROUND: General population survey data are presented on the lifetime prevalence of suicide attempts as well as transition probabilities to onset of ideation, plans among ideators, and attempts among ideators either with or without a plan. Risk factors for these transitions are also studied. METHODS: Data are from part II of the National Comorbidity Survey, a nationally representative survey carried out from 1990 to 1992 in a sample of 5877 respondents aged 15 to 54 years to study prevalences and correlates of DSM-III-R disorders. Transitions are estimated using life-table analysis. Risk factors are examined using survival analysis. RESULTS: Of the respondents, 13.5% reported lifetime ideation, 3.9% a plan, and 4.6% an attempt. Cumulative probabilities were 34% for the transition from ideation to a plan, 72% from a plan to an attempt, and 26% from ideation to an unplanned attempt. About 90% of unplanned and 60% of planned first attempts occurred within 1 year of the onset of ideation. All significant risk factors (female, previously married, age less than 25 years, in a recent cohort, poorly educated, and having 1 or more of the DSM-III-R disorders assessed in the survey) were more strongly related to ideation than to progression from ideation to a plan or an attempt. CONCLUSIONS: Prevention efforts should focus on planned attempts because of the rapid onset and unpredictability of unplanned attempts. More research is needed on the determinants of unplanned attempts.es_ES


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