Browsing by Author "Molnar, Beth E."

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Comorbidity of substance use disorders with mood and anxiety disorders: Results of the international consortium in psychiatric epidemiology
(1998) Merikangas, Kathleen R.; Mehta, Rajni L.; Molnar, Beth E.; Walters, Ellen E.; Swendsen, Joel D.; Aguilar-Gaxiola, Sergio; Bijl, Rob; Borges, Guilherme; Caraveo-Anduaga, Jorge J.; DeWit, David J.; Kolody, Bohdan; Vega, William A.; Wittchen, Hans-Ulrich; Kessler, Ronald C.; Yale University School of Medicine
Immigration, Suicidal Ideation and Deliberate Self-Injury in the Boston Youth Survey 2006
(WILEY-BLACKWELL, COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA, 2011) Borges, Guilherme; Azrael, Deborah; Almeida, Joanna; Johnson, Renee M.; Molnar, Beth E.; Hemenway, David; Miller, Matthew; Inst Nacl Psiquiatria, Dept Invest Epidemiol, Direcc Invest Epidemiol & Psicosociales, Calzada Mexico Xochimilco 101, Mexico City 14370, DF, Mexico.; guibor@imp.edu.mx
The prevalence and immigration-related correlates of deliberate self-injury (DSI) and suicidal ideation (SI) were estimated in a sample of Boston public high school students in 2006. Compared with U.S.-born youth, immigrant youth were not at increased risk for DSI or SI, even if they had experienced discrimination due to their ancestry. By contrast, U.S.-born youth who reported having been discriminated against because of their ancestry had an increased risk of deliberate self-injury (odds ratio [OR] = 3.1, 95% confidence interval [CI] = 1.6-5.9) and suicidal ideation (OR = 2.1, 95% CI = 1.2-3.8). The combination of being U.S.-born and experiencing ancestry-based discrimination identifies youth at increased risk for suicidal behavior.
Mental-substance comorbidities in the ICPE surveys
(Helsinki : Helsinki University Central Hospital. Psychiatric Clinic, 2001) Kessler, Ronald C.; Aguilar-Gaxiola, Sergio; Andrade, Laura; Bijl, Rob; Borges, Guilherme; Caraveo-Anduaga, Jorge J.; DeWit, David J.; Kolody, Bo; Merikangas, Kathleen R.; Molnar, Beth E.; Vega, William A.; Walters, Ellen E.; Hans-Ulrich, Wittchen; Bedirhan, Ustun; Harvard Medical School, Department of Health Care Policy, 180 Longwood Avenue Boston, MA, 02115 U.S.A.; kessler@hcp.med.harvard.edu
Data are presented from seven community epidemiology surveys carried out in six countries in North America (Canada and the United States), Latin America (Brazil and Mexico), and Europe (Germany and the Netherlands) exploring patterns of comorbidity between mental disorders and substance use disorders. The surveys have a combined sample size of 28,658 respondents. Results are consistent across the surveys in showing that strong comorbidities exist between mental disorders and substance use disorders, that mental disorders are typically temporally primary (i.e., have earlier ages of onset than substance use disorders) in these comorbid pairs, and that primary mental disorders are significant predictors of the subsequent first onset of substance use disorders. Only active mental disorders, not remitted disorders, predict subsequent substance use, problems, and dependence, arguing indirectly that there is something about the mental disorders themselves rather than about determinants of these disorders, that promotes substance disorders. Decomposition shows that mental disorders are less powerful predictors of first drug use than of progressing from use to problem use and from problem use to dependence. Simulations suggest that primary mental disorders are associated with 54.7% of all drug dependence among men and 47.8% among women in these surveys. Conduct disorder and adult antisocial behavior are responsible for these cases among men, while anxiety disorders and mood disorders are also important among women. These results suggest that early interventions to treat mental disorders might be affective in reducing the number of people who would otherwise become dependent on drugs.
Prevalence and age of onset for drug use in seven international sites: results from the international consortium of psychiatric epidemiology
(Lausanne, Elsevier Sequoia, 2002) Vega, William A.; Aguilar-Gaxiola, Sergio; Andrade, Laura; Bijl, Rob; Borges, Guilherme; Caraveo-Anduaga, Jorge J.; DeWit, David J.; Heeringa, Steven G.; Kessler, Ronald C.; Kolody, Bo; Merikangas, Kathleen R.; Molnar, Beth E.; Walters, Ellen E.; Warner, Lynn A.; Hans-Ulrich, Wittchen; Institute for Quality, Research, and Training, Robert Wood Johnson Medical School-UMDNJ, 335 George Street, 3rd Floor, Liberty Plaza, New Brunswick, NJ 08901, USA; vegawa@umdnj.edu
Traumatic events and suicide-related outcomes among Mexico City adolescents
(Wiley-Blackwell, Commerce Place, 350 Main ST, Malden 02148, MA USA, 2008) Borges, Guilherme; Benjet, Corina; Medina-Mora, María Elena; Orozco, Ricardo; Molnar, Beth E.; Nock, Matthew K.; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; guibor@imp.edu.mx
Background: We report the prevalence and associations between traumatic events and suicidal ideation, suicide plans and suicide attempts among Mexican adolescents. Methods: The data are from a representative multistage probability household survey of 3,005 adolescents aged 12 to 17 years residing in the Mexico City Metropolitan Area that was carried out in 2005. We used discrete time survival analyses to model the net impact of retrospectively reported prior occurrence of traumatic events on ideation, plans and attempts, taking into account the onset of psychiatric disorders. Results: Prevalence of suicidality was high among respondents with traumatic events, ranging from a 43% prevalence of suicidal ideation among those with a history of 'Being raped' to a 25% prevalence of suicide attempts among those that reported 'Purposely injured, tortured or killed someone.' In cross-sectional estimates, any traumatic event was associated with an increase of 3.2 times the odds of suicide ideation, 5.1 times the odds of a plan and 6.6 times the odds of an attempt. Number of events was also associated with increasing suicidality such that those with three or more events were 13.7 times more likely to report a suicide attempt than those with none. Multivariate discrete time survival models that took into account a large number of demographic, suicide-related and psychiatric disorder variables reduced in strength but did not alter these basic relationships. Conclusions: We conclude that traumatic events such as rape and sexual assault have a profound impact upon suicidality and that this relationship is not entirely explained by the onset of psychiatric disorders. Comprehensive interventions for adolescent victims of traumatic events, especially those with a history of cumulative events, should include, but not be restricted to, treatment of any associated psychiatric disorder.
Traumatic life-events and suicidality among Mexican adolescents as they grow up: A longitudinal community survey
(Pergamon Press, 2021) Borges, Guilherme; Benjet, Corina; Orozco, Ricardo; Medina-Mora, Maria Elena; Mendez, Enrique; Molnar, Beth E.