Prevalence and Correlates of Youth Suicidal Ideation and Attempts: Evidence from the 2014 Ontario Child Health Study

被引:45
作者
Georgiades, Katholiki [1 ,2 ,11 ]
Boylan, Khrista [1 ,2 ,11 ]
Duncan, Laura [1 ,2 ,3 ,11 ]
Wang, Li [1 ,2 ,3 ,11 ]
Colman, Ian [4 ,14 ]
Rhodes, Anne E. [1 ,2 ,5 ]
Bennett, Kathryn [1 ,2 ,3 ,11 ]
Comeau, Jinette [6 ,7 ,15 ]
Manion, Ian [8 ,17 ]
Boyle, Michael H. [1 ,2 ,11 ]
Afifi, Tracie O. [9 ]
Avison, William R. [10 ]
Bennett, Terry [11 ]
Butt, Michelle [11 ]
Cairney, John [12 ]
Carlisle, Corine [12 ]
Cleverley, Kristin [13 ]
Cunningham, Charles [11 ]
Davies, Scott [12 ]
de Oliveira, Claire [13 ]
Dirks, Melanie [16 ]
Duku, Eric [11 ]
Dunn, Jim [11 ]
Ferro, Mark A. [17 ]
Georgiades, Stelios [11 ]
Gonzalez, Andrea [11 ]
Hall, Geoffrey [11 ]
Henderson, Joanna [13 ]
Janus, Magdalena [11 ]
Jenkins, Jennifer [12 ]
Kimber, Melissa [11 ]
Lipman, Ellen [11 ]
MacMillan, Harriet [11 ]
McLennan, John [14 ]
Petitclerc, Amelie [18 ]
Rhodes, Anne [12 ]
Reid, Graham [10 ]
Rosenbaum, Peter [11 ]
Sassi, Roberto [11 ]
Schmidt, Louis [11 ]
Shepherd, Cody [19 ]
Soreni, Noam [11 ]
Szatmari, Peter [20 ]
Timmons, Brian [11 ]
Tobon, Juliana [11 ]
Van Lieshout, Ryan [11 ]
Waddell, Charlotte [19 ]
Wekerle, Christine [11 ]
机构
[1] McMaster Univ, Offord Ctr Child Studies, 1280 Main St West,MIP 201A, Hamilton, ON L8S 4K1, Canada
[2] McMaster Univ, Dept Psychiat & Behav Neurosci, 1280 Main St West,MIP 201A, Hamilton, ON L8S 4K1, Canada
[3] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
[4] Univ Ottawa, Fac Med, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada
[5] Univ Toronto, Fac Med, Dept Psychiat, Toronto, ON, Canada
[6] Western Univ, Kings Univ Coll, Dept Sociol, London, ON, Canada
[7] Western Univ, Childrens Hlth & Therapeut, Childrens Hlth Res Inst, London, ON, Canada
[8] Royals Inst Mental Hlth Res, Ottawa, ON, Canada
[9] Univ Manitoba, Winnipeg, MB, Canada
[10] Western Univ, London, ON, Canada
[11] McMaster Univ, Hamilton, ON, Canada
[12] Univ Toronto, Toronto, ON, Canada
[13] Univ Toronto, Ctr Addict & Mental Hlth, Toronto, ON, Canada
[14] Univ Ottawa, Ottawa, ON, Canada
[15] Western Univ, Kings Univ Coll, London, ON, Canada
[16] McGill Univ, Montreal, PQ, Canada
[17] Univ Waterloo, Waterloo, ON, Canada
[18] Northwestern Univ, Evanston, IL 60208 USA
[19] Simon Fraser Univ, Burnaby, BC, Canada
[20] Univ Toronto, Hosp Sick Children, Ctr Addict & Mental Hlth, Toronto, ON, Canada
来源
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2019年 / 64卷 / 04期
基金
加拿大健康研究院;
关键词
suicidal ideation; suicidal attempts; youth; ontario; correlates; NONSUICIDAL SELF-INJURY; RISK-FACTORS; ADOLESCENTS; QUESTIONNAIRE; METAANALYSIS; EXPERIENCES; DEPRESSION; THOUGHTS; VALIDITY; BEHAVIOR;
D O I
10.1177/0706743719830031
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objectives: To present the 12-month prevalence and correlates of suicidal ideation and attempts in a sample of youth in Ontario. Methods: Data come from the 2014 Ontario Child Health Study, a provincially representative survey of families with children in Ontario. Youth aged 14 to 17 y (n = 2,396) completed a computer-assisted, self-administered questionnaire in their home to assess the occurrence of suicidal ideation, suicidal attempts, and associated correlates, including non-suicidal self-injury, mental disorders, substance use, peer victimization and exposure to child maltreatment. Socio-demographic information was collected from the parent. Logistic regression models were used to identify correlates that distinguished between youth reporting: 1) no suicidal ideation or attempts, 2) suicidal ideation but no attempts, and 3) suicidal ideation and attempts. Results: The 12-month prevalence of suicidal ideation and attempts was 8.1% and 4.3%, respectively. All clinical and behavioural correlates were significantly higher among youth reporting suicidal ideation or attempts, as compared with non-suicidal youth. In adjusted models, depression and non-suicidal self-injury were each independently associated with elevated odds of suicidal ideation (OR = 4.84 and 4.19, respectively) and suicidal attempt (OR = 7.84 and 22.72, respectively). Among youth who reported suicidal ideation, the only variable that differentiated youth who attempted suicide v. those who did not, in adjusted models, was non-suicidal self-injury (OR = 3.89). Conclusions: Suicidal ideation and attempts are common among youth in Ontario, often co-occurring with mental disorders and high-risk behaviours. These findings underscore the need for effective prevention and intervention strategies, particularly for youth depression and non-suicidal self-injury.
引用
收藏
页码:265 / 274
页数:10
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