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Factors influencing the development and amelioration of suicidal thoughts in the general population: Cohort study

  • D. Gunnell (a1), R. Harbord (a1), N. Singleton (a2), R. Jenkins (a3) and G. Lewis (a4)...

Abstract

Background

The incidence of suicidal thoughts in the British population is unknown.

Aims

To determine the factors associated with the development of, and recovery from, suicidal thoughts.

Method

An 18-month follow-up survey investigated 2404 of the adults who took part in the second National Psychiatric Morbidity Survey.

Results

The annual incidence of suicidal thoughts was 2.3%. Incidence was highest in women and among 16- to 24-year-olds. Increased incidence was associated with not being in a stable relationship, low levels of social support and being unemployed. Fifty-seven percent of those with suicidal thoughts at baseline had recovered by the 18-month follow-up interview.

Conclusions

Risk factors for suicidal thoughts are similar to those for completed suicide, although the age and gender patterning is different. Fewer than 1 in 200 people who experience suicidal thoughts go on to complete suicide. Further study into explanations for the differences in the epidemiology of suicidal thoughts and suicide is crucial to understanding the pathways (protective and precipitating) linking suicidal thoughts to completed suicide and should help inform effective prevention of suicide.

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Copyright

Corresponding author

David Gunnell, Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK. Tel: 0117 9287253; fax: 0117 9287204; e-mail: D.J.Gunnell@Bristol.ac.uk

Footnotes

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Declaration of interest

None. Funding detailed in Acknowledgements.

Footnotes

References

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Andreasson, S., Allebeck, P. & Romelsjo, A. (1988) Alcohol and mortality among young men: longitudinal study of Swedish conscripts. BMJ, 296, 10211025.
Appleby, L. (2000) Suicide in women. Lancet, 355, 12031204.
Biddle, L., Gunnell, D., Sharp, D., et al (2004) Factors influencing help seeking in mentally distressed young adults: a cross-sectional survey. British Journal of General Practice, 54, 248253.
Department of Health (2002) National Suicide Prevention Strategy for England. London: Department of Health.
Fanous, A. H., Prescott, C. A. & Kendler, K. S. (2004) The prediction of thoughts of death or self-harm in a population-based sample of female twins. Psychological Medicine, 34, 301312.
Foster, T., Gillespie, K. & McClelland, R. (1997) Mental disorders and suicide in Northern Ireland. British Journal of Psychiatry, 70, 447452.
Freemantle, N., Long, A., Mason, J., et al (1993) Effective Health Care: The Treatment of Depression in Primary Care. Leeds: University of Leeds.
Goldney, R. D., Wilson, D., Dal Grande, E., et al (2000) Suicidal ideation in a random community sample: attributable risk due to depression and psychosocial and traumatic events. Australian and New Zealand Journal of Psychiatry, 34, 98106.
Gunnell, D. & Harbord, R. (2003) Suicidal thoughts. In Better or Worse: A Longitudinal Study of the Mental Health of Adults Living in Private Households in Great Britain (eds Singleton, N. & Lewis, G.), pp.4565. London: Stationery Office.
Hawton, K., Fagg, J., Simkin, S., et al (1997) Trends in deliberate self-harm in Oxford, 1985–1995. Implications for clinical services and the prevention of suicide. British Journal of Psychiatry, 171, 556560.
Hintikka, J., Viinamaki, H., Tanskanen, A., et al (1998) Suicidal ideation and parasuicide in the Finnish general population. Acta Psychiatrica Scandinavica, 98, 2327.
Hintikka, J., Pesonen, T., Saarinen, P., et al (2001) Suicidal ideation in the Finnish general population. A12-month follow-up study. Social Psychiatry and Psychiatric Epidemiology, 36, 590594.
Kelly, S. & Bunting, J. (1998) Trends in suicide in England and Wales, 1982–96. Population Trends, 92, 2941.
Kessler, R. C., Borges, G. & Walters, E. E. (1999) Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry, 56, 617626.
Kjoller, M. & Helweg-Larsen, M. (2000) Suicidal ideation and suicide attempts among adult Danes. Scandinavian Journal of Public Health, 28, 5461.
Kposowa, A. J. (2000) Marital status and suicide in the National Longitudinal Mortality Study. Journal of Epidemiology and Community Health, 54, 254261.
Kreitman, N. (1988) Suicide, age and marital status. Psychological Medicine, 18, 121128.
Kuo, W. H., Gallo, J. J. & Tien, A. Y. (2001) Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore, Maryland. Psychological Medicine, 31, 11811191.
Lewis, G. & Pelosi, A. J. (1990) Manual of the Revised Clinical Interview Schedule CIS–R. London: Institute of Psychiatry.
Lewis, G. & Sloggett, A. (1998) Suicide, deprivation and unemployment: record linkage study. BMJ, 317, 12831286.
Lewis, G., Pelosi, A., Araya, R., et al (1992) Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychological Medicine, 22, 465486.
Meltzer, H., Lader, D., Corbin, T., et al (2002) Non-fatal Suicidal Behaviour Among Adults Aged 16 to 74 in Great Britain. London: Stationery Office.
Michel, K., Ballinari, P., Bille-Brahe, U., et al (2000) Methods used for parasuicide: results of the WHO/EURO Multicentre Study on Parasuicide. Social Psychiatry and Psychiatric Epidemiology, 35, 156163.
Olfson, M. & Klerman, G. L. (1992) Depressive symptoms and mental health service utilization in a community sample. Social Psychiatry and Psychiatric Epidemiology, 27, 161167.
Paykel, E. S., Myers, J. K., Lindenthal, J. J., et al (1974) Suicidal feelings in the general population: a prevalence study. British Journal of Psychiatry, 124, 460469.
Piccinelli, M. & Wilkinson, G. (2000) Gender differences in depression: critical review. British Journal of Psychiatry, 177, 486492.
Qin, P., Mortensen, P. B., Agerbo, E., et al (2000) Gender differences in risk factors for suicide in Denmark. British Journal of Psychiatry, 177, 546550.
Renberg, E. S. (2001) Self-reported life-weariness, death-wishes, suicidal ideation, suicidal plans and suicide attempts in general population surveys in the north of Sweden 1986 and 1996. Social Psychiatry and Psychiatric Epidemiology, 36, 429436.
Singleton, N. & Lewis, G. (2003) Better or Worse: A Longitudinal Study of the Mental Health of Adults Living in Private Households in Great Britain. London: Stationery Office.
Singleton, N., Bumpstead, R., O'Brien, M., et al (2001) Psychiatric Morbidity Among Adults Living in Private Households, 2000. London: Stationery Office.
Stansfeld, S. A. & Marmot, M. G. (1992) Social class and minor psychiatric disorder in British civil servants: a validated screening survey using the General Health Questionnaire. Psychological Medicine, 22, 739749.
Stata, (2001) Stata Statistical Software: Release 7.0. College Station, TX: Stata Corp.
Thomas, H. V., Crawford, M., Meltzer, H., et al (2002) Thinking life is not worth living: a population survey of Great Britain. Social Psychiatry and Psychiatric Epidemiology, 37, 351356.
Vilhjalmsson, R., Kristjansdottir, G. & Sveinbjarnardottir, E. (1998) Factors associated with suicide ideation in adults. Social Psychiatry and Psychiatric Epidemiology, 33, 97103.
Watson, D., Goldney, R., Fisher, L., et al (2001) The measurement of suicidal ideation. Crisis, 22, 1214.
Weissman, M. M., Bland, R. C., Canino, G. J., et al (1999) Prevalence of suicide ideation and suicide attempts in nine countries. Psychological Medicine, 29, 917.

Factors influencing the development and amelioration of suicidal thoughts in the general population: Cohort study

  • D. Gunnell (a1), R. Harbord (a1), N. Singleton (a2), R. Jenkins (a3) and G. Lewis (a4)...

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Factors influencing the development and amelioration of suicidal thoughts in the general population: Cohort study

  • D. Gunnell (a1), R. Harbord (a1), N. Singleton (a2), R. Jenkins (a3) and G. Lewis (a4)...
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