In:
Crisis, Hogrefe Publishing Group, Vol. 37, No. 5 ( 2016-09), p. 385-391
Abstract:
Abstract. Background: Identification of factors that predict and protect against attempted suicide are critical for the development of effective suicide prevention and intervention programs. Aims: To examine whether substance use mediates the association between demographic characteristics, suicide attempt history, and reports of a suicide attempt within 12 months after screening positive for active suicidal ideation or behavior during the index emergency department (ED) visit. Method: Data were collected during the first two phases of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study. Data collection included baseline interview; 6- and 12-month chart reviews; and 6-, 12-, 24-, 36-, and 52-week telephone follow-up assessments. Structural equation modeling was used. All p values were two-tailed, with p 〈 .05 considered statistically significant. Results: Among the 874 subjects, 195 (22%) reported a suicide attempt within 12 months after the index ED visit. Of participants reporting a suicide attempt, 59% were 〈 40 years old, 59% female, and 76% non-Hispanic White. Associations between race, sex, and suicide attempt 12 months after the index ED visit may be mediated by a combination of alcohol misuse and cocaine use. Conclusion: Findings from the mediation analyses provide insight into the impact of substance use on future suicide attempts in various sociodemographic groups.
Type of Medium:
Online Resource
ISSN:
0227-5910
,
2151-2396
DOI:
10.1027/0227-5910/a000380
Language:
English
Publisher:
Hogrefe Publishing Group
Publication Date:
2016
detail.hit.zdb_id:
2090882-9
detail.hit.zdb_id:
801380-9
SSG:
5,2
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