Substance Use Disorders and Poverty as Prospective Predictors of Adult First-Time Suicide Ideation or Attempt in the United States.
This study examined whether substance use disorders (SUD) and poverty predicted first-time suicide ideation or attempt in United States national data. Respondents without prior histories of suicide ideation or attempt at Wave 1 of the NESARC (N = 31,568) were analyzed to determine the main and interactive effects of SUD and poverty on first-time suicide ideation or attempt by Wave 2, 3 years later. Adjusted for controls, poverty (AOR = 1.35, CI = 1.05-1.73) and drug use disorders (AOR = 2.10, CI = 1.07-4.14) independently increased risk for first-time suicide ideation or attempt at Wave 2. SUD and poverty did not interact to differentially increase risk for first-time suicide ideation or attempt, prior to or after adjustment for controls. This study reinforces the importance of SUD and poverty in the risk for first-time suicide ideation or attempt. Public health efforts should target messages to drug users and the impoverished that highlight their increased risk for first-time suicide.
['Thompson|Ronald G|RG|', 'Alonzo|Dana|D|', 'Hu|Mei-Chen|MC|', 'Hasin|Deborah S|DS|']
D000293:Adolescent D000328:Adult D005260:Female D006801:Humans D007407:Interviews as Topic D008137:Longitudinal Studies D008297:Male D008875:Middle Aged D011203:Poverty D011446:Prospective Studies D036301:Qualitative Research D019966:Substance-Related Disorders D059020:Suicidal Ideation D013406:Suicide, Attempted D014481:United States D055815:Young Adult
Substance use disorders Poverty Suicide ideation or attempt NESARC