Specific traumatic events elevate the risk of a suicide attempt in a 10-year longitudinal community study on adolescents and young adults
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Specific traumatic events elevate the risk of a suicide attempt in a 10-year longitudinal community study on adolescents and young adults. / Miché, Marcel; Hofer, Patrizia Denise; Voss, Catharina; Meyer, Andrea Hans; Gloster, Andrew Thomas; Beesdo-Baum, Katja; Wittchen, Hans-Ulrich; Lieb, Roselind.
In: EUR CHILD ADOLES PSY, Vol. 29, No. 2, 02.2020, p. 179-186.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Specific traumatic events elevate the risk of a suicide attempt in a 10-year longitudinal community study on adolescents and young adults
AU - Miché, Marcel
AU - Hofer, Patrizia Denise
AU - Voss, Catharina
AU - Meyer, Andrea Hans
AU - Gloster, Andrew Thomas
AU - Beesdo-Baum, Katja
AU - Wittchen, Hans-Ulrich
AU - Lieb, Roselind
PY - 2020/2
Y1 - 2020/2
N2 - Traumatic events (TEs) have been associated with suicide attempts (SAs). However, the empirical status of some TEs is inconclusive. This also concerns community adolescents and young adults, known to be a high-risk group for SAs. We examined associations between (a) a range of prior TEs (physical attack, rape/sexual abuse, serious accident, and witnessing somebody else experiencing a TE) and a subsequent SA, and (b) the number of prior TEs and an SA, and (c) we estimated attributable proportions of SAs, in relation to each TE. Over a 10-year period, the Early Developmental Stages of Psychopathology (EDSP) study prospectively assessed community members, aged 14-24 years at baseline. Starting with 3021 subjects, each individual was assessed up to four times. Assessment was based on the Munich-Composite International Diagnostic Interview. Temporal associations were estimated using the Cox model with time-dependent covariates. Attributable proportions were based on the results of the Cox models. All four TEs elevated the risk for a subsequent SA, adjusting for confounders. Highest risk was found for the combined TE rape/sexual abuse. Results showed that 56-90% of SAs could be attributed to TEs in the exposed group; on the population level, attributable proportions ranged between 6.9% and 23.5%. Different TEs have been shown to elevate the risk of an SA in a young community sample. Our results suggest that both health professionals and health policy decision-makers consider specific TEs and the number of prior TEs as risk factors for SAs.
AB - Traumatic events (TEs) have been associated with suicide attempts (SAs). However, the empirical status of some TEs is inconclusive. This also concerns community adolescents and young adults, known to be a high-risk group for SAs. We examined associations between (a) a range of prior TEs (physical attack, rape/sexual abuse, serious accident, and witnessing somebody else experiencing a TE) and a subsequent SA, and (b) the number of prior TEs and an SA, and (c) we estimated attributable proportions of SAs, in relation to each TE. Over a 10-year period, the Early Developmental Stages of Psychopathology (EDSP) study prospectively assessed community members, aged 14-24 years at baseline. Starting with 3021 subjects, each individual was assessed up to four times. Assessment was based on the Munich-Composite International Diagnostic Interview. Temporal associations were estimated using the Cox model with time-dependent covariates. Attributable proportions were based on the results of the Cox models. All four TEs elevated the risk for a subsequent SA, adjusting for confounders. Highest risk was found for the combined TE rape/sexual abuse. Results showed that 56-90% of SAs could be attributed to TEs in the exposed group; on the population level, attributable proportions ranged between 6.9% and 23.5%. Different TEs have been shown to elevate the risk of an SA in a young community sample. Our results suggest that both health professionals and health policy decision-makers consider specific TEs and the number of prior TEs as risk factors for SAs.
U2 - 10.1007/s00787-019-01335-3
DO - 10.1007/s00787-019-01335-3
M3 - SCORING: Journal article
C2 - 31054127
VL - 29
SP - 179
EP - 186
JO - EUR CHILD ADOLES PSY
JF - EUR CHILD ADOLES PSY
SN - 1018-8827
IS - 2
ER -