Skip to main content
The Yale Journal of Biology and Medicine logoLink to The Yale Journal of Biology and Medicine
. 1988 May-Jun;61(3):259–268.

Suicide attempts in the Epidemiologic Catchment Area Study.

E K Mościcki 1, P O'Carroll 1, D S Rae 1, B Z Locke 1, A Roy 1, D A Regier 1
PMCID: PMC2590450  PMID: 3262956

Abstract

This study examines risk factors for attempted suicide in the general community. Data from the five-site NIMH Epidemiologic Catchment Area (ECA) Study were used to estimate lifetime prevalence and identify risk factors for suicide attempts. Occurrence of suicide attempts and lifetime diagnosis of psychiatric disorder were ascertained, using the NIMH Diagnostic Interview Schedule (DIS). Of 18,571 adult respondents aged 18 and over, 2.9 percent reported that they had attempted suicide at some time in their lives. A weighted logistic regression model was constructed to ascertain significant (p less than .0028 with Bonferroni correction) risk factors for attempted suicide. Persons who had a lifetime diagnosis of a psychiatric disorder had the highest risk of attempted suicide (odds ratio [OR] = 8.4). Females (OR = 3.3), separated or divorced persons (OR = 2.5), Whites (OR = 1.7), persons in the two lowest socioeconomic quartiles (ORs = 2.2, 2.3), and respondents from the Los Angeles ECA (OR = 1.8) were also more likely to have attempted suicide. These findings contribute to an understanding of suicide and suicidal behavior in general populations, outside the clinical setting.

Full text

PDF
263

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Black D. W., Warrack G., Winokur G. The Iowa record-linkage study. I. Suicides and accidental deaths among psychiatric patients. Arch Gen Psychiatry. 1985 Jan;42(1):71–75. doi: 10.1001/archpsyc.1985.01790240073007. [DOI] [PubMed] [Google Scholar]
  2. Blazer D., George L. K., Landerman R., Pennybacker M., Melville M. L., Woodbury M., Manton K. G., Jordan K., Locke B. Psychiatric disorders. A rural/urban comparison. Arch Gen Psychiatry. 1985 Jul;42(7):651–656. doi: 10.1001/archpsyc.1985.01790300013002. [DOI] [PubMed] [Google Scholar]
  3. Boyd J. H., Burke J. D., Jr, Gruenberg E., Holzer C. E., 3rd, Rae D. S., George L. K., Karno M., Stoltzman R., McEvoy L., Nestadt G. Exclusion criteria of DSM-III. A study of co-occurrence of hierarchy-free syndromes. Arch Gen Psychiatry. 1984 Oct;41(10):983–989. doi: 10.1001/archpsyc.1984.01790210065008. [DOI] [PubMed] [Google Scholar]
  4. Burnam M. A., Hough R. L., Escobar J. I., Karno M., Timbers D. M., Telles C. A., Locke B. Z. Six-month prevalence of specific psychiatric disorders among Mexican Americans and non-Hispanic whites in Los Angeles. Arch Gen Psychiatry. 1987 Aug;44(8):687–694. doi: 10.1001/archpsyc.1987.01800200013003. [DOI] [PubMed] [Google Scholar]
  5. ETTLINGER R. W. SUICIDES IN A GROUP OF PATIENTS WHO HAD PREVIOUSLY ATTEMPTED SUICIDE. Acta Psychiatr Scand. 1964;40:363–378. doi: 10.1111/j.1600-0447.1964.tb07490.x. [DOI] [PubMed] [Google Scholar]
  6. Eaton W. W., Holzer C. E., 3rd, Von Korff M., Anthony J. C., Helzer J. E., George L., Burnam A., Boyd J. H., Kessler L. G., Locke B. Z. The design of the Epidemiologic Catchment Area surveys. The control and measurement of error. Arch Gen Psychiatry. 1984 Oct;41(10):942–948. doi: 10.1001/archpsyc.1984.01790210024004. [DOI] [PubMed] [Google Scholar]
  7. Escobar J. I., Burnam M. A., Karno M., Forsythe A., Golding J. M. Somatization in the community. Arch Gen Psychiatry. 1987 Aug;44(8):713–718. doi: 10.1001/archpsyc.1987.01800200039006. [DOI] [PubMed] [Google Scholar]
  8. Hough R. L., Landsverk J. A., Karno M., Burnam M. A., Timbers D. M., Escobar J. I., Regier D. A. Utilization of health and mental health services by Los Angeles Mexican Americans and non-Hispanic whites. Arch Gen Psychiatry. 1987 Aug;44(8):702–709. doi: 10.1001/archpsyc.1987.01800200028005. [DOI] [PubMed] [Google Scholar]
  9. Karno M., Hough R. L., Burnam M. A., Escobar J. I., Timbers D. M., Santana F., Boyd J. H. Lifetime prevalence of specific psychiatric disorders among Mexican Americans and non-Hispanic whites in Los Angeles. Arch Gen Psychiatry. 1987 Aug;44(8):695–701. doi: 10.1001/archpsyc.1987.01800200021004. [DOI] [PubMed] [Google Scholar]
  10. Myers J. K., Weissman M. M., Tischler G. L., Holzer C. E., 3rd, Leaf P. J., Orvaschel H., Anthony J. C., Boyd J. H., Burke J. D., Jr, Kramer M. Six-month prevalence of psychiatric disorders in three communities 1980 to 1982. Arch Gen Psychiatry. 1984 Oct;41(10):959–967. doi: 10.1001/archpsyc.1984.01790210041006. [DOI] [PubMed] [Google Scholar]
  11. Paykel E. S., Myers J. K., Lindenthal J. J., Tanner J. Suicidal feelings in the general population: a prevalence study. Br J Psychiatry. 1974 May;124(0):460–469. doi: 10.1192/bjp.124.5.460. [DOI] [PubMed] [Google Scholar]
  12. ROBINS E., MURPHY G. E., WILKINSON R. H., Jr, GASSNER S., KAYES J. Some clinical considerations in the prevention of suicide based on a study of 134 successful suicides. Am J Public Health Nations Health. 1959 Jul;49(7):888–899. doi: 10.2105/ajph.49.7.888. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Ramsay R., Bagley C. The prevalence of suicidal behaviors, attitudes and associated social experiences in an urban population. Suicide Life Threat Behav. 1985 Fall;15(3):151–167. doi: 10.1111/j.1943-278x.1985.tb00941.x. [DOI] [PubMed] [Google Scholar]
  14. Regier D. A., Myers J. K., Kramer M., Robins L. N., Blazer D. G., Hough R. L., Eaton W. W., Locke B. Z. The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics. Arch Gen Psychiatry. 1984 Oct;41(10):934–941. doi: 10.1001/archpsyc.1984.01790210016003. [DOI] [PubMed] [Google Scholar]
  15. Robins L. N., Helzer J. E., Croughan J., Ratcliff K. S. National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. Arch Gen Psychiatry. 1981 Apr;38(4):381–389. doi: 10.1001/archpsyc.1981.01780290015001. [DOI] [PubMed] [Google Scholar]
  16. Robins L. N., Helzer J. E., Ratcliff K. S., Seyfried W. Validity of the diagnostic interview schedule, version II: DSM-III diagnoses. Psychol Med. 1982 Nov;12(4):855–870. doi: 10.1017/s0033291700049151. [DOI] [PubMed] [Google Scholar]
  17. Robins L. N., Helzer J. E., Weissman M. M., Orvaschel H., Gruenberg E., Burke J. D., Jr, Regier D. A. Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry. 1984 Oct;41(10):949–958. doi: 10.1001/archpsyc.1984.01790210031005. [DOI] [PubMed] [Google Scholar]
  18. Schwab J. J., Warheit G. J., Holzer C. E., 3rd Suicidal ideation and behavior in a general population. Dis Nerv Syst. 1972 Nov;33(11):745–748. [PubMed] [Google Scholar]
  19. Shapiro S., Skinner E. A., Kessler L. G., Von Korff M., German P. S., Tischler G. L., Leaf P. J., Benham L., Cottler L., Regier D. A. Utilization of health and mental health services. Three Epidemiologic Catchment Area sites. Arch Gen Psychiatry. 1984 Oct;41(10):971–978. doi: 10.1001/archpsyc.1984.01790210053007. [DOI] [PubMed] [Google Scholar]
  20. Weissman M. M. The epidemiology of suicide attempts, 1960 to 1971. Arch Gen Psychiatry. 1974 Jun;30(6):737–746. doi: 10.1001/archpsyc.1974.01760120003001. [DOI] [PubMed] [Google Scholar]

Articles from The Yale Journal of Biology and Medicine are provided here courtesy of Yale Journal of Biology and Medicine

RESOURCES