Table 3.
Multivariate Sociodemographic Predictors of Suicidal Behaviors Disaggregated Through Pathways Involving Ideation, Plans, and Attempts
Odds Ratio (95% Confidence Interval)* | |||||
---|---|---|---|---|---|
Attempt (n = 189)† |
Ideation (n = 542)† |
Plan Among Ideators (n = 190)‡ |
Impulsive Attempt Among Ideators Without a Plan (n = 72)‡ |
Planned Attempt Among Ideators With a Plan (n = 117)‡ |
|
Ethnicity and sex | |||||
African American man | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
African American woman | 1.77 (1.09–2.87)§ | 1.30 (0.995–1.71) | 2.08 (1.09–3.96)* | 1.54 (0.68–3.49) | 1.52 (0.84–2.78) |
Caribbean black man | 2.46 (1.02–5.93)§ | 1.39 (0.77–2.50) | 2.35 (0.57–10.66) | 1.17 (0.15–9.03) | 2.78 (0.995–7.77) |
Caribbean black woman | 0.85 (0.33–2.16) | 1.00 (0.07–1.38) | 2.47 (1.01–6.07)* | 0.78 (0.18–3.49) | 0.99 (0.22–4.43) |
∥ | 5.96 | 4.62 | 5.60 | 1.45 | 3.46 |
P value | .11 | .20 | .13 | .69 | .33 |
Marital status | |||||
Married | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Never married | 1.06 (0.55–2.05) | 1.19 (0.88–1.62) | 0.99 (0.56–1.75) | 0.98 (0.32–2.99) | 1.09 (0.50–2.36) |
Previously married | 1.11 (0.38–3.19) | 3.09 (1.87–5.10)* | 0.99 (0.45–2.18) | 1.36 (0.32–5.77) | 0.27 (0.05–1.43) |
∥ | 0.05 | 10.30 | 0.57 | 0.23 | 2.78 |
P value | .82 | <.004 | .45 | .63 | .10 |
Birth year cohort | |||||
1939 or before | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
1940–1954 | 4.28 (1.79–10.23)§ | 2.94 (1.89–4.58)* | 1.62 (0.27–9.94) | 1.84 (0.41–8.34) | 0.22 (0.05–1.08) |
1955–1964 | 3.96 (1.49–10.52)§ | 3.76 (2.58–5.48)* | 1.30 (0.20–8.34) | 1.29 (0.31–5.39) | 0.26 (0.05–1.33) |
1965–1974 | 4.78 (2.09–10.94)§ | 4.62 (3.20–6.67)* | 2.07 (0.28–15.35) | 1.83 (0.39–8.47) | 0.29 (0.06–1.52) |
1975 or after | 9.44 (4.33–20.62)§ | 7.41 (4.68–11.72)* | 3.69 (0.48–28.52) | 4.1 (0.99–17.37) | 0.94 (0.19–4.68) |
∥ | 17.92 | 41.55 | 9.66 | 8.16 | 13.22 |
P value | <.001 | <.001 | .047 | .09 | .01 |
Education status | |||||
Less than high school | 3.64 (1.63–8.15)§ | 2.08 (1.39–3.11)* | 1.97 (0.73–5.30) | 1.70 (0.61–4.71) | 1.43 (0.51–3.99) |
High school graduate | 1.94 (0.89–4.20) | 1.60 (1.04–2.47)* | 1.97 (0.83–4.65) | 0.78 (0.28–2.16) | 1.33 (0.47–3.77) |
Some college | 2.23 (0.89–5.60) | 1.34 (0.86–2.08) | 3.06 (1.23–7.62)* | 1.30 (0.43–3.91) | 1.65 (0.57–4.79) |
College graduate | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
∥ | 8.92 | 9.55 | 5.65 | 4.28 | 1.04 |
P value | .001 | <.001 | .13 | .23 | .79 |
Region | |||||
Midwest | 2.04 (1.34–3.11)§ | 1.59 (1.11–2.29)* | 2.19 (1.10–4.35)* | 0.94 (0.38–2.30) | 1.14 (0.62–2.11) |
Northeast | 1.88 (0.76–4.65) | 1.62 (1.13–2.32)* | 1.83 (1.06–3.16)* | 1.18 (0.53–2.63) | 1.04 (0.56–1.93) |
West | 1.77 (0.73–4.30) | 1.50 (0.68–3.29) | 3.38 (1.33–8.57)* | 2.74 (1.04–7.20)* | 0.43 (0.16–1.16) |
South | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
∥ | 9.29 | 12.73 | 12.51 | 4.68 | 3.89 |
P value | .007 | <.001 | .06 | .20 | .26 |
Odds ratios were obtained by exponentiating the coefficients from Cox proportional hazards regression models. The 95% confidence intervals were obtained using a modified method of balanced repeated replications to adjust for stratification, clustering, and weighting of the data. A single model was estimated for each of the 6 outcomes that included all of the predictor variables.
The behavioral categories of attempt and ideation present the risks for the unconditional behaviors.
The behavioral categories of plan among ideators, impulsive attempt among ideators without a plan, and planned attempt among ideators with a plan present the risks for the conditional behaviors.
P< .05 by a 2-sided test.
Wald χ2 values were obtained from design-based variance-covariance matrices to adjust for the stratification, clustering, and weighting of the data.