Table 4.
War period and mental disorders as risk factors for first onset of suicidalitya
| Ideation
|
Plan
|
Attempt
|
||||
|---|---|---|---|---|---|---|
| OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | |
| Model 1b | ||||||
| War periods | ||||||
| Post-war | 4.1* | 1.9–8.5 | 6.0* | 1.7–20.8 | 2.6* | 1.2–5.8 |
| Pre-war | 0.6 | 0.1–4.1 | 0.7 | 0.2–3.0 | 0.8 | 0.2–3.7 |
| During war | 1.0 | 1.0 | 1.0 | |||
| Mental disorder | ||||||
| Major depressive disorder before war | 3.0 | 0.9–9.6 | 6.3* | 1.8–21.9 | 6.7* | 1.7–25.8 |
| Impulse-control disorder before war | 17.1* | 5.1–57.9 | † | 25.5* | 5.3–123.9 | |
| Social phobia before war | 12.0* | 1.0–143.0 | 60.9* | 5.3–696.0 | † | |
| Substance use disorder before war | – | – | – | – | 270.6* | 60.8–>999.999 |
| Model 2c | ||||||
| War periods | ||||||
| Post-war | 4.0* | 2.0–8.0 | 5.4* | 1.6–18.5 | 2.4* | 1.2–4.8 |
| Pre-war | 0.6 | 0.1–3.9 | 0.7 | 0.2–3.0 | 0.7 | 0.1–3.8 |
| During war | 1.0 | 1.0 | 1.0 | |||
| Mental disorder | ||||||
| Major depressive disorder during war | 3.1* | 1.1–9.1 | 4.0 | 0.7–22.1 | 4.3* | 1.6–11.5 |
| Impulse-control disorder during war | 4.0 | 0.5–31.3 | 5.7 | 0.5–62.8 | 6.4 | 0.8–50.4 |
| Social phobia during war | 5.8* | 1.9–17.5 | 3.0 | 0.4–23.5 | 6.0* | 1.3–28.2 |
| Substance use disorder during war | – | – | – | – | † | |
| Model 3d | ||||||
| War periods | ||||||
| Post-war | 2.7* | 1.3–5.9 | 3.3 | 0.9–12.3 | 1.7 | 0.8–3.6 |
| Pre-war | 0.5 | 0.1–3.0 | 0.5 | 0.1–2.6 | 0.6 | 0.1–3.1 |
| During war | 1.0 | 1.0 | 1.0 | |||
| Mental disorder | ||||||
| Major depressive disorder after war | 10.3* | 5.3–20.1 | 13.6* | 6.0–30.7 | 8.4* | 4.1–17.1 |
| Impulse-control disorder after war | 15.3* | 6.9–34.0 | 14.1* | 6.7–29.8 | 7.5* | 2.0–27.9 |
| Social phobia after war | 9.6* | 1.9–48.6 | 13.9* | 2.0–96.3 | 3.7 | 0.6–21.7 |
| Substance use disorder after war | – | – | – | – | 5.1* | 1.4–18.5 |
OR, Odds ratios ; CI, confidence interval.
Insufficient cases.
– Not included in model for suicide ideation and plan.
Discrete time survival models, assessed for respondents who completed part II (n=1031). Each model was estimated separately for suicide ideation, plan, and attempt.
Model 1 includes mental disorders with an onset before the war.
Model 2 includes mental disorders with an onset during the war.
Model 3 includes mental disorders with an onset after the war.
Significant at the 0.05 level, two-sided test.