Table 2.
Associations between suicide cluster–related risk factors and suicidal ideation during suicide cluster, Northeast Ohio Youth Health Survey, 2018a
| Modifiable risk factor | Suicidal ideation among all students | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Unadjusted | Adjustedb | |||||||||||
| OR | 95% CI | p | OR | 95% CI | p | |||||||
| Exposed to any vigils or moments of silence for teenagers who died by suicide during the suicide cluster | ||||||||||||
| Yes | 1.1 | .96–1.3 | .15 | 1.1 | .8–1.4 | .56 | ||||||
| No | 1.0 | Reference | 1.0 | Reference | ||||||||
| Seen any suicide cluster–related social media posts | ||||||||||||
| Yes | 2.3 | 2.0–2.7 | <.001 | 1.3 | 1.1–1.7 | .01 | ||||||
| No | 1.0 | Reference | 1.0 | Reference | ||||||||
| Posted on social media about the suicide cluster | ||||||||||||
| Yes | 3.8 | 3.2–4.4 | <.001 | 1.7 | 1.4–2.0 | <.001 | ||||||
| No | 1.0 | Reference | 1.0 | Reference | ||||||||
| Seen any news related to the suicide cluster online on a news site | ||||||||||||
| Yes | 1.3 | 1.1–1.5 | .001 | .9 | .8–1.1 | .24 | ||||||
| No | 1.0 | Reference | 1.0 | Reference | ||||||||
| Seen any memorials for teenagers who died by suicide during the suicide cluster | ||||||||||||
| Yes | 1.6 | 1.4–1.8 | <.001 | 1.0 | .9–1.2 | .97 | ||||||
| No | 1.0 | Reference | 1.0 | Reference | ||||||||
| Saw 13 Reasons Why before suicide cluster | ||||||||||||
| Yes | 1.7 | 1.4–1.9 | <.001 | 1.1 | .9–1.3 | .48 | ||||||
| No | 1.0 | Reference | 1.0 | Reference | ||||||||
| Saw 13 Reasons Why during suicide cluster | ||||||||||||
| Yes | 1.8 | 1.6–2.1 | <.001 | 1.4 | 1.04–1.8 | .03 | ||||||
| No | 1.0 | Reference | 1.0 | Reference | ||||||||
CI = confidence interval; OR = odds ratio.
a
Suicide cluster timeframe defined as August 2017–April 2018. Northeast Ohio Youth Health Survey data collected from 7th- to 12th-grade students from 27 schools in one Ohio county.
b
Adjusted for race; grade; sex; gender/sexual minority; losing a friend, significant other, or family member to suicide during the 2017–2018 school year (coincident with the suicide cluster); previous history of suicidal ideation before cluster; previous history of attempt before cluster; and all variables in table.