Cross-National Analysis of the Associations between Traumatic Events and Suicidal Behavior: Findings from the WHO World Mental Health Surveys

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Cross-National Analysis of the Associations between Traumatic Events and Suicidal Behavior: Findings from the WHO World Mental Health Surveys

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dc.contributor.author Alonso, Jordi
dc.contributor.author Borges, Guilherme
dc.contributor.author Bromet, Evelyn
dc.contributor.author Bruffaerts, Ronny
dc.contributor.author de Girolamo, Giovanni
dc.contributor.author Florescu, Silvia
dc.contributor.author Gureje, Oye
dc.contributor.author He, Yanling
dc.contributor.author Kovess-Masfety, Viviane
dc.contributor.author Levinson, Daphna
dc.contributor.author Matschinger, Herbert
dc.contributor.author Mneimneh, Zeina
dc.contributor.author Nakamura, Yosikazu
dc.contributor.author Ormel, Johan
dc.contributor.author Posada-Villa, Jose
dc.contributor.author Sagar, Rajesh
dc.contributor.author Scott, Kate M.
dc.contributor.author Tomov, Toma
dc.contributor.author Viana, Maria Carmen
dc.contributor.author Stein, Daniel Brookner
dc.contributor.author Chiu, Wai Tat
dc.contributor.author Hwang, Irving
dc.contributor.author Kessler, Ronald
dc.contributor.author Sampson, Nancy A.
dc.contributor.author Williams, David
dc.contributor.author Nock, Matthew K.
dc.date.accessioned 2010-09-30T17:32:14Z
dc.date.issued 2010
dc.identifier.citation Stein, Dan J., Wai Tat Chiu, Irving Hwang, Ronald C. Kessler, Nancy Sampson, Jordi Alonso, Guilherme Borges, et al. 2010. Cross-national analysis of the associations between traumatic events and suicidal behavior: Findings from the WHO World Mental Health surveys. PLoS ONE 5(5): e10574. en_US
dc.identifier.issn 1932-6203 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4454682
dc.description.abstract Background Community and clinical data have suggested there is an association between trauma exposure and suicidal behavior (i.e., suicide ideation, plans and attempts). However, few studies have assessed which traumas are uniquely predictive of: the first onset of suicidal behavior, the progression from suicide ideation to plans and attempts, or the persistence of each form of suicidal behavior over time. Moreover, few data are available on such associations in developing countries. The current study addresses each of these issues.Methodology/Principal Findings Data on trauma exposure and subsequent first onset of suicidal behavior were collected via structured interviews conducted in the households of 102,245 (age 18+) respondents from 21 countries participating in the WHO World Mental Health Surveys. Bivariate and multivariate survival models tested the relationship between the type and number of traumatic events and subsequent suicidal behavior. A range of traumatic events are associated with suicidal behavior, with sexual and interpersonal violence consistently showing the strongest effects. There is a dose-response relationship between the number of traumatic events and suicide ideation/attempt; however, there is decay in the strength of the association with more events. Although a range of traumatic events are associated with the onset of suicide ideation, fewer events predict which people with suicide ideation progress to suicide plan and attempt, or the persistence of suicidal behavior over time. Associations generally are consistent across high-, middle-, and low-income countries.Conclusions/Significance This study provides more detailed information than previously available on the relationship between traumatic events and suicidal behavior and indicates that this association is fairly consistent across developed and developing countries. These data reinforce the importance of psychological trauma as a major public health problem, and highlight the significance of screening for the presence and accumulation of traumatic exposures as a risk factor for suicide ideation and attempt. en_US
dc.description.sponsorship African and African American Studies en_US
dc.description.sponsorship Psychology en_US
dc.language.iso en_US en_US
dc.publisher Public Library of Science en_US
dc.relation.isversionof doi:10.1371/journal.pone.0010574 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2869349/pdf/ en_US
dash.license OAP
dc.subject mental health en_US
dc.subject psychology en_US
dc.subject public health and epidemiology en_US
dc.subject global health en_US
dc.title Cross-National Analysis of the Associations between Traumatic Events and Suicidal Behavior: Findings from the WHO World Mental Health Surveys en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal PLoS ONE en_US
dash.depositing.author Williams, David
dc.date.available 2010-09-30T17:32:14Z

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  • FAS Scholarly Articles [7470]
    Peer reviewed scholarly articles from the Faculty of Arts and Sciences of Harvard University

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