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Research Trends

Lifetime Risk of Suicidal Behaviors and Communication to a Health Professional About Suicidal Ideation

Results From a Large Survey of the French Adult Population

Published Online:https://doi.org/10.1027/0227-5910/a000113

Background: There is presently a lack of information on the role of healthcare in suicidal ideation in adults. Aims: To assess the frequencies, patterns, and factors associated with the communication of suicidal ideation toward a health professional. Methods: Participants stem from a French cross-sectional survey of 22,133 randomly selected adults. Lifetime suicidal behaviors and 12-month mental disorder patterns were assessed using the short form of the Composite International Diagnostic Interview. Participants with suicidal ideation were asked whether they had talked about it and, if they had, to whom. Results: Around 20% of people with suicidal ideation had talked about this distress to a health professional. It was more frequent for people with more severe suicidal behaviors (plan or a prior attempt), among women, those aged 30 or more, those suffering from major depressive episode, panic disorder, or drug use disorder. Above all, it was more frequent among those who had also talked to friends or relatives. Conclusions: Prevention strategies that encourage suicidal persons to seek help for their distress, whoever that is, may be the more important strategies to develop.

References

  • Alonso, J. , Angermeyer, M. C. , Bernert, S. , Bruffaerts, R. , Brugha, T. S. , Bryson, H. , ... Vollebergh, W. A. (2004a). Prevalence of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica Supplementum, 420, 21–27. First citation in articleMedlineGoogle Scholar

  • Alonso, J. , Angermeyer, M. C. , Bernert, S. , Bruffaerts, R. , Brugha, T. S. , Bryson, H. , ... Vollebergh, W. A. (2004b). Sampling and methods of the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica Supplementum, 420, 8–20. First citation in articleMedlineGoogle Scholar

  • Alonso, J. , Angermeyer, M. C. , Bernert, S. , Bruffaerts, R. , Brugha, T. S. , Bryson, H. , ... Vollebergh, W. A. (2004c). Use of mental health services in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica Supplementum, 420, 47–54. First citation in articleMedlineGoogle Scholar

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th edition). Washington DC: Author. First citation in articleGoogle Scholar

  • Bernal, M. , Haro, J. M. , Bernert, S. , Brugha, T. , de Graaf, R. , , Bruffaerts, R. , ... Alonso, J. (2007). Risk factors for suicidality in Europe: Results from the ESEMED study. Journal of Affective Disorders, 101(1–3), 27–34. First citation in articleCrossref MedlineGoogle Scholar

  • Bertolote, J. M. , Fleischmann, A. , De Leo, D. , Bolhari, J. , Botega, N. , De Silva, D. , ... Wasserman, D. (2005). Suicide attempts, plans, and ideation in culturally diverse sites: The WHO SUPRE-MISS community survey. Psychological Medicine, 35, 1457–1465. First citation in articleCrossref MedlineGoogle Scholar

  • Biddle, L. , Gunnell, D. , Sharp, D. , Donovan, J. L. (2004). Factors influencing help seeking in mentally distressed young adults: A cross-sectional survey. British Journal of General Practice, 54, 248–253. First citation in articleMedlineGoogle Scholar

  • Bonner, R. L. , Rich, A. R. (1987). Toward a predictive model of suicidal ideation and behavior: Some preliminary data in college students. Suicide and Life-Threatening Behavior, 17, 50–63. First citation in articleCrossref MedlineGoogle Scholar

  • De Leo, D. , Cerin, E. , Spathonis, K. , Burgis, S. (2005). Lifetime risk of suicide ideation and attempts in an Australian community: Prevalence, suicidal process, and help-seeking behavior. Journal of Affective Disorders, 86, 215–224. First citation in articleCrossref MedlineGoogle Scholar

  • Encrenaz, G. , Kovess-Masfety, V. , Jutand, M. A. , Carmona, E. , Sapinho, D. , Messiah, A. (2009). Use of psychoactive substances and health care in response to anxiety and depressive disorders. Psychiatric Services, 60, 351–357. First citation in articleCrossref MedlineGoogle Scholar

  • Galdas, P. M. , Cheater, F. , Marshall, P. (2005). Men and health help-seeking behavior: Literature review. Journal of Advanced Nursing, 49, 616–623. First citation in articleCrossref MedlineGoogle Scholar

  • Harris, K. M. , Edlund, M. J. (2005). Use of mental health care and substance abuse treatment among adults with co-occurring disorders. Psychiatric Services, 56, 954–959. First citation in articleCrossref MedlineGoogle Scholar

  • Hosmer, D. W. , Lemeshow, S. (2000). Applied logistic regression (2nd ed.). New-York: Wiley & Sons. First citation in articleCrossrefGoogle Scholar

  • Houle, J. , Mishara, B. L. , Chagnon, F. (2008). An empirical test of a mediation model of the impact of the traditional male gender role on suicidal behavior in men. Journal of Affective Disorders, 107, 37–43. First citation in articleCrossref MedlineGoogle Scholar

  • Howard, K. I. , Cornille, T. A. , Lyons, J. S. , Vessey, J. T. , Lueger, R. J. , Saunders, S. M. (1996). Patterns of mental health service utilization. Archives of General Psychiatry, 53, 696–703. First citation in articleCrossref MedlineGoogle Scholar

  • Isaac, M. , Elias, B. , Katz, L. Y. , Belik, S. L. , Deane, F. P. , Enns, M. W. , Sareen, J. (2009). Gatekeeper training as a preventative intervention for suicide: A systematic review. Canadian Journal of Psychiatry, 54, 260–268. First citation in articleCrossref MedlineGoogle Scholar

  • Kessler, R. C. , Andrews, G. , Mroczek, D. , Ustun, B. , Wittchen, H. U. (1998). The World Health Organization Composite International Diagnostic Interview Short-Form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7, 171–185. First citation in articleCrossrefGoogle Scholar

  • Kessler, R. C. , Berglund, P. A. , Bruce, M. L. , Koch, J. R. , Laska, E. M. , Leaf, P. J. , ... Wang, P. S. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36(6 Pt 1), 987–1007. First citation in articleMedlineGoogle Scholar

  • Kessler, R. C. , Borges, G. , Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry, 56, 617–626. First citation in articleCrossref MedlineGoogle Scholar

  • Kessler, R. C. , Zhao, S. , Katz, S. J. , Kouzis, A. C. , Frank, R. G. , Edlund, M. , Leaf, P. (1999). Past-year use of outpatient services for psychiatric problems in the National Comorbidity Survey. American Journal of Psychiatry, 156, 115–123. First citation in articleCrossref MedlineGoogle Scholar

  • Kish, L. (1965). Survey sampling. New York: Wiley. First citation in articleGoogle Scholar

  • Lahelma, E. , Laaksonen, M. , Martikainen, P. , Rahkonen, O. , Sarlio Lahteenkorva, S. (2006). Multiple measures of socioeconomic circumstances and common mental disorders. Social Science & Medicine, 63, 1383–1399. First citation in articleCrossref MedlineGoogle Scholar

  • Lee, E. S. , Forthofer, R. N. , Lorimer, R. J. (1989). Analyzing complex survey data. London: Sage. First citation in articleGoogle Scholar

  • Luoma, J. B. , Martin, C. E. , Pearson, J. L. (2002). Contact with mental health and primary care providers before suicide: A review of the evidence. American Journal of Psychiatry, 159, 909–916. First citation in articleCrossref MedlineGoogle Scholar

  • Mann, J. J. , Currier, D. (2007). Prevention of suicide. Psychiatric Annals, 37, 331–339. First citation in articleGoogle Scholar

  • Moller-Leimkuhler, A. M. (2002). Barriers to help-seeking by men: A review of sociocultural and clinical literature with particular reference to depression. Journal of Affective Disorders, 71, 1–9. First citation in articleGoogle Scholar

  • Nock, M. K. , Borges, G. , Bromet, E. J. , Alonso, J. , Angermeyer, M. , Beautrais, A. , ... Williams, D. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry, 192, 98–105. First citation in articleCrossref MedlineGoogle Scholar

  • Nock, M. K. , Borges, G. , Bromet, E. J. , Cha, C. B. , Kessler, R. C. , Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30, 133–154. First citation in articleCrossref MedlineGoogle Scholar

  • Nordentoft, M. (2007). Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups. Danish Medical Bulletin, 54, 306–369. First citation in articleMedlineGoogle Scholar

  • Oakes, J. M. , Rossi, P. H. (2003). The measurement of SES in health research: Current practice and steps toward a new approach. Social Science & Medicine, 56, 769–784. First citation in articleCrossref MedlineGoogle Scholar

  • Pagura, J. , Fotti, S. , Katz, L. Y. , Sareen, J. (2009). Help seeking and perceived need for mental health care among individuals in Canada with suicidal behaviors. Psychiatric Services, 60, 943–949. First citation in articleCrossref MedlineGoogle Scholar

  • Rancans, E. , Lapins, J. , Salander Renberg, E. , Jacobsson, L. (2003). Self-reported suicidal and help seeking behaviors in the general population in Latvia. Social Psychiatry and Psychiatric Epidemiology, 38(1), 18–26. First citation in articleCrossref MedlineGoogle Scholar

  • Särndal, C. E. , Swensson, B. , Wretman, J. (1992). Model assisted survey sampling. New York: Springer. First citation in articleCrossrefGoogle Scholar

  • Shea, S. C. (1998). The chronological assessment of suicide events: A practical interviewing strategy for the elicitation of suicidal ideation. Journal of Clinical Psychiatry, 59(Suppl. 20), 58–72. First citation in articleMedlineGoogle Scholar

  • Skinner, C. , Holt, D. (1989). Analysis of complex surveys. Chichester: Wiley. First citation in articleGoogle Scholar

  • Stephens, T. , Dulberg, C. , Joubert, N. (1999). Mental health of the Canadian population: A comprehensive analysis. Chronic Diseases in Canada, 20(3), 118–126. First citation in articleMedlineGoogle Scholar

  • Wang, P. S. , Aguilar-Gaxiola, S. , Alonso, J. , Angermeyer, M. C. , Borges, G. , Bromet, E. J. , ... Wells, J. E. (2007). Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet, 370, 841–850. First citation in articleCrossref MedlineGoogle Scholar

  • Wang, P. S. , Lane, M. , Olfson, M. , Pincus, H. A. , Wells, K. B. , Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 629–640. First citation in articleCrossref MedlineGoogle Scholar

  • World Health Organization . (2003). The World Health report 2003: Shaping the future. Geneva: Author. First citation in articleCrossrefGoogle Scholar