Asthma and Suicidal Ideation Among Youth in the Community
Abstract
Summary:Objective: To determine the association between asthma and suicidal ideation among youth in the community. Method: Data were drawn from the MECA (n = 1285), a community-based study of youth aged 9-17 in the United States. Multiple logistic regression analyses were used to determine the association between asthma and suicidal ideation, adjusting for differences in sociodemographic characteristics and mental disorders. Results: Asthma was associated with a significantly increased likelihood of suicidal ideation (OR = 3.25 ‘1.04, 10.1’), compared to youth without asthma. Conclusions: These data suggest that youth who are hospitalized for asthma may have higher than expected levels of suicidal ideation, compared with youth without asthma in the community. This association appears to persist after controlling for the effects of comorbid mental disorders. These findings are consistent with previous clinical reports of an association between physical illness and suicidal ideation, as well as with links between asthma and suicidal ideation among adults. More in-depth evaluation of the mental health of youth hospitalized for asthma may be indicated if these results are replicated.
References
Beasley, R , Keil, U , von, Mutius E , Pearce, N the ISAAC Steering Committee (1998). Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. Lancet, 351, 1225– 1232Bolund, C (1985). Suicide and cancer: Demographic and social characteristics of cancer patients who committed suicide in Sweden, 1973-1976. Journal of Psychosocial Oncology, 3, 17– 30Cantor, CH , Leenaars, AA , Lester, D , Slater, PJ , Wolanowski, AM , O'Toole, B (1996). Suicide trends in eight predominantly English-speaking countries 1960-1989. Social Psychiatry and Psychiatric Epidemiology, 31, 362– 373Druss, B , Pincus, H (2000). Suicidal ideation and suicide attempts in general medical illnesses. Archives of Internal Medicine, 160, 1522– 1526Gillaspy, SR , Hoff, AL , Mullins, LL , Van, Pelt JC , Chaney, JM (2002). Psychological distress in high-risk youth with asthma. Journal of Pediatric Psychology, 27, 363– 371Goldney, RD , Ruffin, R , Fisher, LJ , Wilson, DH (2003). Asthma symptoms associated with depression and lower quality of life: A population survey. Medical Journal of Australia, 178, 437– 441Goodman, SH , Hoven, CW , Narrow, WE , Cohen, P , Fielding, B , Alegria, M , Leaf, PJ , Kandel, D , Horwitz, SM , Bravo, M , Moore, R , Dulcan, MK (1998). Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: The National Institute of Mental Health methods for the epidemiology of child and adolescent mental disorders (MECA) study. Social Psychiatry and Psychiatric Epidemiology, 33, 162– 173Goodwin, RD , Eaton, WW (in press). Asthma and the risk of suicide: Findings from the Baltimore Catchment Area Study. American Journal of Public Health, , –Goodwin, RD , Kroenke, K , Hoven, CW , Spitzer, RL (2003). Major depression, suicidal ideation, and physical illness in primary care. Psychosomatic Medicine, 65, 501– 505Goodwin, RD , Olfson, M , Shea, S , Lantigua, R , Gameroff, M , Weissman, MM (in press). Asthma and mental disorders in primary care. General Hospital Psychiatry, , –Gupta, MA , Gupta, AC (1998). Depression and suicidal ideation in dermatology patients with acne, aloecia areata, atopic dermatitis, and psoriasis. British Journal of Dermatology, 139, 846– 850Kolbe, J , Fergusson, W , Vamos, M , Garrett, J (2002). Case control study of severe life-threatening asthma (SLTA) in adults: Psychological factors. Thorax, 57, 317– 322Lahey, BB , Flagg, EW , Bird, HR , Schwab-Stone, M , Canino, G , Dulcan, MK , Leaf, PJ , Davies, M , Brogan, D , Bourdon, K , Horwitz, SM , Rubio-Stipec, M , Freeman, DH , Lichtman, J , Schaffer, D , Goodman, SH , Narrow, WE , Weissman, MM , Kandel, DB , Jensen, PS , Richters, JE , Regier, DA (1996). The NIMH methods for the epidemiology of child and adolescent mental disorders (MECA) study: Background and methodology. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 855– 864Levitan, H (1983). Suicidal trends in patients with asthma and hypertension: A chart study. Psychotherapy and Psychosomatics, 39, 165– 170Madge, N (1999). Youth suicide in an international context. European Archives of Child and Adolescent Psychiatry, 8, 283– 291Stenager, EN , Stenager, E (2000). Physical illness and suicidal behavior. In K Hawton, K Van Heeringen (Eds), The international handbook of suicide and attempted suicide. New York: Wiley
