Trends in Suicidal Behaviors Among US Adults 2015–2018
Abstract
Abstract.Background: Suicide remains a major public health problem in the United States. The purpose of this study was to examine trends in suicide ideation, planning, and attempts among a national sample of US adults. Method: We used aggregated 2015–2018 data from the National Survey Drug Use and Health Survey. We utilized demographic and substance use questions with each suicide behavior. We assessed weighted absolute and relative changes in a national sample of 7,654 adults. Results: Results revealed that from 2015 to 2018, there was a 16.0% increase in suicide ideation, 18.6% increase in suicide planning, and 11.6% increase in suicide attempts. Significant increases in each behavior were found in African Americans, younger adults, sexual minorities, and individuals who reported past-year drug use. Limitations: Limitations include self-report of suicidal behaviors and desirability of answers. Conclusion: We believe our findings can inform harm reduction efforts and health messages surrounding suicide prevention.
References
American College of Cardiology . (2017). Improving health care access for minority and at-risk populations. Retrieved from https://www.acc.org/latest-in-cardiology/articles/2017/05/31/17/42/improving-health-care-access-for-minority-and-high-risk-populationsAmerican Foundation for Suicide Prevention . (2017). Suicide statistics. Retrieved from https://afsp.org/about-suicide/suicide-statistics/1992). Social stress: Theory and research. Annual Review of Sociology, 18(1), 15–38.
(1995). Drug use, sexual activity, and suicidal behavior in US high school students. Journal of School Health, 65(6), 222–227. 10.1111/j.1746-1561.1995.tb03366.x
(2014). Abnormal psychology. Harlow, UK: Pearson Education.
(Center for Behavioral Health Statistics and Quality . (2019a). 2018 National Survey on Drug Use and Health: Detailed tables. Rockville, MD: Substance Abuse and Mental Health Services Administration.Center for Behavioral Health Statistics and Quality . (2019b). 2018 National Survey on Drug Use and Health: Methodological resource book (Section 2, sample design report). Rockville, MD: Substance Abuse and Mental Health Services Administration.Centers for Disease Control and Prevention . (2018). Suicide rising across the US. Retrieved from https://www.cdc.gov/vitalsigns/suicide/index.html2011). Suicide in older adults. Psychiatric Clinics, 34(2), 451–468. 10.1016/j.psc.2011.02.002
(2005). African Americans: Disparities in health care access and utilization. Health & Social Work, 30(3), 265–270. 10.1093/hsw/30.3.265
(2019). Age-adjusted U.S. suicide rate, 1907–2017. Retrieved from https://time.com/5609124/us-suicide-rate-increase/
(2015). Suicide among LGBT individuals. European Psychiatry, 30, 1815. 10.1016/S0924-9338(15)31398-5
(Eds.) (2002). Redesigning an ongoing national household survey: Methodological issues (DHHS Publication No. SMA 03-3768). Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies.
(2018). National trends in the prevalence of suicidal ideation and behavior among young adults and receipt of mental health care among suicidal young adults. Journal of the American Academy of Child & Adolescent Psychiatry, 57(1), 20–27. 10.1016/j.jaac.2017.10.013
(2018). Suicide mortality in the United States, 1999–2017. NCHS Data Brief, 330, 1–7.
(2017). Applied survey data analysis. Ann Arbor, MI: Chapman and Hall/CRC.
(1998). GHB-induced delirium: A case report and review of the literature on gamma hydroxybutyric acid. The American Journal of Drug and Alcohol Abuse, 24(1), 179–183. 10.3109/00952999809001706
(2016). Lifetime prevalence of suicide attempts among sexual minority adults by study sampling strategies: A systematic review and meta-analysis. American Journal of Public Health, 106(5), e1–e12. 10.2105/ajph.2016.303088
(2007). Drug use and meanings of risk and pleasure. Journal of Youth Studies, 10(1), 73–96. 10.1080/13676260600983668.
(2017). Suicide trends among and within urbanization levels by sex, race/ethnicity, age group, and mechanism of death – United States, 2001–2015. MMWR Surveillance Summaries, 66(18), 1–16. 10.15585%2Fmmwr.ss6618a1
(1994). John Henryism and the health of African Americans. Culture, Medicine and Psychiatry, 18, 163–182. 10.1007/BF01379448
(2020). Addressing suicide among Black Americans. New York, NY: Suicide Prevention Resource Center.
(1995). Suicide in the United States, 1980–1992. Bethesda, MD: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.
(2013). Social support as a protective factor in suicide: Findings from two nationally representative samples. Journal of Affective Disorders, 150(2), 540– 545. 10.1016/j.jad.2013.01.033
(2018). Suicide rates increasing; researchers especially worried about teens. The Brown University Child and Adolescent Behavior Letter, 35(8), 9–10. 10.1002/cbl.30404
(2008). High mortality rates among GHB abusers in Western Sweden. Clinical Toxicology, 46(3), 187–192. 10.1080/15563650701263633
(2003). Risk factors for male and female suicide decedents ages 15–64 in the United States. Social Psychiatry and Psychiatric Epidemiology, 38(8), 419–426. 10.1007/s00127-003-0656-x
(2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. 10.1037/0033-2909.129.5.674.
(2018). Looking to the future: A synthesis of new developments and challenges in suicide research and prevention. Frontiers in Psychology, 9, 2139. 10.3389%2Ffpsyg.2018.02139
(Office of Disease Prevention and Health Promotion . (2014). Mental health and health disorders. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/mental health-and-mental-disorders2017). National trends in suicide attempts among adults in the United States. JAMA Psychiatry, 74(11), 1095–1103. 10.1001/jamapsychiatry.2017.2582
(2017). Emergency department visits related to suicidal ideation, 2006-2013: Statistical brief #220. Rockville, MD: Agency for Healthcare Research and Quality.
(2015). Mental health of sexual minorities. A systematic review. International Review of Psychiatry, 27(5), 367–385. 10.3109/09540261.2015.1083949
(2019). The changing characteristics of African-American adolescent suicides, 2001–2017. Journal of Community Health, 44, 1–8. 10.1007/s10900-019-00678-x
(2012). "I don't want to turn totally invisible": Mental health, stressors, and supports among bisexual women during the perinatal period. Journal of GLBT Family Studies, 8(2), 137–154. 10.1080/1550428X.2012.660791
(2009). Characteristics of cocaine dependent patients who attempt suicide. Archives of Suicide Research, 13(1), 46–51.
(San Francisco Human Rights Commission . (2011). Bisexual invisibility: Impacts and recommendations. Retrieved from https://sf-hrc.org/sites/default/files/Documents/HRC_Publications/Articles/Bisexual_Invisiblity_Impacts_and_Recommendations_March_2011.pdf2009). Substance use disorders and risk for completed suicide. Archives of Suicide Research, 13(4), 303–316.
(1973). Suicide attempts in the District of Columbia prison system. OMEGA- Journal of Death and Dying, 4(1), 37–50. 10.2190%2F0R7F-33NY7UGA HBXV
(2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3(4), 181–187. 10.1023/a:1013172913880
(StataCorp . (2019). Stata statistical software (Release 16) [Computer software]. College Station, TX: Author.2002). Beyond the prison gates: The state of parole in America. Washington, DC: Justice Policy Center.
(2004). GL vs. BT: The archaeology of biphobia and transphobia within the US gay and lesbian community. Journal of Bisexuality, 3(3–4), 25–55. 10.1300/J159v03n03_02
(