The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression
Suicide is a leading cause of death, particularly in rural and remote areas. Although depression is strongly related to both suicidal ideation and attempt, it lacks specificity as a predictor, and little is known about characteristics that increase suicide risk among people with depression. A teleph...
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doaj-52a6fe59f5fc4927b6fce02ea24b31ea2020-11-24T21:10:37ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012018-05-0115592810.3390/ijerph15050928ijerph15050928The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with DepressionTonelle Handley0Jane Rich1Kate Davies2Terry Lewin3Brian Kelly4School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, AustraliaSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, AustraliaCentre for Rural and Remote Mental Health, University of Newcastle, Callaghan, NSW 2308, AustraliaSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, AustraliaSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, AustraliaSuicide is a leading cause of death, particularly in rural and remote areas. Although depression is strongly related to both suicidal ideation and attempt, it lacks specificity as a predictor, and little is known about characteristics that increase suicide risk among people with depression. A telephone version of the World Mental Health Composite International Diagnostic Interview explored lifetime depression, suicidal ideation, suicide attempt, and related factors among a community-dwelling sample of rural and remote Australians, selected for an interview based on a screener for psychological distress (100% of those with high distress, 75% of those with moderate distress, and 16% of those with low distress). Of 1051 participants interviewed, 364 reported lifetime symptoms of depression; of these, 48% reported lifetime suicidal ideation and 16% reported a lifetime suicide attempt. While depression severity was a significant correlate of suicidality for both males and females, suicide attempt was significantly more common among females with a younger age of depression onset, and a higher number of psychiatric comorbidities. No additional factors were significant for males. Among rural and remote residents with lifetime symptoms of depression, the identification of suicide risk may be enhanced by considering individual and contextual factors beyond depression severity. Further research focusing on risk factors for males would be beneficial.http://www.mdpi.com/1660-4601/15/5/928depressionsuicidesuicidal ideationsuicide attemptruralComposite International Diagnostic Interview |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tonelle Handley Jane Rich Kate Davies Terry Lewin Brian Kelly |
spellingShingle |
Tonelle Handley Jane Rich Kate Davies Terry Lewin Brian Kelly The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression International Journal of Environmental Research and Public Health depression suicide suicidal ideation suicide attempt rural Composite International Diagnostic Interview |
author_facet |
Tonelle Handley Jane Rich Kate Davies Terry Lewin Brian Kelly |
author_sort |
Tonelle Handley |
title |
The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression |
title_short |
The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression |
title_full |
The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression |
title_fullStr |
The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression |
title_full_unstemmed |
The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression |
title_sort |
challenges of predicting suicidal thoughts and behaviours in a sample of rural australians with depression |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2018-05-01 |
description |
Suicide is a leading cause of death, particularly in rural and remote areas. Although depression is strongly related to both suicidal ideation and attempt, it lacks specificity as a predictor, and little is known about characteristics that increase suicide risk among people with depression. A telephone version of the World Mental Health Composite International Diagnostic Interview explored lifetime depression, suicidal ideation, suicide attempt, and related factors among a community-dwelling sample of rural and remote Australians, selected for an interview based on a screener for psychological distress (100% of those with high distress, 75% of those with moderate distress, and 16% of those with low distress). Of 1051 participants interviewed, 364 reported lifetime symptoms of depression; of these, 48% reported lifetime suicidal ideation and 16% reported a lifetime suicide attempt. While depression severity was a significant correlate of suicidality for both males and females, suicide attempt was significantly more common among females with a younger age of depression onset, and a higher number of psychiatric comorbidities. No additional factors were significant for males. Among rural and remote residents with lifetime symptoms of depression, the identification of suicide risk may be enhanced by considering individual and contextual factors beyond depression severity. Further research focusing on risk factors for males would be beneficial. |
topic |
depression suicide suicidal ideation suicide attempt rural Composite International Diagnostic Interview |
url |
http://www.mdpi.com/1660-4601/15/5/928 |
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