1. Factors associated with suicidal ideation disclosure: Results from a large population-based study
- Author
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Victor Alvarez Fernandez, Mathilde M. Husky, Ingrid Zablith, Viviane Kovess-Masfety, Laboratoire de psychologie:Santé et qualité de vie, Université Bordeaux Segalen - Bordeaux 2, Laboratoire de Psychopathologie et Processus de Santé (LPPS - EA 4057), Université Paris Descartes - Paris 5 (UPD5), and École des Hautes Études en Santé Publique [EHESP] (EHESP)
- Subjects
Adult ,Male ,Individual and social factors ,medicine.medical_specialty ,Self Disclosure ,Adolescent ,Health Personnel ,Poison control ,Friends ,Suicide, Attempted ,Suicide prevention ,Suicidal Ideation ,Young Adult ,03 medical and health sciences ,Social support ,Sex Factors ,0302 clinical medicine ,Risk Factors ,Surveys and Questionnaires ,medicine ,Humans ,Family ,030212 general & internal medicine ,Psychiatry ,Suicidal ideation ,Aged ,Aged, 80 and over ,Suicide attempt ,Mental Disorders ,Social Support ,Human factors and ergonomics ,Middle Aged ,Mental health ,030227 psychiatry ,Psychiatry and Mental health ,Clinical Psychology ,Cross-Sectional Studies ,Logistic Models ,Mental Health ,Suicidal ideation disclosure ,Self-disclosure ,Female ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,France ,medicine.symptom ,Psychology ,Clinical psychology - Abstract
Background It is crucial for clinicians and researchers to understand the factors associated with the disclosure of suicidal ideation. Describing the characteristics of those who do not disclose their suicidal ideation or who disclose their ideation only to close others, to health professionals or to both may help researchers and clinicians in their preventive efforts to treat persons at risk for suicidal behavior. Methods The sample was drawn from a large cross-sectional survey (n=22,138) on mental health in France. The analyses were based on the 4,156 persons (17.1%) who endorsed lifetime suicidal ideation with or without a history of suicide attempt and who indicated whether and to whom they disclosed their ideation. Socio-demographics, current mental disorders, and social connectedness were assessed. Results Half of those with suicidal ideation had not shared their ideation with anyone, 6.3% did so with health professionals only, 20% with friends or family only, and 20% with both healthcare professionals and close others. Male gender, older age, lower education level and poor social connectedness were associated with greater odds of non-disclosure. Adjusting for socio-demographics and social connectedness, suicidal behavior and mental disorders were overall associated an increased likelihood of sharing suicidal ideation with health professionals. Limitations Cross-sectional survey assessing lifetime suicidal ideation and disclosure. Conclusions The findings provide important insight into the individual and social factors to take into account in suicidal ideation disclosure.
- Published
- 2016
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