Financial Strain and Suicide Attempts in a Nationally Representative Sample of US Adults

American Journal of Epidemiology
Eric B ElbogenJack Tsai

Abstract

Although research has identified many suicide risk factors, the relationship between financial strain and suicide has received less attention. Using data representative of the US adult population (n = 34,653) from wave 1 (2001-2002) and wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we investigated the association between financial strain-financial debt/crisis, unemployment, past homelessness, lower income-and subsequent suicide attempts and suicidal ideation. Multivariable logistic regression controlling for demographic and clinical covariates showed that cumulative financial strain was predictive of suicide attempts between waves 1 and 2 (odds ratio (OR) = 1.53; 95% confidence interval (CI): 1.32, 1.77). Wave 1 financial debt/crisis (OR = 1.58; 95% CI: 1.06, 2.34), unemployment (OR = 1.52; 95% CI: 1.10, 2.10), past homelessness (OR = 1.50; 95% CI: 1.03, 2.17), and lower income (OR = 1.51; 95% CI: 1.01, 2.25) were each associated with subsequent suicide attempts. Respondents endorsing these four financial strain variables had 20 times higher predicted probability of attempting suicide compared to respondents endorsing none of these variables. Analyses yielded similar results...Continue Reading

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Citations

Jan 7, 2021·JAMA Psychiatry·Ángel García de la GarzaMelanie M Wall
Feb 26, 2021·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Juan L Prados-OjedaPilar Font-Ugalde
Mar 6, 2021·Psychological Medicine·Katherine M KeyesJeffrey Shaman
Mar 14, 2021·Clinical Psychology Review·Matt BodenCarmen P McLean
Jul 23, 2020·American Journal of Epidemiology·Eric B ElbogenJack Tsai
Jul 23, 2020·American Journal of Epidemiology·Catherine K EttmanSandro Galea
Jul 1, 2021·Revista latino-americana de enfermagem·Evelyn Kelly das Neves AbreuFrantielen Castor Dos Santos Nascimento
Jul 28, 2021·American Journal of Public Health·Sandro Galea, Catherine K Ettman
Aug 11, 2021·Journal of Affective Disorders·Minjae ChoiMyung Ki
Oct 12, 2021·Psychological Medicine·Joshua BreslauRebecca L Collins

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