Male Depression Subtypes and Suicidality: Latent Profile Analysis of Internalizing and Externalizing Symptoms in a Representative Canadian Sample

The Journal of Nervous and Mental Disease
Simon M RiceJohn S Ogrodniczuk

Abstract

Assessment of men's externalizing symptoms has been theorized to assist in the identification of those at risk of suicide. A nationally representative sample of Canadian men (N = 1000; mean, 49.63 years) provided data on internalizing and externalizing symptoms, and history of recent suicide planning and attempt (previous 4 weeks). Latent profile analysis indicted three classification subtypes. Robust effects were observed regarding history of recent suicide planning and attempt. Men with a marked externalizing profile (12.7% of sample), which included substance use, anger, and risk taking, were significantly more likely to have had a recent suicide plan (risk ratio, 14.47; p < 0.001) or to have attempted suicide within the previous 4 weeks (risk ratio, 21.32; p < 0.001) relative to asymptomatic men (67.7% of sample). Because recent suicide attempt was a rare event in the present sample (n = 13), findings need to be replicated in higher-risk populations. Results support primary care screening for both men's internalizing and externalizing depression symptoms.

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Citations

Jun 28, 2018·Assessment·Rebecca M SaracinoChristian J Nelson
Jun 30, 2018·American Journal of Men's Health·Simon M RiceDavid Kealy
Sep 16, 2019·Current Psychiatry Reports·John L OliffeSimon M Rice
Jan 25, 2021·Stress and Health : Journal of the International Society for the Investigation of Stress·David KealyJohn S Ogrodniczuk
Dec 18, 2020·Frontiers in Psychiatry·Jacqui A MacdonaldCraig A Olsson

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