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Cross-National Analysis of the Associations among Mental Disorders and Suicidal Behavior: Findings from the WHO World Mental Health Surveys

PLoS Medicine · 2009 · Vol. 6(8) · pp. e1000123–e1000123
Matthew K. NockIrving HwangNancy A. SampsonRonald C. KesslerMatthias C. AngermeyerAnnette L. BeautraisGuilherme BorgesEvelyn J. BrometRonny BruffaertsGiovanni de GirolamoRon de GraafSilvia FlorescuOye GurejeJosep María HaroChiyi HuYueqin HuangElie G. KaramNorito KawakamiViviane Kovess–MasfétyDaphna LevinsonJosé Posada‐VillaRajesh SagarToma TomovMaría Carmen VianaDavid R. Williams

Abstract

This study found that a wide range of mental disorders increased the odds of experiencing suicide ideation. However, after controlling for psychiatric comorbidity, only disorders characterized by anxiety and poor impulse-control predict which people with suicide ideation act on such thoughts. These findings provide a more fine-grained understanding of the associations between mental disorders and subsequent suicidal behavior than previously available and indicate that mental disorders predict suicidal behaviors similarly in both developed and developing countries. Future research is needed to delineate the mechanisms through which people come to think about suicide and subsequently progress from ideation to attempts.

Suicide and Self-Harm StudiesMental Health Treatment and AccessPsychosomatic Disorders and Their TreatmentsMood disordersMental healthPsychiatrySuicide preventionClinical psychologyPoison controlNational Comorbidity SurveyComorbidityMedicineInjury prevention

MeSH terms

AdolescentAdultAnxietyMental DisordersDeveloping CountriesFemaleHealth SurveysHumansDisruptive, Impulse Control, and Conduct DisordersMaleStress Disorders, Post-TraumaticSuicideSuicide, AttemptedWorld Health OrganizationPrevalence

Funding

  • Robert Wood Johnson Foundation
  • John D. and Catherine T. MacArthur Foundation
  • John W. Alden Trust
  • Bristol-Myers Squibb
  • Eli Lilly and Company
  • Pfizer
  • GlaxoSmithKline
  • Sanofi
  • World Health Organization
  • Kaiser Permanente
  • University of Michigan
  • European Commission
  • Generalitat de Catalunya
  • Bundesministerium für Gesundheit
  • National Insurance Institute of Israel
  • Ministry of Health, Labour and Welfare
  • Shire
  • Regione Piemonte
  • Substance Abuse and Mental Health Services Administration
  • Pfizer Foundation
  • Pan American Health Organization
  • Instituto de Salud Carlos III
  • Departament de Salut, Generalitat de Catalunya
  • National Institute of Mental Health
  • National Institute on Drug Abuse
  • Fogarty International Center
  • Cilag
Citations
914
FWCI
38.05
field-weighted impact
References
81
Percentile
100%
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Citations per year
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The British Journal of Psychiatry · 1997 · 2,588 citations
Cross-national prevalence and risk factors for suicidal ideation, plans and attempts
The British Journal of Psychiatry · 2008 · 2,616 citations
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