Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Understanding the intersections between ethnicity, area-level deprivation, and inpatient-related features amongst patients with psychotic disorders: a mental health electronic records analysis.","authors":"Charlotte Humphreys, Jo Hodgekins, Hitesh Shetty, Peter Schofield, Rob Stewart, Sherifat Oduola","doi":"10.1007/s00127-025-02908-1","DOIUrl":"10.1007/s00127-025-02908-1","url":null,"abstract":"<p><strong>Purpose: </strong>Ethnic and area-level deprivation disparities in psychiatric inpatient outcomes amongst patients with psychotic disorders are known. However, how these two variables intersect to influence features of inpatient care is unclear. We investigated this intersection.</p><p><strong>Methods: </strong>Using de-identified electronic health data from inpatient services at a large south London mental healthcare provider, we identified a sample of 6767 working-age patients with non-affective psychotic disorders who were admitted between 2016 and 2019. Logistic and negative binomial regressions were used to examine the relationships between ethnicity (and then deprivation) with inpatient-related features (compulsory admission, psychiatric intensive unit admission, length of stay and number of admissions), adjusting for confounders. The sample was stratified by area-level deprivation to understand the intersection of ethnicity, deprivation and these inpatient-related features.</p><p><strong>Results: </strong>Patients from all areas except the least deprived were at greater risk of compulsory admission, admission to psychiatric intensive care units and more frequent admissions compared with patients from the least deprived areas. All minoritised ethnic patients were more likely to be compulsorily admitted compared with White British patients. Living in the least deprived areas appeared to offer protection against compulsory admission for some ethnic minority groups, but not Black British or Asian patients.</p><p><strong>Conclusions: </strong>This study showed how psychiatric inpatient-related features for patients with non-affective psychotic disorders were explained not only by the separate effects of area-level deprivation and ethnicity but also by the unique intersections of these two factors. Our findings have implications for policy and interventions aimed at reducing the drivers of inpatient admissions by addressing social stressors in deprived areas and among ethnic minority patients.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1957-1969"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between changes in family relationship status and suicidal ideation among individuals with physical disabilities.","authors":"Cho Rong Kim, Soo Young Kim, Yun Seo Jang, Eun-Cheol Park","doi":"10.1007/s00127-025-02881-9","DOIUrl":"10.1007/s00127-025-02881-9","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals with physical disabilities are at a higher risk of suicide due to daily activity limitations and dependency on others. Family relationships are important to their mental health and well-being. This study investigated the impact of changes in the family relationship status of physically disabled individuals on suicidal ideation.</p><p><strong>Methods: </strong>We used data from the Disability and Life Dynamics Panel for 2018-2022. A total of 3,704 individuals were used in the analysis. Family relationships were classified into four groups: 1) good → good, 2) poor → good, 3) good → poor, and 4) poor → poor. We assessed suicidal ideation and attempts based on self-reported questionnaires. A generalized estimating equation model was used to analyze the impact of changes in family relationships on suicidal ideation in people with physical disabilities.</p><p><strong>Results: </strong>Individuals with physical disabilities whose family relationships declined were 1.63 times more likely to have suicidal ideation (95% CI 1.22-2.19) compared to those with consistently good family relationship. Among the subfactors of family relationships, family problem-solving ability showed the strongest association with suicidal ideation when it deteriorated (OR 1.34, 95% CI 1.03-1.74). Individuals with consistently poor family relationships were 1.78 times more likely to have suicidal ideation alone (95% CI 1.33-2.38) and 2.29 times more likely to have both suicidal ideation and attempts (95% CI 0.89-5.93).</p><p><strong>Conclusion: </strong>Our findings suggest the importance of addressing family relationships in suicide prevention strategies and mental health interventions for individuals with physical disabilities.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1847-1859"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex differences in schizophrenia spectrum disorders: insights from the DiAPAson study using a data-driven approach.","authors":"Alessandra Martinelli, Silvia Leone, Cesare M Baronio, Damiano Archetti, Alberto Redolfi, Andrea Adorni, Elisa Caselani, Miriam D'Addazio, Marta Di Forti, Laura Laffranchini, Deborah Maffezzoni, Marta Magno, Donato Martella, Robin M Murray, Elena Toffol, Giovanni Battista Tura, Giovanni de Girolamo","doi":"10.1007/s00127-025-02855-x","DOIUrl":"10.1007/s00127-025-02855-x","url":null,"abstract":"<p><strong>Purpose: </strong>Schizophrenia Spectrum Disorders (SSD) display notable sex differences: males have an earlier onset and more severe negative symptoms, while females exhibit affective symptoms, better verbal abilities, and a more favourable prognosis. Despite extensive research, areas such as time perception and positivity remain underexplored, and machine learning has not yet been adequately utilised. This study aims to address these gaps by examining sex differences in a sample of Italian patients with SSD using a data-driven approach.</p><p><strong>Methods: </strong>As part of the DiAPAson project, 619 Italian patients with SSD (198 females; 421 males) were assessed using standardised clinical tools. Data on socio-demographics, clinical characteristics, symptom severity, functioning, positivity, quality of life (QoL), and time perspective were collected. Descriptive and regression analyses were conducted. Principal Component Analysis (PCA) and the Gaussian Mixture Model (GMM) was used to define data-driven clusters. A leave-one-group-out validation was performed.</p><p><strong>Results: </strong>Males were more likely to be single (p < 0.001) and less educated (p = 0.006), while females smoked more tobacco (p = 0.011). Males were more frequently prescribed antipsychotics (p = 0.022) and exhibited more severe psychiatric (p = 0.004) and negative symptoms (p = 0.013). They also had a less negative perception of past events (p = 0.047) and a better view of their psychological condition (p = 0.004). Females showed better interpersonal functioning (p = 0.008). PCA and GMM revealed two main clusters with significant sex differences (p = 0.027).</p><p><strong>Conclusion: </strong>This study identifies sex differences in SSD, suggesting tailored treatments such as enhancing interpersonal skills for females and maintaining positive self-assessment for males. Using machine learning, we highlight distinct SSD phenotypes, emphasising the need for sex-specific interventions to improve outcomes and QoL. Our findings stress the importance of a multifaceted, interdisciplinary approach to address sex-based disparities in SSD.</p><p><strong>Trial registration: </strong>ISRCTN registry ID ISRCTN21141466.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1983-1997"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Durational effect of ambient air pollution on hospital admissions of schizophrenia: a time series analysis.","authors":"Xiaolan Huang, Chun Zhou, Xianyan Tang, Yuhua Wei, Dongmei Li, Bing Shen, Qinggui Lei, Qian Zhou, Jun Lan, Yanli Qin, Li Su, Jianxiong Long","doi":"10.1007/s00127-025-02831-5","DOIUrl":"10.1007/s00127-025-02831-5","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia may be exacerbated by ambient air pollution. In this study, we aim to explore the association of air pollution with hospital admission for schizophrenia in Liuzhou, China.</p><p><strong>Methods: </strong>The daily concentration of air pollutants was gathered from an average of seven fixed monitoring sites in Liuzhou, while the daily admission data for schizophrenia was received from The Guangxi Zhuang Autonomous Region Brain Hospital. A Poisson generalized linear regression model in conjunction with a distributed lag nonlinear model was utilized to quantify the exposure-lag-response connection between ambient air pollution and schizophrenia hospitalization. The stratification analysis was then carried out by age, gender, and season.</p><p><strong>Results: </strong>PM_2.5, PM₁₀, and SO₂ was significantly associated with elevated number of schizophrenia hospitalization. We observed the largest single-day effects of PM_2.5 at lag 17 day, PM₁₀ at lag 17 day, and SO₂ at lag 28 day, with the corresponding RRs being 1.01611 (95% CI:1.00652-1.02579), 1.01648 (95% CI:1.00603-1.02704), and 1.02001 (95% CI: 1.00001-1.04041), respectively. Stratification analysis revealed that patients who were < 45 years old and female were more vulnerable to hospitalization due to exposure to PM_2.5 and PM₁₀. The effects of PM_2.5 and PM₁₀ were more noticeable during the cooler seasons than during the warmer one.</p><p><strong>Conclusions: </strong>This study reveals that being exposed to PM_2.5, PM₁₀, and SO₂ may increase the chance of schizophrenia hospitalization.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1933-1942"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case management for suicide prevention: a rapid review and evidence map.","authors":"Tiffany Milligan, Courtney Boyd, Dawn M Bellanti, Lisa Shank, Sharmila Chari, Daniel Kotzab, Derek Smolenski, Daniel P Evatt, Marija S Kelber","doi":"10.1007/s00127-025-02825-3","DOIUrl":"10.1007/s00127-025-02825-3","url":null,"abstract":"<p><strong>Purpose: </strong>Suicide is one of the top ten leading causes of death for the general population and for members of the United States military. Despite substantial resources invested in preventing suicide in both civilian and governmental agencies, identifying effective approaches remains a challenge.</p><p><strong>Methods: </strong>Consistent with the continued need to identify effective strategies, a military stakeholder requested a rapid review of suicide prevention programs which incorporated trained, non-provider personnel (e.g., case managers, care navigators). We found a lack of comprehensive reviews on this topic and developed an evidence map to characterize the current state of the research on case management programs for suicide prevention. The elements for this evidence map included characteristics and components of the relevant programs, role of the case manager, outcomes measured, and any indications of effectiveness.</p><p><strong>Results: </strong>We included four systematic reviews and 30 articles representing 27 studies in this review. Case management as a service was applied differently across settings and populations and the results on suicide-related outcomes were mixed. Models or approaches with multiple studies showing some evidence of effectiveness included intensive case management (ICM) and multilevel, population-based programs. Other programs showed some evidence of effectiveness but were represented by just one study.</p><p><strong>Conclusions: </strong>To help advance our understanding of the effectiveness of suicide prevention programs that incorporate case management, future studies should provide comprehensive descriptions of case management, including clear definitions of the service and descriptions of the role (e.g., educational background, specific tasks performed, duration, and type of patient involvement).</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1799-1809"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the impact of parallel media engagement initiatives on suicide reporting in Canada and Israel.","authors":"Mark Sinyor, Daniella Ekstein, Prudence Po Ming Chan, Yu Vera Men, Racheli Starostintzki Malonek, Ayal Schaffer, Thomas Niederkrotenthaler, Marnin J Heisel, Benjamin I Goldstein, Donald A Redelmeier, Paul Taylor, Rachel Mitchell, Rosalie Steinberg, Yossi Levi-Belz","doi":"10.1007/s00127-025-02886-4","DOIUrl":"10.1007/s00127-025-02886-4","url":null,"abstract":"<p><strong>Purpose: </strong>To contrast changes in suicide-related media reporting quality during parallel initiatives to engage national media in Canada and Israel.</p><p><strong>Methods: </strong>We coded media articles in Canada's and Israel's highest circulating newspapers (major broadsheet and tabloid newspapers, respectively) for putatively harmful and putatively protective suicide-related content. A sample of 150 articles (30/year) from each country was randomly selected for three time points: 2012 (T1; prior to media engagement), 2016-2017 (T2; early media engagement), and 2018-2019 (T3; late media engagement). Chi-square tests and binary logistic regression investigated overall between-country differences in reporting quality over time.</p><p><strong>Results: </strong>Following media engagement, adherence to guidelines improved over time in both countries for most variables. Over time, fewer Canadian and more Israeli articles covered celebrity suicide (OR = 4.97; 95%CI 1.68-16.69); more Canadian and fewer Israeli articles covered warning signs for suicide (OR = 0.30; 95%CI 0.12-0.78). Comparing articles over the entire timespan (T1-T3), a higher proportion of Israeli tabloid articles included putatively harmful content, such as mentioning suicide means (Israel: 65.3% vs. Canada 25.3%, χ²(1) = 48.4, p < 0.001), and a higher proportion of Canadian broadsheet articles included putatively protective content, such as providing information on intervention (Israel: 2.0% vs. Canada 27.3%, χ²(1) = 38.5, p < 0.001).</p><p><strong>Conclusion: </strong>Media engagement appeared to confer benefits in both countries and publication formats. A higher proportion of Canadian articles adhered to several specific recommendations. Our findings must be interpreted in the context of differences in format between major Canadian and Israeli newspapers (broadsheet vs. tabloid) and the much higher total volume of suicide-related articles in Canada.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1871-1882"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectories of mental health symptoms, suicide attempts and substance use disorders among women after prison release in Santiago, Chile.","authors":"Ignacio Bórquez, Emily Goldmann, Paloma Del Villar, Catalina Droppelmann, Adrian P Mundt, Pilar Larroulet","doi":"10.1007/s00127-025-02849-9","DOIUrl":"10.1007/s00127-025-02849-9","url":null,"abstract":"<p><strong>Purpose: </strong>Limited research has characterized how mental health changes or persists during reentry, particularly among women, who are a minority in the criminal legal system. We aimed to describe the mental health symptoms trajectory groups, suicide attempts, substance use dependence, and mental healthcare utilization among formerly incarcerated women in Santiago, Chile, during 1-year after release.</p><p><strong>Methods: </strong>We assessed 200 women in a five-wave prospective cohort study using three different mental health indicators: the Symptom Checklist 90-Revised (SCL-90-R) scale before release and at one week, two, six, and twelve months after release, self-reported suicide attempts, and substance use dependence using the Mini Neuropsychiatric Interview. We used latent class growth analysis to identify groups following similar symptom trajectories using the Global Severity Index of the SCL-90-R. We performed multinomial and logistic regressions to identify correlates of these outcomes.</p><p><strong>Results: </strong>Three trajectory groups were identified: Low (85.8%), Increasing (6.8%), and High (7.4%) symptom severity. 19.3% attempted suicide during follow-up. 18.9% met the criteria for substance use dependence at both baseline and twelve months. In multivariate regression analysis, the previous number of convictions and victimization experiences were associated with all outcomes. 10% or less received mental health services at any measurement.</p><p><strong>Conclusion: </strong>Most women had stable severity of mental health symptoms during the first year after release. Pre-release cross-sectional screening misses a group with increasing symptom severity and substance use dependence during reentry. Routine mental health assessments would be useful during reentry and guidance to make better use of services during this critical period.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1811-1823"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State policies and suicidal behavior among sexual and gender minority college students.","authors":"Michelle Flesaker, Even Paglisotti, Christina E Freibott, Jaimie L Gradus, Sarah K Lipson","doi":"10.1007/s00127-025-02903-6","DOIUrl":"10.1007/s00127-025-02903-6","url":null,"abstract":"<p><strong>Purpose: </strong>While lesbian, gay, bisexual, transgender/nonbinary, and queer/questioning (LGBTQ+) college students are at heightened risk of suicidal ideation and attempt compared to cisgender and heterosexual students, few studies have examined system-level factors to reduce these risks. We investigated associations between state-level policies and suicidal behavior by gender identity (cisgender sexual minority; CSM, and transgender/nonbinary; TNB) among U.S. LGBTQ + young adults attending 135 institutions.</p><p><strong>Methods: </strong>State policy tallies, from the Movement Advancement Project, represent a sum of LGBTQ+-related laws, with indices for protective (positive) and discriminatory (negative) legislation for an overall score (range: -23.5 to 42.5). We linked tallies with student survey data from LGBTQ + young adult participants (18-24 years) in the 2022-2023 Healthy Minds Study (n = 15,861). We used multilevel models to calculate odds ratios (OR) and 95% confidence intervals (CI) for associations between 10-point increases in overall, sexual orientation, and gender identity tallies and suicidal behavior.</p><p><strong>Results: </strong>A 10-point increase in overall policy tally was associated with an 8% reduction in the odds of suicidal ideation in CSM participants (OR = 0.92, 95% CI = 0.87, 0.97) and a 7% reduction in TNB participants (OR = 0.93, 95% CI = 0.87, 1.00). Associations were observed between overall policy tallies and suicide attempt among CSM, but not TNB students. We observed congruent results for sexual orientation- and gender-specific tallies.</p><p><strong>Conclusion: </strong>Protective state policy was associated with lower odds of suicidal ideation among LGBTQ + college students. We build upon evidence demonstrating the importance of system-level protections for LGBTQ + individuals.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1861-1870"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Putting yourself in the shoes of others\" - Relatability as a novel measure to explain the difference in stigma toward depression and schizophrenia.","authors":"Georg Schomerus, Johanna Kummetat, M C Angermeyer, Bruce G Link","doi":"10.1007/s00127-024-02807-x","DOIUrl":"10.1007/s00127-024-02807-x","url":null,"abstract":"<p><strong>Purpose: </strong>Attitudes toward schizophrenia and depression have evolved differently over the last decades, exposing people with schizophrenia to growing stigma. Classic descriptions of schizophrenia symptoms as being particularly unrelatable might offer an explanation for this gap in attitudes that has not yet been tested. We examine to what extent relatability explains the difference in social distance toward people with depression or schizophrenia.</p><p><strong>Methods: </strong>We developed the 8-item \"Relatability Scale\", measuring to what extent people can relate to someone described as having either depression or schizophrenia, and used it in an online quota sample of 550 respondents in Germany. Beyond, we elicited the desire for social distance, continuum beliefs, emotional reactions, perceived dangerousness, general empathy, and previous contact.</p><p><strong>Results: </strong>The Relatability Scale showed good psychometric properties and construct validity. Differences in relatability alone explained 63.6% of this difference in social distance between depression and schizophrenia. Adding continuum beliefs increased this amount to 83.0%. All other variables combined explained 53.2% of the difference in social distance between disorders.</p><p><strong>Conclusion: </strong>Differences in both relatability and continuum beliefs seem key to understanding different reactions to someone with depression or schizophrenia. Anti-stigma interventions could be optimized in order to increase relatability and continuum beliefs particularly regarding people with severe, psychotic mental disorders.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1883-1893"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between gender identity, economic stressors, social support, concurrent substance use and suicidal ideation.","authors":"Sara W Kelly, Sarah E Donohue, Kathleen Rospenda, Kristin L Moilanen, Niranjan S Karnik, Jesse D Herron, Timothy P Johnson, Judith A Richman","doi":"10.1007/s00127-025-02868-6","DOIUrl":"10.1007/s00127-025-02868-6","url":null,"abstract":"<p><strong>Purpose: </strong>To examine a comprehensive list of demographic, substance use, economic, and social factors associated with suicidal ideation (SI) among middle-aged adults.</p><p><strong>Methods: </strong>Cross-sectional data were obtained from a national sample of middle-aged adults between February and November 2022. The study's final sample include 1,337 respondents who represented the adult population of persons aged 40-60 years in the United States. Bivariate and multivariate statistics were employed to identify significant factors associated with past year SI, including the examination of factors associated with single SI and multiple instances of SI in the past year.</p><p><strong>Results: </strong>Of the sample, 140 (10.4%) reported SI in the past year. Among those, more than half (60.0%, n = 84) reported SI multiple times in the past year. Multivariable logistic regression indicated that those who reported a lower standard of living compared to their parents/caregivers (adjusted odds ratio [aOR] 2.62), were a gender minority (aOR 7.06), engaged in concurrent substance use (aOR 3.29), or were unemployed (aOR 1.80) had significantly higher odds of past year SI, whereas higher social support was protective against SI (aOR 0.69). Multinomial regression found that concurrent substance use, unemployment, and having a lower standard of living than their parents/caregivers predicted repeated past year SI whereas higher social support was protective against multiple SI experiences (aOR 0.65).</p><p><strong>Conclusion: </strong>Middle-aged adults reporting concurrent substance use, lower social support, unemployment and were gender minority had higher odds of past year SI. These findings underscore the need to develop public health and clinical interventions tailored to these highest-risk middle-aged adults in order to prevent suicide.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1825-1833"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}