{"title":"Historical Changes in the Proportional Age Distribution of Suicide Deaths: A Longitudinal Ecological Analysis of 118 Countries, 1950-2020.","authors":"Matias Gay","doi":"10.1080/13811118.2026.2723456","DOIUrl":"https://doi.org/10.1080/13811118.2026.2723456","url":null,"abstract":"<p><strong>Objective: </strong>This study described historical changes in the proportional age distribution of recorded suicide deaths and variation by sex and broad region, without interpreting death shares as age-specific risk.</p><p><strong>Method: </strong>A longitudinal ecological analysis used 9,396 country-year-sex records from 118 countries during 1950-2020. Suicide deaths were grouped as ages 0-14, 15-24, 25-44, 45-64, and 65 years and older. A grouped multinomial model analyzed the five-part composition, and 1,000 stratified country-cluster bootstrap samples preserved complete national time series for 95% confidence intervals (CIs).</p><p><strong>Results: </strong>The standardized share at ages 15-24 decreased from 16.1% in 1950 to 11.3% in 2020 (-4.8 percentage points, 95% CI [-14.4, -2.3]). Point estimates increased at ages 25-44 (+3.5 points) and 65 years and older (+1.4 points), but both CIs included no change. Compositions differed by sex and region, with substantial uncertainty where few countries reported.</p><p><strong>Conclusions: </strong>The data support a decline in the proportional share of recorded suicide deaths at ages 15-24, not a demonstrated decline in youth suicide risk. Other apparent redistributions were less certain after country-clustered compositional analysis and may reflect demographic structure, reporting coverage, or changes in other age groups.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victoria E Marques, Edwin D Boudreaux, Ivan W Miller, Carlos A Camargo, Sarah A Arias
{"title":"An Examination of Non-Suicidal Self-Injury, Healthcare Utilization, and Quality of Life in the 12-Months After Screening Positive for Suicide Risk in the Emergency Department.","authors":"Victoria E Marques, Edwin D Boudreaux, Ivan W Miller, Carlos A Camargo, Sarah A Arias","doi":"10.1080/13811118.2026.2724122","DOIUrl":"https://doi.org/10.1080/13811118.2026.2724122","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the impact of suicide interventions on secondary outcomes, such as non-suicidal self-injury (NSSI), potentially suicide-related ED visits and hospitalizations, behavioral health interactions, and quality of life (QOL).</p><p><strong>Method: </strong>Data were analyzed from 1,376 adults, who screened positive for suicide risk as part of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study, a quasi-experimental, eight-center study, conducted from 2010-2013. Participants were enrolled across three phases: Treatment as Usual (TAU), Universal Screening (US), and Universal Screening + Intervention (Intervention). Outcomes were assessed during the 12-month follow-up period.</p><p><strong>Results: </strong>Participants in the Intervention phase reported fewer potentially suicide-related hospitalizations during the 12-months follow-up compared with those in the TAU or US phases. Intervention participants also reported more behavioral health interactions via phone at follow-up than those in TAU. Additional factors associated with secondary outcomes are discussed.</p><p><strong>Conclusion: </strong>Suicide interventions implemented in the ED may have benefits beyond reducing suicide behavior, including reduction in potentially suicide-related hospitalizations and increased engagement with behavioral health services by phone. These findings highlight the potential for ED-based suicide prevention strategies to influence broader health outcomes.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Association Between Suicidal Ideation Trajectories and Later Academic Attitude and Career Adaptability Among South Korean Adolescents.","authors":"Taekho Lee, Suah Jeon, Yoonsun Han, Dong Hun Lee","doi":"10.1080/13811118.2026.2725782","DOIUrl":"https://doi.org/10.1080/13811118.2026.2725782","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated how adolescents' experience of suicidal ideation over time relates to academic and career development, both of which are regarded as critical areas of development. Specifically, we examined how latent trajectories of suicidal ideation are associated with academic engagement, academic helplessness, and career adaptability.</p><p><strong>Method: </strong>Latent class growth analysis (LCGA) and regression analyses were conducted using six waves of data from the middle school panel of the Korean Children and Youth Panel Survey 2018 (2018-2023; <i>N</i> = 1,936).</p><p><strong>Results: </strong>Four distinct latent trajectories of suicidal ideation were identified, characterized by significant group differences in academic and career-related variables: <i>elevated-plummet</i> (7.0%), <i>moderate-surge</i> (8.7%), <i>moderate-rise</i> (38.6%), and <i>persistently low</i> (45.7%). Results showed that both current and past levels of suicidal ideation were associated with academic engagement and helplessness, whereas career adaptability was more strongly linked to current experiences of suicidal ideation.</p><p><strong>Conclusions: </strong>These findings advance existing scholarship by shifting attention from antecedents of suicidal ideation to developmental experiences. Moreover, the findings highlight high-priority areas for early intervention among adolescents experiencing suicidal ideation and provide empirical evidence to inform the design of programs aimed at strengthening academic and career competencies.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amy M Brausch, Taylor Kalgren, Seonaid Cleare, Kirsty Clark, Rory C O'Connor
{"title":"Suicide Risk in Adults: The Roles of Defeat, Entrapment, and Sexual and Gender Minority Identity Across Two Samples.","authors":"Amy M Brausch, Taylor Kalgren, Seonaid Cleare, Kirsty Clark, Rory C O'Connor","doi":"10.1080/13811118.2026.2724116","DOIUrl":"https://doi.org/10.1080/13811118.2026.2724116","url":null,"abstract":"<p><strong>Objective: </strong>Sexual and gender minority (SGM) people experience higher rates of suicidal ideation than cisgender heterosexual (cis/het) individuals. The Integrated Motivational-Volitional (IMV) model proposes key psychological mechanisms (i.e., defeat and entrapment) that contribute to suicide ideation. Examining IMV processes between SGM and cis/het adults can uncover the universality of defeat-entrapment pathways in suicide risk and inform <i>for whom</i> interventions targeting these mechanisms may be most effective.</p><p><strong>Method: </strong>The current study examined SGM status as a moderator between defeat/entrapment, and suicidal thoughts across two adult samples: a college student sample in the United States (Sample 1; <i>n</i> = 865) and an adult community sample in the United Kingdom (Sample 2; <i>n</i> = 734).</p><p><strong>Results: </strong>SGM participants reported higher rates of lifetime suicidal ideation across both samples, and higher levels of defeat and entrapment as compared to cis/het in Sample 1. Defeat and entrapment were significantly associated with suicide ideation in both samples. In Sample 1, SGM status moderated the association between entrapment and suicide ideation, but not between defeat and suicide ideation. The relationship between entrapment and suicide ideation was stronger for SGM people. In Sample 2, no moderation effects of SGM status were found.</p><p><strong>Conclusions: </strong>Findings highlight that across contexts, defeat and entrapment are key correlates of suicidal distress. For SGM adults, minority stressors and related mechanisms may increase suicide risk alongside defeat and entrapment. Future research should explore both shared and identity‑specific pathways to suicide risk as well as develop contextually sensitive suicide prevention approaches that integrate both IMV mechanisms and minority stress frameworks.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arnau Carmona, Ariadna Corbella-Sotil, Alícia Colomer-Salvans, Queralt Sales-Nomen, Jordi Mestres-Carbonell, Raquel Leal-Pujol, Manuel Abella, Judith Usall, Regina Vila-Badia
{"title":"Risk Factors for Suicidal Behavior Among European Youth: A Systematic Review.","authors":"Arnau Carmona, Ariadna Corbella-Sotil, Alícia Colomer-Salvans, Queralt Sales-Nomen, Jordi Mestres-Carbonell, Raquel Leal-Pujol, Manuel Abella, Judith Usall, Regina Vila-Badia","doi":"10.1080/13811118.2026.2718276","DOIUrl":"https://doi.org/10.1080/13811118.2026.2718276","url":null,"abstract":"<p><strong>Introduction: </strong>Clarifying risk factors for suicidal behavior in European youth is crucial for guiding assessment, prevention, and policy. This study provides a systematic review and synthesis of risk factors associated with suicidal ideation, attempts, and mortality across Europe.</p><p><strong>Methods: </strong>Following PRISMA guidelines and a PROSPERO-registered protocol, we reviewed studies published between 1976 and 2024 involving European general populations aged 15-35. A total of 10,832 unique records were screened across PubMed, Web of Science, and Scopus, resulting in the inclusion and quality appraisal of 194 studies.</p><p><strong>Results: </strong>Lifetime prevalence estimates ranged from 14-23% for ideation and 6-9% for attempts. The data confirmed a robust gender paradox: higher rates of ideation and attempts in women, but higher mortality in men. Risk factors spanned ten thematic domains: sociodemographic and identity, educational, family, victimization and childhood trauma, social connectedness, individual traits and coping, sleep and physical health, substance use and addictive behaviors, psychopathology and mental health, and prior suicidal behaviors. Research coverage was markedly uneven, with Northern & Western Europe accounting for most included studies.</p><p><strong>Conclusion: </strong>These findings highlight suicidal behavior in European youth as a critical, multifactorial public health issue. Compared to other world regions, European research distinctively documents sexual minority status and sleep/physical health correlates as consistent risk domains. Coordinated public policies should integrate suicide prevention into youth health agendas, prioritizing LGBTQ+ inclusive programs, post-self-harm monitoring, and digital risk assessment, alongside gender-sensitive approaches and targeted support for vulnerable groups.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-96"},"PeriodicalIF":2.2,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew D Castner, Christopher Kitchen, Christelle Xiong, Mark J Bittle, Paul S Nestadt, Holly C Wilcox, Hadi Kharrazi
{"title":"Assessing the Utility of Social Determinants of Health Data in Suicide Prediction Models.","authors":"Matthew D Castner, Christopher Kitchen, Christelle Xiong, Mark J Bittle, Paul S Nestadt, Holly C Wilcox, Hadi Kharrazi","doi":"10.1080/13811118.2026.2722144","DOIUrl":"https://doi.org/10.1080/13811118.2026.2722144","url":null,"abstract":"<p><strong>Objective: </strong>This study seeks to explore the utility of social determinants of health (SDoH) variables in suicide prediction models. We aim to assess the impact of individual- and geographic-level SDoH factors on improving the performance of suicide prediction models and the identification of individuals at high risk for suicide.</p><p><strong>Methods: </strong>A retrospective sample of 1214 deaths by suicide and 815,544 living patients was identified in the Maryland Suicide Data Warehouse (MSDW) and linked to census tract data through geo-coding. Three machine learning algorithms were trained and validated with cross-validation to assess model performance across different data category combinations, including demographics, clinical features, and individual and geographic level SDoH.</p><p><strong>Results: </strong>Models incorporating clinical information demonstrated substantial improvements in predictive performance compared with demographic-only baselines across all algorithms. In the absence of clinical data, the addition of individual level SDoH significantly improved performance compared to baseline models, where 73% of individual level SDoH factors were identified as significant. Conversely, geographic level SDoH provided limited improvement in model performance, with only 7% of variables showing significance marginally.</p><p><strong>Conclusions: </strong>Within SDoH data, most individual level SDoH are among the most important risk factors associated with death by suicide, with improvement in model performance over just clinical and demographic information. Geographic level SDoH appeared to have limited added value.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jazmin A Reyes-Portillo, Amy So, Emily Judd, Helen-Maria Lekas, Cheryl King, Jude Uy, Christopher Karr, Carrie Masia Warner
{"title":"Supporting Technology Engagement for Suicide Prevention: An Open Trial with College Students At-Risk for Suicide.","authors":"Jazmin A Reyes-Portillo, Amy So, Emily Judd, Helen-Maria Lekas, Cheryl King, Jude Uy, Christopher Karr, Carrie Masia Warner","doi":"10.1080/13811118.2026.2713052","DOIUrl":"https://doi.org/10.1080/13811118.2026.2713052","url":null,"abstract":"<p><strong>Background: </strong>With the marked increase of suicidal thoughts and behaviors among students, counseling centers are struggling to meet the mental health demand on college campuses. Digital mental health interventions (DMHIs) have significant promise for increasing treatment availability and addressing barriers specific to this population. However, evaluations of DMHI effectiveness have been limited by low uptake and treatment adherence.</p><p><strong>Objective: </strong>Using focus group data from students at-risk for suicide, we developed Supporting Technology Engagement for Prevention (STEP), an intervention designed to increase student engagement in DMHIs. This open trial evaluated the feasibility, acceptability, and initial promise of STEP plus an empirically-based DMHI (Therapist Assisted Online [TAO]) with at-risk students.</p><p><strong>Method: </strong>Participants were 30 ethnoracially diverse college students, ages 18 to 29, reporting elevated depression or anxiety symptoms and active suicidal ideation. Participants received STEP+TAO for 7 weeks. Satisfaction, engagement with TAO (uptake and adherence), and mental health symptoms were assessed at pre-intervention, 3-weeks, and 7-weeks.</p><p><strong>Results: </strong>TAO uptake was high, with most students (93%, <i>n</i> = 28) completing at least one session. Adherence was also high, with 63% (<i>n</i> = 19) completing at least 50% of sessions and 50% (<i>n</i> = 15) completing at least 80%. Most participants (80%, <i>n</i> = 24) reported being at least moderately satisfied. Significant reductions in depression, anxiety, and suicidal ideation were also observed.</p><p><strong>Discussion: </strong>Results suggest that STEP is acceptable, feasible, and associated with high DMHI uptake and adherence and decreased mental health symptoms among at-risk students. Findings demonstrate potential of enhancing treatment engagement among at-risk students who would otherwise not seek help.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katerina Kavalidou, M Isabela Troya, Faraz Mughal, Andrea Vaughan, Sarah Spafford, Aileen Callanan, Eibhlín Walsh, Mary Joyce, Daisy Wiggin, Sarah Greenley
{"title":"What Do We Mean by Self-Harm Ideation? A Scoping Review of More Than 30 Years of Evidence.","authors":"Katerina Kavalidou, M Isabela Troya, Faraz Mughal, Andrea Vaughan, Sarah Spafford, Aileen Callanan, Eibhlín Walsh, Mary Joyce, Daisy Wiggin, Sarah Greenley","doi":"10.1080/13811118.2026.2718277","DOIUrl":"https://doi.org/10.1080/13811118.2026.2718277","url":null,"abstract":"<p><strong>Objective: </strong>Attention has been given on the terminology used for suicidal behaviors, however, there is paucity of research on the terminology used for those with thoughts of self-harm and this is imposing a risk of overlooking sub-groups within the suicidality spectrum. This review therefore aimed to map the existing evidence on the conceptualization and measurement of self-harm ideation.</p><p><strong>Method: </strong>A two-stage search strategy was employed. In stage one, MEDLINE, Embase, PsycINFO, CINAHL, and Web of Science Core Collection were searched were searched in June 2020 for records published from database inception onwards, using database-specific index terms and title/abstract keywords related to self-harm ideation/thoughts. In stage two (2020-2025), a targeted title only search was conducted to identify studies explicitly foregrounding self-harm ideation. Data were synthesized using descriptive narrative methods.</p><p><strong>Results: </strong>The majority of studies (68%) used standardized instruments, most commonly items embedded within broader mental health scales, particularly item 9 of the Patient Health Questionnaire-9 (PHQ-9) and item 10 of the Edinburgh Postnatal Depression Scale (EPDS) in female perinatal samples. A smaller number of studies used the Self-Injurious Thoughts and Behaviors Interview (SITBI) items assessing non-suicidal self-injury thoughts. Publication output increased substantially after 2013 and was largely concentrated in high-income Western countries. Across all years examined, explicit use of the terms self-harm ideation or thoughts in titles remained consistently low (10%).</p><p><strong>Conclusions: </strong>Future research should prioritize participatory approaches involving clinicians and individuals with lived experience to refine the terminology surrounding self-harm ideation and support more accurate identification and targeted prevention strategies.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-33"},"PeriodicalIF":2.2,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Network Analysis of Personal Recovery After a Suicidal Episode.","authors":"Yosef Sokol, Sofie Glatt, Marianne Goodman","doi":"10.1080/13811118.2026.2719717","DOIUrl":"https://doi.org/10.1080/13811118.2026.2719717","url":null,"abstract":"<p><strong>Objectives: </strong>Personal recovery following a suicidal episode is multifaceted and understudied. Network analysis of the Post Acute Suicidal Episode (PASE), the recovery period that follows an acute episode of suicidal consideration, planning, or attempt, may clarify the multidimensional structure of this recovery and identify clinical intervention points.</p><p><strong>Methods: </strong>An online sample with a history of a suicidal episode (<i>N</i> = 940) completed the Recovery Evaluation and Suicide Support Tool (RESST). We applied exploratory graph analysis (EGA) to identify recovery clusters, expected influence and bridge centrality to identify central features, and network comparison tests (NCTs) to compare network structure by suicide attempt history. Dimensional stability was additionally tested across a three-week interval.</p><p><strong>Results: </strong>EGA identified four stable clusters mirroring the RESST domains, and dimensional structure was consistent across the three-week interval. Central features included life worth, positive self-regard, feeling valued, and connectedness. The strongest bridge items included feeling that life is worth living and having meaning and purpose. NCTs did not identify structural divergence by suicide attempt history.</p><p><strong>Conclusion: </strong>PASE recovery showed a stable multidimensional structure, with no divergence detected by suicide attempt history or across a three-week interval. Central and bridge features (life worth, meaning, connectedness) are promising candidate intervention targets that need prospective testing. Findings support aftercare that addresses multiple recovery domains rather than a single symptom target.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Umair Tahir, Daniel Sanchez Morales, Prudence Po Ming Chan, Ayal Schaffer, Jennifer M Dmetrichuk, Rachel H B Mitchell, Rosalie Steinberg, Lisa Fiksenbaum, Simon Hatcher, Mark Sinyor
{"title":"Suicide and Medical Illness: A Latent Class Analysis of Coroner Records in Toronto.","authors":"Umair Tahir, Daniel Sanchez Morales, Prudence Po Ming Chan, Ayal Schaffer, Jennifer M Dmetrichuk, Rachel H B Mitchell, Rosalie Steinberg, Lisa Fiksenbaum, Simon Hatcher, Mark Sinyor","doi":"10.1080/13811118.2026.2713720","DOIUrl":"https://doi.org/10.1080/13811118.2026.2713720","url":null,"abstract":"<p><strong>Objective: </strong>People with chronic illnesses are at elevated risk of suicide. Prior research has focused on risk with specific diagnoses and/or comparisons with living controls; the profiles of medically ill people who die by suicide remain largely unknown. This study aims to identify characteristics and subgroups among suicide decedents with medical illnesses.</p><p><strong>Methods: </strong>We conducted a retrospective chart review of 5288 suicide deaths in Toronto, Canada (1998-2020) using coroner records. Bivariate and logistic regression compared decedents with and without reported medical illness across demographics, stressors, psychiatric history, and suicide-related characteristics. Latent class analysis (LCA) identified subgroups based on patterns of medical illness and sociodemographic characteristics. Post-hoc comparisons assessed additional differences across classes.</p><p><strong>Results: </strong>Among suicide decedents, 33.6% had a reported medical illness. Compared to other suicide decedents, they were older, more likely to die at home, experience depression, and use self-poisoning. Latent class analysis identified four distinct profiles defined by medical and sociodemographic characteristics: (1) older men with cardiovascular disease and/or diabetes; (2) middle-aged individuals with pain, neurological, and/or musculoskeletal conditions and a balanced sex distribution; (3) younger-to-middle-aged men with mixed medical conditions, including HIV/AIDS and respiratory illness; and (4) older men with reported malignancy. Exploratory post-hoc comparisons suggested additional differences across psychiatric, psychosocial, and suicide-related characteristics, including depression, substance misuse/use disorder, and suicide methods.</p><p><strong>Conclusions: </strong>Our results indicate that the characteristics of suicide among medically ill populations are heterogeneous. Tailored, integrated prevention strategies that address both medical illness and psychosocial context are important elements for addressing suicide in this group.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}