Elijah L H Olsen, Dorian R Dodd, Scott J Crow, Ross D Crosby, Stephen A Wonderlich, Vivienne M Hazzard
{"title":"在具有全国代表性的美国成年人样本中，按食品安全等级分列的上一年自杀意念、计划和企图。","authors":"Elijah L H Olsen, Dorian R Dodd, Scott J Crow, Ross D Crosby, Stephen A Wonderlich, Vivienne M Hazzard","doi":"10.1080/13811118.2024.2305395","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The Interpersonal Theory of Suicide posits that suicidal behavior results from thwarted belongingness, perceived burdensomeness, and capability for suicide. Considering that food insecurity (FI) may be linked to these constructs to differing extents based on severity of FI, this study examined cross-sectional associations between levels of FI and suicidal ideation, plans, and attempts in a nationally representative sample of adults in the United States.</p><p><strong>Methods: </strong>Data for this study were collected in 2001-2003 from 5,552 participants in the National Comorbidity Survey Replication (<i>M</i><sub>age</sub>=44.8 ± 0.5 years; 53.8% female). Prevalence ratios (PRs) and 95% confidence intervals (CIs) were generated using modified Poisson regression to examine past-year ideation, plans, and attempts with intent of lethality by past-year FI level (assessed with a modified version of the Short Form U.S. Household Food Security Scale).</p><p><strong>Results: </strong>After controlling for sociodemographic covariates, low food security was significantly associated with elevated prevalence of suicidal ideation, plans, and attempts (ideation: PR = 2.21, 95% CI 1.32-3.70; plans: PR = 5.42, 95% CI 2.71-10.83; attempts: PR = 5.35, 95% CI 2.38-12.03). Very low food security (i.e., more severe FI) exhibited stronger associations yet with suicidal ideation, plans, and attempts (ideation: PR = 6.99, 95% CI 4.10-11.92; plans: PR = 17.21, 95% CI 8.41-35.24; attempts: PR = 14.72, 95% CI 4.96-43.69).</p><p><strong>Conclusions: </strong>Findings indicative of a dose-response relationship between FI and suicidal ideation, plans, and attempts emphasize the need to increase reach of food assistance programs, increase availability of mental health services in food-insecure populations, and routinely screen for FI in mental health practice.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1432-1441"},"PeriodicalIF":2.5000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282171/pdf/","citationCount":"0","resultStr":"{\"title\":\"Past-Year Suicidal Ideation, Plans, and Attempts by Food Security Level in a Nationally Representative Sample of U.S. Adults.\",\"authors\":\"Elijah L H Olsen, Dorian R Dodd, Scott J Crow, Ross D Crosby, Stephen A Wonderlich, Vivienne M Hazzard\",\"doi\":\"10.1080/13811118.2024.2305395\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The Interpersonal Theory of Suicide posits that suicidal behavior results from thwarted belongingness, perceived burdensomeness, and capability for suicide. Considering that food insecurity (FI) may be linked to these constructs to differing extents based on severity of FI, this study examined cross-sectional associations between levels of FI and suicidal ideation, plans, and attempts in a nationally representative sample of adults in the United States.</p><p><strong>Methods: </strong>Data for this study were collected in 2001-2003 from 5,552 participants in the National Comorbidity Survey Replication (<i>M</i><sub>age</sub>=44.8 ± 0.5 years; 53.8% female). Prevalence ratios (PRs) and 95% confidence intervals (CIs) were generated using modified Poisson regression to examine past-year ideation, plans, and attempts with intent of lethality by past-year FI level (assessed with a modified version of the Short Form U.S. Household Food Security Scale).</p><p><strong>Results: </strong>After controlling for sociodemographic covariates, low food security was significantly associated with elevated prevalence of suicidal ideation, plans, and attempts (ideation: PR = 2.21, 95% CI 1.32-3.70; plans: PR = 5.42, 95% CI 2.71-10.83; attempts: PR = 5.35, 95% CI 2.38-12.03). Very low food security (i.e., more severe FI) exhibited stronger associations yet with suicidal ideation, plans, and attempts (ideation: PR = 6.99, 95% CI 4.10-11.92; plans: PR = 17.21, 95% CI 8.41-35.24; attempts: PR = 14.72, 95% CI 4.96-43.69).</p><p><strong>Conclusions: </strong>Findings indicative of a dose-response relationship between FI and suicidal ideation, plans, and attempts emphasize the need to increase reach of food assistance programs, increase availability of mental health services in food-insecure populations, and routinely screen for FI in mental health practice.</p>\",\"PeriodicalId\":8325,\"journal\":{\"name\":\"Archives of Suicide Research\",\"volume\":\" \",\"pages\":\"1432-1441\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282171/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Suicide Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13811118.2024.2305395\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Suicide Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13811118.2024.2305395","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/27 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的：自杀的人际关系理论认为，自杀行为源于归属感受挫、感知到的负担和自杀能力。考虑到食物不安全（FI）可能会根据食物不安全的严重程度在不同程度上与这些因素相关联，本研究对美国具有全国代表性的成年人样本中的食物不安全水平与自杀意念、计划和企图之间的关系进行了横断面研究：本研究的数据收集自 2001-2003 年全国综合症调查（National Comorbidity Survey Replication）的 5552 名参与者（年龄=44.8 ± 0.5 岁；53.8% 为女性）。使用改良的泊松回归法生成了患病率比（PRs）和95%置信区间（CIs），以根据过去一年的食物安全水平（使用改良版的简表美国家庭食物安全量表进行评估）来检查过去一年的意念、计划和意图致人死亡的企图：结果：在控制了社会人口协变量后，低食品安全与自杀意念、计划和企图的发生率升高有显著相关性（意念：PR = 2.21，95% PR = 1.00，95% PR = 1.00，95% PR = 1.00）：PR=2.21，95% CI 1.32-3.70；计划：PR=5.42，95% CI 1.32-3.70；企图：PR=5.42，95% CI 1.32-3.70PR=5.42，95% CI 2.71-10.83；未遂：PR=5.35，95% CI 2.38-12.03）。极低的食品安全（即更严重的 FI）与自杀意念、计划和企图有更强的关联（意念：PR = 6.99，95% CI = 2.71-10.83；计划：PR = 5.35，95% CI = 2.38-12.03）：PR=6.99，95% CI 4.10-11.92；计划：PR=17.21，95% CI 4.10-11.92；企图：PR=17.21，95% CI 4.10-11.92：PR = 17.21，95% CI 8.41-35.24；自杀未遂：PR=14.72，95% CI 4.96-43.69）：表明 FI 与自杀意念、自杀计划和自杀未遂之间存在剂量反应关系的研究结果表明，有必要扩大粮食援助项目的覆盖范围，增加粮食无保障人群的心理健康服务，并在心理健康实践中对 FI 进行常规筛查。
Past-Year Suicidal Ideation, Plans, and Attempts by Food Security Level in a Nationally Representative Sample of U.S. Adults.
Objective: The Interpersonal Theory of Suicide posits that suicidal behavior results from thwarted belongingness, perceived burdensomeness, and capability for suicide. Considering that food insecurity (FI) may be linked to these constructs to differing extents based on severity of FI, this study examined cross-sectional associations between levels of FI and suicidal ideation, plans, and attempts in a nationally representative sample of adults in the United States.
Methods: Data for this study were collected in 2001-2003 from 5,552 participants in the National Comorbidity Survey Replication (Mage=44.8 ± 0.5 years; 53.8% female). Prevalence ratios (PRs) and 95% confidence intervals (CIs) were generated using modified Poisson regression to examine past-year ideation, plans, and attempts with intent of lethality by past-year FI level (assessed with a modified version of the Short Form U.S. Household Food Security Scale).
Results: After controlling for sociodemographic covariates, low food security was significantly associated with elevated prevalence of suicidal ideation, plans, and attempts (ideation: PR = 2.21, 95% CI 1.32-3.70; plans: PR = 5.42, 95% CI 2.71-10.83; attempts: PR = 5.35, 95% CI 2.38-12.03). Very low food security (i.e., more severe FI) exhibited stronger associations yet with suicidal ideation, plans, and attempts (ideation: PR = 6.99, 95% CI 4.10-11.92; plans: PR = 17.21, 95% CI 8.41-35.24; attempts: PR = 14.72, 95% CI 4.96-43.69).
Conclusions: Findings indicative of a dose-response relationship between FI and suicidal ideation, plans, and attempts emphasize the need to increase reach of food assistance programs, increase availability of mental health services in food-insecure populations, and routinely screen for FI in mental health practice.
期刊介绍：
Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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