Suicidal Behaviour Among Adolescents and Young Adults with Self-Reported Chronic Illness
Bibliographic record
Abstract
AbstractObjective:The aims of this study were to estimate the: (1) 12-mo prevalence of suicidal thoughts, plans, and attempts in a population sample of adolescents and young adults with and without chronic illness; (2) associations among chronic illness and suicidal thoughts and behaviour (STB); and, (3) moderating roles of mood and substance use disorder on this association.Method:Individuals were aged 15 to 30 y (n = 5,248) from the Canadian Community Health Survey-Mental Health. Twelve-month STB and psychiatric disorder were measured using the World Health Organization Composite International Diagnostic Interview 3.0. Multinomial logistic regression examined associations between chronic illness and STB, adjusting for relevant sociodemographic and health characteristics. Product term interactions among chronic illness, mood, and substance use disorders were included in the regression models to examine potential moderating effects.Results:Prevalence of suicidal thoughts, plans, and attempts was higher in individuals with chronic illness (P < 0.01 for all). After adjustment, chronic illness increased the odds for suicidal thoughts [OR = 1.28 (1.01 to 1.64)], plans [OR = 2.34 (1.22 to 4.39)], and attempts [OR = 4.63 (1.52 to 14.34)]. In the presence v. absence of a mood disorder, the odds for suicidal thoughts were higher among individuals with chronic illness [OR = 1.89 (1.06 to 5.28)].Conclusions:Suicidal thoughts and behaviours are common among adolescents and young adults with chronic illness, particularly among those with comorbid mood disorders. Health professionals should routinely ask about STB during assessments of their adolescent and young adult patients. RésuméObjectif:Cette étude visait à estimer: (1) la prévalence de 12 mois des pensées suicidaires, des plans et des tentatives de suicide dans un échantillon dans la population d’adolescents et de jeunes adultes avec et sans maladie chronique; (2) les associations entre maladie chronique et les pensées et comportements suicidaires (PCS); et (3), les rôles modérateurs du trouble de l’humeur et du trouble d’utilisation de substances dans cette association.Méthode:Les sujets étaient âgés de 15 à 30 ans (n = 5 248) et provenaient de l’Enquête sur la santé dans les collectivités canadiennes – Santé mentale. Les PCS et le trouble psychiatrique de 12 mois ont été mesurés à l’aide de l’Entrevue composite diagnostique internationale 3.0. de l’Organisation mondiale de la santé. La régression logistique multinomiale a examiné les associations entre maladie chronique et PCS, en ajustant pour les caractéristiques de santé et sociodémographiques pertinentes. Les interactions du terme produit entre maladie chronique et trouble de l’humeur et d’utilisation de substances étaient incluses dans les modèles de régression pour examiner les effets modérateurs potentiels.Résultats:La prévalence des pensées suicidaires, des plans et des tentatives de suicide était plus élevée chez les sujets souffrant de maladie chronique (P < 0,01 pour tous). Après ajustement, la maladie chronique augmentait les probabilités des pensées suicidaires [RC = 1,28 (1,01, 1,64)], des plans [RC = 2,34 (1,22, 4,39)] et des tentatives [RC = 4,63 (1,52, 14,34)] de suicide. En la présence contre l’absence d’un trouble de l’humeur, les probabilités des pensées suicidaires étaient plus élevées chez les sujets souffrant de maladie chronique [RC = 1,89 (1,06, 5,28)].Conclusions:Les pensées et les comportements suicidaires sont communs chez les adolescents et les jeunes adultes souffrant de maladie chronique, particulièrement chez ceux qui souffrent de troubles de l’humeur comorbides. Les professionnels de la santé devraient systématiquement s’enquérir des PCS durant l’évaluation de leurs patients adolescents et jeunes adultes.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".