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Mulholland, H, McIntyre, JC, Haines-Delmont, A, Whittington, R, Comerford, T and Corcoran, R (2021) Investigation to identify individual socioeconomic and health determinants of suicidal ideation using responses to a cross-sectional, community-based public health survey. BMJ Open, 11 (2). ISSN 2044-6055
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Abstract
Objectives To address a gap in knowledge by simultaneously assessing a broad spectrum of individual socioeconomic and potential health determinants of suicidal ideation (SI) using validated measures in a large UK representative community sample.
Design In this cross-sectional design, participants were recruited via random area probability sampling to participate in a comprehensive public health survey. The questionnaire examined demographic, health and socioeconomic factors. Logistic regression analysis was employed to identify predictors of SI.
Setting Community setting from high (n=20) and low (n=8) deprivation neighbourhoods across the North West of England, UK.
Participants 4319 people were recruited between August 2015 and January 2016. There were 809 participants from low-deprivation neighbourhoods and 3510 from high-deprivation neighbourhoods. The sample comprised 1854 (43%) men and 2465 (57%) women.
Primary outcome measures SI was the dependent variable which was assessed using item 9 of the Patient Health Questionnaire-9 instrument.
Results 454 (11%) participants reported having SI within the last 2 weeks. Model 1 (excluding mental health variables) identified younger age, black and minority ethnic (BME) background, lower housing quality and current smoker status as key predictors of SI. Higher self-esteem, empathy and neighbourhood belonging, alcohol abstinence and having arthritis were protective against SI. Model 2 (including mental health variables) found depression and having cancer as key health predictors for SI, while identifying as lesbian, gay, bisexual, transgender or queer (LGBTQ) and BME were significant demographic predictors. Alcohol abstinence, having arthritis and higher empathy levels were protective against SI.
Conclusions This study suggests that it could be useful to increase community support and sense of belonging using a public health approach for vulnerable groups (e.g. those with cancer) and peer support for people who identify as LGBTQ and/or BME. Also, interventions aimed at increasing empathic functioning may prove effective for reducing SI.
| Item Type: | Article |
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| Uncontrolled Keywords: | adult psychiatry; General & Internal Medicine; Life Sciences & Biomedicine; Medicine, General & Internal; mental health; Science & Technology; self-harm; suicide & Science & Technology; Life Sciences & Biomedicine; Medicine, General & Internal; General & Internal Medicine; suicide & self-harm; mental health; adult psychiatry; Humans; Health Surveys; Risk Factors; Cross-Sectional Studies; Public Health; Socioeconomic Factors; England; Female; Male; Suicidal Ideation; adult psychiatry; mental health; suicide & self-harm; Cross-Sectional Studies; England; Female; Health Surveys; Humans; Male; Public Health; Risk Factors; Socioeconomic Factors; Suicidal Ideation; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Psychology (from Sep 2019) |
| Publisher: | BMJ Publishing Group |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 16 Dec 2022 11:07 |
| Last Modified: | 16 Dec 2022 11:15 |
| DOI or ID number: | 10.1136/bmjopen-2019-035252 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/18417 |
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