What mental health disorder has the most suicides?
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The presence of any kind of mental illness can increase the risk of suicide, but the most prevalent mental illness found in completed suicides is clinical depression. | |
26 Citations | Individuals with schizophrenia spectrum disorder account for over 1 in 10 suicide deaths, tend to be younger, poorer, urban, more clinically complex, and have higher rates of mental health service contact prior to death. |
259 Citations | Although recurrent major depressive disorder was the mental disorder most strongly associated with suicide, the findings of this study suggest that elderly individuals who commit suicide represent a heterogeneous group with regard to mental disorders, implying a need for differentiated prevention strategies. |
51 Citations | Most mental disorders, particularly mood disorder, were significantly associated with a greater risk of suicide in Japan, independent of physical conditions. |
1.2K Citations | A limited range of diagnoses--most commonly a mood disorder alone or in combination with conduct disorder and/or substance abuse--characterizes most suicides among teenagers. |
38 Citations | Half of those who died by suicide had at least one diagnosed mental health condition in the year before death, and most mental health conditions were associated with an increased risk of suicide. |
Mental disorders amplify suicide risk across the lifecourse, but most people with mental disorder do not take their own lives. | |
101 Citations | The “feeling suicidal” item identified 10 of 12 patients who acknowledged a recent plan to kill themselves. CONCLUSIONS: In these primary care patients, suicidal ideation is strongly associated with mental disorder and mental health-related functional impairment, and can be detected with a single self-report “feeling suicidal” item. |
95 Citations | Recent research on suicide in China reveals several unique findings: 1) female suicides outnumber male suicides by a 3:1 ratio; 2) rural suicides outnumber urban suicides by a 3:1 ratio; 3) a large upsurge of young adult and older adult suicides has occurred; 4) a comparatively high national suicide rate two to three times the global average is evident; and, most startlingly, 5) a low rate of psychiatric illness, particularly depression, exists in suicide victims. |
61 Citations | The prevalence of mental disorders, although the strongest risk factor among rural young adult suicides in this study, was markedly lower than that in Western countries. |
Related Questions
What factors contribute to the increase in suicide rates among individuals with psychiatric disorders?5 answersFactors contributing to the increase in suicide rates among individuals with psychiatric disorders include recent psychiatric and non-psychiatric health service utilization. Severe psychiatric morbidity, particularly mood disorders like bipolar disorder and unipolar depression, significantly elevate the risk of suicide. Additionally, demographic and psychosocial factors such as younger age, male gender, being unmarried, living alone, unemployment, and access to lethal means like firearms play crucial roles in escalating suicide risk among individuals with psychiatric disorders, including schizophrenia. Notably, the days and weeks following discharge from psychiatric hospitalization pose a particularly high-risk period for suicide, emphasizing the need for enhanced aftercare planning and implementation. Integrated care addressing both substance use and psychiatric disorders is essential to mitigate the heightened suicide risk in this vulnerable population.
What are the most important risk factors for suicidality?5 answersThe most important risk factors for suicidality include depressive disorders, methods employed for self-harm (particularly poisoning), psychotropic drug utilization, psychological factors, disability, male sex, violent methods for self-harm, any psychiatric disorder (depression, anxiety, and bipolar disorders), poor medical condition, stressors/bereavement, and living alone. Other risk factors include history of childhood adversity, family history of suicide, marital status (single), economic status (poverty), physical illness, history of psychiatric hospitalization, history of suicide attempts, recent discharge from a mental hospital, depression, alcohol problems, hopelessness, agitation, impulsivity, impaired reality testing, and command hallucinations. For North Korean defectors living in South Korea, risk factors for future suicidality include health problems, prior suicidality, trauma-related symptoms, lower resilience, and mental disorders such as major depressive disorder, dysthymia, agoraphobia, and social phobia. Long-term risk factors for suicide include demographic factors (gender and age), psychological factors (impulsivity, hopelessness, perfectionism, pain insensitivity, and attachment style), historical factors (history of mental illness, past suicide attempts, and childhood trauma), and sociocultural factors (cultural attitudes, immigration-related experiences, moral and religious objections, and suicide clusters).
What are the most common suicide patterns?5 answersThe most common suicide patterns identified in the abstracts include:
1. Suicide thoughts only (pattern 1) - endorsed by 24% of youth.
2. Suicide thoughts and plans without suicide attempt (pattern 2) - endorsed by 38% of youth.
3. Suicide attempt with thoughts and/or plans (pattern 3) - endorsed by 35% of youth.
4. Suicide attempt without thoughts or plans (pattern 4) - endorsed by 3% of youth.
These patterns were identified based on a nationally representative sample of high schoolers in the United States. Factors such as psychosocial issues, substance use, and demographic characteristics were found to be associated with different patterns of suicidal behavior. For example, psychosocial factors like being bullied online, feeling sad or hopeless, and having a history of sexual violence were correlated with suicide attempts with thoughts or plans (pattern 3). Additionally, black and male youth were at greater odds of suicide attempts without thoughts or plans (pattern 4). These findings highlight the importance of screening for suicidal behaviors and considering different factors that may contribute to varying patterns of suicide.
What are the psychological factors that contribute to suicide?5 answersPsychological factors that contribute to suicide include personality and individual differences, cognitive factors, social aspects, negative life events, psychopathology, and negative emotional states. Suicidal thoughts and behaviors can emerge from high levels of perceived burdensomeness, thwarted belongingness, defeat, and entrapment. Depression, anxiety, previous suicide attempts, drug and alcohol use, and other comorbid psychiatric disorders are also significant psychological risk factors for suicidality. Additionally, neuroticism and impulsivity are personality traits that increase the risk of suicidality. The relationship between psychological risk factors and suicide ideation is complex, with some factors directly contributing to risk and others having indirect impact. Overall, understanding and addressing these psychological factors is crucial for suicide prevention and intervention efforts.
How much is the risk ratio for suicide increased by major depressive disorder?5 answersPatients with major depressive disorder have an increased risk of suicide. The risk ratio for suicide in patients with major depression was found to be 35.4 in one study. Another study reported that suicide risk was 1.429 times higher in patients with sleep disorders compared to those without sleep disorders. In a retrospective cohort study, patients with treatment-resistant depression and prior suicidal ideation/suicide attempt had a heightened risk of mortality by suicide compared to patients with major depressive disorder alone. Additionally, a study in Mexican patients with major depressive disorder found that the G allele carriers of SNP rs754203 of CYP46A1 were associated with an increased risk of suicide. Affective temperaments, such as dysthymic and cyclothymic temperament, were also found to be associated with a higher risk of suicide in patients with major depressive disorder.
What is the prevalence of suicidal attempts in major depressive disorder?5 answersThe prevalence of suicide attempts in major depressive disorder (MDD) varies across the studies. One study found a prevalence of 34% in MDD patients with autoimmune thyroiditis (AIT). Another study reported a prevalence of 19.59% in first-episode and drug-naïve MDD patients who were overweight or obese. A study conducted in Thailand found a prevalence of 82.1% in MDD patients, with chronic physical illness and substance use disorder identified as risk factors. Additionally, a study using structural MRI data found that 110 out of 288 MDD patients had suicide ideation, while 93 had suicide attempts. Lastly, a study focusing on MDD patients with comorbid subclinical hypothyroidism (SCH) reported a prevalence of 51.7% for suicide attempts. Overall, the prevalence of suicide attempts in MDD varies depending on factors such as comorbidities and demographic characteristics.