Developmental model of suicide trajectories.

TitleDevelopmental model of suicide trajectories.
Publication TypeJournal Article
Year of Publication2014
AuthorsSéguin M, Beauchamp G, Robert M, DiMambro M, Turecki G
JournalBr J Psychiatry
Volume205
Issue2
Pagination120-6
Date Published2014 Aug
ISSN1472-1465
KeywordsAdolescent, Adult, Child, Female, Humans, Life Change Events, Male, Models, Psychological, Quebec, Risk Factors, Suicide, Young Adult
Abstract

BACKGROUND: Most developmental studies on suicide do not take into account individual variations in suicide trajectories.AIMS: Using a life course approach, this study explores developmental models of suicide trajectories.METHOD: Two hundred and fourteen suicides were assessed with mixed methods. Statistical analysis using combined discrete-time survival (DTS) and growth mixture modelling (GMM) generated various trajectories, and path analysis (Mplus) identified exogenous and mediating variables associated with these trajectories.RESULTS: Two groups share common risk factors, and independently of these major risk factors, they have different developmental trajectories: the first group experienced a high burden of adversity and died by suicide in their early 20s; and the second group experienced a somewhat moderate or low burden of adversity before they took their own life. Structural equation modelling identified variables specific to the early suicide trajectory: conduct and behavioural difficulties, social isolation/conflicts mediated by school-related difficulties, the end of a love relationship, and previous suicide attempts.CONCLUSIONS: Psychosocial adversity between 10 and 20 years of age may warrant key periods of intervention.

DOI10.1192/bjp.bp.113.139949
Alternate JournalBr J Psychiatry
PubMed ID24809398