Latent class analysis of depressive symptoms and associations with suicidal thoughts, plans, and attempts among a large national sample.
Background Depression is strongly associated with risk for suicidal behaviors. However, depression is a highly heterogeneous condition (i.e. there are more than 200 combinations of DSM-5-TR depressive symptoms to correspond to a depression diagnosis). Limited research to date has taken an empirical...
| Publicado en: | Psychological Medicine Vol. 54; no. 12; pp. 1 - 7 |
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| Formato: | research tables/charts Journal Article |
| Publicado: |
Cambridge University Press
Sep2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181064972&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181064972 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00332917 6Q3 jtl: Psychological Medicine issn: 00332917 maglogo: N pubinfo: dt: Sep2024 vid: 54 iid: 12 pid: 15979 pub: Cambridge University Press artinfo: ui: 181064972 181064972 181064972 10.1017/S0033291724002009 181064972 ppf: 1 ppct: 6 formats: tig: atl: Latent class analysis of depressive symptoms and associations with suicidal thoughts, plans, and attempts among a large national sample. aug: sug: subj: Depression Complications Suicide Risk Factors Suicidal Ideation Risk Factors Suicide, Attempted Risk Factors Risk Assessment Human Male Female Adolescence Adult Middle Age Aged Aged, 80 and Over Secondary Analysis Surveys Substance Abuse and Mental Health Services Administration Structural Equation Modeling DSM Descriptive Statistics Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background Depression is strongly associated with risk for suicidal behaviors. However, depression is a highly heterogeneous condition (i.e. there are more than 200 combinations of DSM-5-TR depressive symptoms to correspond to a depression diagnosis). Limited research to date has taken an empirical approach to see how people cluster together based on their classification of depressive symptoms and whether people in certain classes are more likely to report suicide outcomes than other classes. This analysis leverages the National Survey on Drug Use and Health and examines classes of depressive symptoms to explore differences in suicide-related outcomes by class among adults endorsing depressive symptoms (n = 41 969). Methods We used latent class analysis (LCA) to identify classes of individuals' DSM-5 depressive symptoms presentation and then explored differences in suicide-related outcomes (i.e. suicide plans, suicide attempts) by the resulting classes. Results A four-class model was determined to optimize the fit criteria. Class 3 (high depressive symptoms) had significantly greater rates of suicide-related outcomes, followed by class 1 (high depressed mood and moderate worthlessness), with classes 4 and 2 having significantly lower rates of suicide-related outcomes. Conclusions The use of LCA provided valuable findings on the importance of leveraging both a multi-faceted assessment of depressive symptoms to identify cases where a high number of depressive symptoms are endorsed, and review of the specific symptoms endorsed. Worthlessness, in particular, may be of particular value to focus on within the context of suicide prevention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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