Cited by 334Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseMental Health Treatment and Access

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Risk factors for the incidence and persistence of suicide-related outcomes: A 10-year follow-up study using the National Comorbidity Surveys

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Borges, Guilherme, Angst, Jules, Nock, Matthew K., Ruscio, Ayelet Meron, Kessler, Ronald C.·2008·Journal of Affective Disorders

DOI 10.1016/j.jad.2007.01.036PMC PMC2248274

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Abstract

Background We report prospective associations of baseline risk factors with the first onset and persistence of suicide-related outcomes (SROs; ideation, plans, gestures, and attempts) over a 10-year interval among respondents who participated in both the 1990-02 National Comorbidity Survey (NCS) and the 2000-02 National Comorbidity Survey follow-up (NCS-2).Methods A total of 5001 NCS respondents were re-interviewed (87.6% of baseline sample) in the NCS-2. Three sets of baseline (NCS) risk factors were considered as predictors of the first onset and persistence of SROs: socio-demographics, lifetime DSM-III-R disorders, and SROs.Results New onsets included 6.2% suicide ideation, 2.3% plan, 0.7% gesture, and 0.9% attempts. More than one-third of respondents with a baseline history of suicide ideation continued to have suicide ideation at some time over the intervening decade. Persistence was lower for other SROs. The strongest predictors of later SROs were baseline SROs. Prospective associations of baseline mental disorders with later SROs were largely limited to the onset and persistence of ideation.Limitations Although data were gathered prospectively, they were based on retrospective reports at both baseline and follow-up.Conclusions Baseline history of SROs explained much of the association of mental disorders with later SROs. It is important clinically to note that many of the risk factors known to predict onset of SROs also predict persistence of SROs.

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Nock, M. K., Han, G., Millner, A. J., Gutierrez, P. M., Joiner, T. E., Hwang, I. H., King, A., Naifeh, J. A., Sampson, N. A., Zaslavsky, A. M., et al. (2018) · Journal of Abnormal Psychology · doi:10.1037/abn0000379 · Cited by 23
Suicide attempts and substance use in an emergency room sample
Diehl, A., & Laranjeira, R. (2009) · Jornal Brasileiro de Psiquiatria · doi:10.1590/s0047-20852009000200003 · Cited by 18
Methods of the World Mental Health Surveys
Kessler, R. C., Heeringa, S. G., Pennell, B., & Zaslavsky, A. M. (2018) · Cambridge University Press eBooks · doi:10.1017/9781107445130.003 · Cited by 18
Suicidal Ideation and Distress in Family Members Bereaved by Suicide in Portugal
Santos, S., Campos, R. C., & Tavares, S. (2014) · Death Studies · doi:10.1080/07481187.2014.946626 · Cited by 18
Predictive validity and symptom configuration of proposed diagnostic criteria for the Suicide Crisis Syndrome: A replication study
Bafna, A., Rogers, M. L., & Galynker, I. I. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.027 · Cited by 21
Tinnitus, Suicide, and Suicidal Ideation: A Scoping Review of Primary Research
MacDonald, C., Caimino, C., Burns-O’Connell, G., Hartley, D. E. H., Lockwood, J., Sereda, M., Whitmer, W. M., Cima, R. F. F., Turton, L., & Hoare, D. J. (2023) · Brain Sciences · doi:10.3390/brainsci13101496 · Cited by 18
“This scoping review was designed, conducted, and reported following the Joanna Briggs Institute guidance for conducting and reporting scoping reviews and the PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist and explanation [39,40].”
Method
Age-related differences in the influence of major mental disorders on suicidality: A Korean nationwide community sample
Park, J. E., Lee, J., Jeon, H. J., Han, K. H., Sohn, J. H., Sung, S. J., & Cho, M. J. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.03.012 · Cited by 17
“Additionally, we adjusted for various demographic and clinical correlates reported in previous studies (Borges et al., 2008; Van Orden and Conwell, 2011; Handley et al., 2012) and also included MDD in our logistic regression model, as it is recognized as the strongest risk factor for suicide.”
Method
Personal values in adolescence and suicidality: a cross-sectional study based on a retrospective recall
Yasuma, N., Watanabe, K., Matsunaga, A., Nishi, D., & Kawakami, N. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2194-4 · Cited by 17
Predicting suicidal ideation in a longitudinal high‐risk sample: Multilevel analyses and 12‐month trajectories
Rath, D., Teismann, T., Höller, I., Glaesmer, H., Paashaus, L., Schönfelder, A., Juckel, G., & Forkmann, T. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23159 · Cited by 17
GOOGLE: Valuable Source of Information or Pandora's Box?
Mccullumsmith, C. B., Williamson, D. J., May, R., Bruer, E. H., Sheehan, D. V., & Alphs, L. D. (2014) · Europe PMC (PubMed Central) · Cited by 17
Association between DSM-IV Anxiety Disorders and Suicidal Behaviors in a Community Sample of South Korean Adults
Cho, S., Hong, J. P., Lee, J., Im, J. S., Na, K., Park, J. E., & Cho, M. J. (2016) · Psychiatry Investigation · doi:10.4306/pi.2016.13.6.595 · Cited by 17
Asthma and Suicidal Ideation and Behavior Among Puerto Rican Older Children and Adolescents
Bandiera, F. C., Ramírez, R., Arheart, K. L., CANINO, G. J., & Goodwin, R. D. (2013) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3182982ba4 · Cited by 16
“This method has been successfully used previously (Borges et al., 2008a, 2008b, 2008c, 2007).”
BackgroundMethod
Factor Structure and Validity of the K6 Scale for Adults With Suicidal Ideation
Ko, J., & Harrington, D. (2015) · Journal of the Society for Social Work and Research · doi:10.1086/685033 · Cited by 16
Suicidal thoughts and behaviors in adolescents who underwent bariatric surgery
Zeller, M. H., Reiter‐Purtill, J., Jenkins, T. M., Kidwell, K. M., Bensman, H. E., Mitchell, J. E., Courcoulas, A. P., Inge, T. H., Ley, S. L., Gordon, K. H., et al. (2019) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2019.12.015 · Cited by 18
Suicide Behavior Following PHQ-9 Screening Among Individuals With Substance Use Disorders
Yarborough, B. J. H., Stumbo, S. P., Ahmedani, B. K., Rossom, R. C., Coleman, K. J., Boggs, J. M., & Simon, G. E. (2020) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000696 · Cited by 16
Impact of intensive treatment programs for posttraumatic stress disorder on suicidal ideation in veterans and service members.
Post, L. M., Held, P., Smith, D. L., Black, K., Horn, R. V., Pollack, M. H., ROTHBAUM, B. O., & Rauch, S. A. M. (2021) · Psychological Services · doi:10.1037/ser0000518 · Cited by 18
The role of ageing in the wish to be dead: disentangling age, period and cohort effects in suicide ideation in European population
Cabello, M., Rico‐Uribe, L. A., Ávila, J. C. M., Niubo, A. S., Caballero, F. F., Borges, G. L. G., Mellor-Marsá, B., Haro, J. M., Prina, M. A., Koskinen, S. V. P., et al. (2021) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796021000020 · Cited by 15
Suicidal ideation among Nepali widows: an exploratory study of risk factors and comorbid psychosocial problems
Garrison‐Desany, H. M., Lasater, M. E., Luitel, N. P., Rimal, D., Pun, D. B., Shrestha, S., Tol, W. A., & Surkan, P. J. (2020) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-020-01932-7 · Cited by 16
Recurrent suicidal ideation in young adults
Dugas, E. N., Low, N. C. P., O’Loughlin, E. K., & O’Loughlin, J. L. (2015) · Canadian Journal of Public Health · doi:10.17269/cjph.106.4774 · Cited by 15
Impacto de factores socioeconómicos en la mortalidad por suicidios en Colombia, 2000-2013
Dávila-Cervantes, C. A., & Montaño, A. M. P. (2017) · Gerencia y Políticas de Salud · doi:10.11144/javeriana.rgps16-33.ifsm · Cited by 16
“En este sentido, los principales factores de riesgo individuales asociados con una mayor incidencia de suicidio consumado son: un intento previo de suicidio, considerado el principal predictor del suicidio (1,8); el sexo masculino, ya que se conoce ampliamente que los hombres tienen un mayor riesgo de fallecer por sui…”
Longitudinal courses of suicidal ideation in U.S. military veterans: a 7-year population-based, prospective cohort study
Herzog, S., Tsai, J., Nichter, B., Kachadourian, L. K., Harpaz‐Rotem, I., & Pietrzak, R. H. (2021) · Psychological Medicine · doi:10.1017/s0033291721000301 · Cited by 16
Is cannabis a risk factor for suicide attempts in men and women with psychotic illness?
Waterreus, A., Di Prinzio, P., Badcock, J. C., Martin-Iverson, M., Jablensky, A., & Morgan, V. A. (2018) · Psychopharmacology · doi:10.1007/s00213-018-4924-6 · Cited by 23
Average ages of onset and time to transition between self-injurious thoughts and behaviors: Retrospective evidence from two developmentally distinct samples
Turner, B. J., Porter, A. C., & Robillard, C. L. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.07.105 · Cited by 17
Trajectories of suicidal ideation and posttraumatic stress symptoms among former prisoners of war: a 17-year longitudinal study.
Zerach, G., Levi-Belz, Y., & Solomon, Z. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2013.11.003 · Cited by 12
“, Trajectories of suicidal id f Psychiatric Research (2013) respondents, 35% also reported SI during the follow-up ten-year period (Borges et al., 2008).”
Background
Transitions Through Stages of Alcohol Use, Use Disorder and Remission: Findings from Te Rau Hinengaro, The New Zealand Mental Health Survey
Rapsey, C. M., Wells, J. E., Bharat, C., Glantz, M. D., Kessler, R. C., & Scott, K. M. (2018) · Alcohol and Alcoholism · doi:10.1093/alcalc/agy069 · Cited by 14
“0, which found reporting to be reliable across this period (Knäuper et al., 1999; Borges et al., 2008).”
Background
Gender differences in suicidal ideation, suicide attempts, and suicide death among people living with HIV : A systematic review and meta‐analysis
Hu, F., Zhao, D., Fu, X., Zhang, W., Tang, W. H., Hu, S., Shen, W., & Chen, H. (2022) · HIV Medicine · doi:10.1111/hiv.13435 · Cited by 15
“Having suicidal ideation was considered one of the most common predictors for subsequent suicide attempts [61, 62] and suicide death [63, 64].”
Background
Ideación suicida: Síntomas depresivos, pensamientos disfuncionales, auto- concepto, y estrategias de manejo en adolescentes puertorriqueños/as
Duarté‐Vélez, Y., Lorenzo‐Luaces, L., & Rosselló, J. (2012) · Revista Puertorriqueña de Psicología · Cited by 14
Improving suicide risk assessment in the emergency department through physician education and a suicide risk assessment prompt
Reshetukha, T., Alavi, N., Prost, E., Kirkpatrick, R. H., Sajid, S., Patel, C. B., & Groll, D. (2018) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2018.03.001 · Cited by 14
The effect of childhood adversities on the persistence of suicidal ideation and plans among college students: A longitudinal study
Biscond, M., Revranche, M., Navarro‐Mateu, F., Janota, M., Kovess–Masféty, V., & Husky, M. M. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.11.078 · Cited by 13
The association between nonsuicidal and suicidal self-injurious behaviors: A systematic review and expanded conceptual model
Ammerman, B. A., Burke, T. A., O’Loughlin, C. M., & Hammond, R. (2025) · Development and Psychopathology · doi:10.1017/s095457942500001x · Cited by 17
Exposure to suicide in the family and suicidal ideation in Portugal during the Covid‐19 pandemic: The mediating role of unbearable psychache
PEREIRA, A. M., & Campos, R. C. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12325 · Cited by 14
Understanding Patterns of Adolescent Suicide Ideation: Implications for Risk Assessment
Miranda, R., Ortin‐Peralta, A., Rosario‐Williams, B., Kelly, T. F., Macrynikola, N., & Sullivan, S. R. (2021) · Springer eBooks · doi:10.1007/978-3-030-82465-5_9 · Cited by 13
Facteurs associés aux tentatives de suicide chez les minorités sexuelles : résultats de l’enquête presse gays et lesbiennes 2011
Paget, L.-M., Chee, C. C., Sauvage, C., Saboni, L., Beltzer, N., & Velter, A. (2016) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2016.01.098 · Cited by 17
The tide does turn: Predictors of remission from suicidal ideation and attempt among Canadians who previously attempted suicide
Fuller‐Thomson, E., West, K. J., & Baiden, P. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.02.030 · Cited by 15
Traumatic events and suicidal behaviour in the Nigerian Survey of Mental Health and Well‐Being
Uwakwe, R., Oladeji, B. D., & Gureje, O. (2012) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2012.01852.x · Cited by 13
“Studies have shown that suicidal behaviours are among the strongest predictors for subsequent suicidal behaviours, and attempted suicide is a strong predictor of completed suicide (15, 41, 42).”
Background
Association Between Changes in Risk Factor Status and Suicidal Ideation Incidence and Recovery
Zhang, Y., Yip, P. S. F., Chang, S., Wong, P. W. C., & Law, F. Y. W. (2015) · Crisis · doi:10.1027/0227-5910/a000343 · Cited by 12
“The finding of a trend toward higher incidence rates in younger men than their older counterparts is consistent with previous studies (Borges et al., 2008; Gunnell et al., 2004); however, such age pattern was not found in women.”
Result
Reexamining the latent structure of suicidal thoughts using taxometric analysis: Implications for testing ideation to action theoretical models of suicidal thoughts and behavior.
Siddaway, A. P., Holm-Denoma, J., Witte, T., & Ruscio, J. (2021) · Psychological Assessment · doi:10.1037/pas0000889 · Cited by 11
“, 2011) and approximately 140 million annual suicide ideators worldwide (Borges et al., 2008).”
Background
Social anxiety and interpersonal risk for suicidal ideation: A longitudinal daily diary analysis
Brown, B. A., Rottenberg, J. A., & Goodman, F. R. (2023) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12996 · Cited by 11
Wish to Die: Suicide and Its Link to Euthanasia
Costa-Maia, I., Marina, S., & Ricou, M. (2019) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222819871182 · Cited by 11
“Community and nationally representative samples registered a lower percentage (5%–10%), followed by a birth cohort of adolescents (15%; Borges et al., 2008; Fergusson & Lynskey, 1995; Kuo et al., 2004).”
BackgroundInfluential

Authors: Borges, G., Angst, J., Nock, M. K., Ruscio, A. M., & Kessler, R. C.
Affiliations: Universidad Autónoma Metropolitana (MX)
University Hospital Zurich (CH)
Harvard University (US)
Corresponding author: Kessler, Ronald C.
ORCID: Borges, Guilherme
Angst, Jules
Nock, Matthew K.
Kessler, Ronald C.
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2008-01
Volume: 105
Issue: 1-3
Pages: 25-33
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2007.01.036
PMC: PMC2248274
OpenAlex: W2136828172
Cited by: 334
References: 46
Citations by year: 2026: 7 · 2025: 12 · 2024: 10 · 2023: 16 · 2022: 20 · 2021: 21 · 2020: 16 · 2019: 24 · 2018: 17 · 2017: 23 · 2016: 24 · 2015: 21 · 2014: 37 · 2013: 13 · 2012: 25
FWCI: 10.75
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders: Substance Abuse and Mental Health Services Administration
Robert Wood Johnson Foundation (044780)
National Institute of Mental Health (U01-MH60220)
John W. Alden Trust
National Institute on Drug Abuse (DA12058)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: suicidal ideation, suicide planning, suicide attempts, risk factors, mental illness, lifetime psychiatric disorders, National Comorbidity Survey, prospective follow-up
MeSH terms: Adolescent, Adult, Mental Disorders, Demography, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, Risk Factors, Suicide, Suicide, Attempted, Time Factors, United States, Comorbidity, Incidence, Prevalence

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Risk factors for the incidence and persistence of suicide-related outcomes: A 10-year follow-up study using the National Comorbidity Surveys

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