Prevalence and risk factors for first onset of suicidal behaviors in The Netherlands Mental Health Survey and Incidence Study-2
Abstract
Background To report lifetime prevalences of suicidal ideation, plans and attempts, as well as risk factors for first onset suicidal behaviours and for the transition from ideation to first onset plan or attempt.Methods Data were used from the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2), a nationally representative survey among the general population aged 18-64 years (N=6646; response rate=65.1%). Face-to-face interviews were administered between November 2007 and July 2009. Suicidal behaviours and DSM-IV mental disorders were assessed using the Composite International Diagnostic Interview 3.0.Results The lifetime prevalence of suicidal ideation, plan and attempt was 8.3%, 3.0% and 2.2%, respectively. Among ideators, the probability of ever making an attempt was 26.8%. 76.5% of transitions from ideation to attempt occurred within the first year after ideation onset. Risk factors for suicidal behaviours included being female, younger, less educated, having had childhood trauma and a prior mental disorder. The strongest risk factors for the transition from ideation to first onset attempt were characteristics of prior suicidal behaviours, such as an early age of ideation onset and prior plans.Limitations Data were based on retrospective self-reports of mental disorders and suicidal behaviours.Conclusions It is important that health professionals verify suicide plans of their patients with suicidal ideas. They should also discuss the way their patients deal with problems and the kind of help they need, because a substantial proportion of (first) attempts was not intended to kill oneself. Preventive measures are best offered within the first year after ideation onset.
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Suicidality (thoughts and behaviours) may be ordered on a continuum with shared risk factors.
“suggesting that, despite the fact that speci fi c factors govern the transition between suicidal thoughts to attempts, suicidality (thoughts and behaviours) may be ordered on a continuum with shared risk factors (Ten Have, Van Dorsselaer, & De Graaf, 2013).”
From Exploring the psychology of suicidal ideation: a theory driven network analysis. (2019) · cites this paper as Ten Have, Van Dorsselaer, & De Graaf, 2013
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Kulkarni, R. R., Rao, K. N., & Begum, S. (2023) · Annals of Indian Psychiatry · doi:10.4103/aip.aip_134_22
Janssen, W. C., Mérelle, S. Y. M., Gilissen, R., & Bockting, C. (2026) · Trials · doi:10.1186/s13063-026-09725-0
Suïcidaliteit in de huisartsenpraktijk
Elzinga, E., Magnée, T., & Hartman, T. O. (2026) · doi:10.1007/978-90-368-3172-7_22
Batterham, P. J., Chen, H., Engelhard, T., Borschmann, R., Calear, A. L., & Gendi, M. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.122476
- Authors
- ten Have, M., van Dorsselaer, S., & de Graaf, R.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 147
- Issue
- 1-3
- Pages
- 205-211
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2110521509
- Cited by
- 63
- References
- 33
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 6 · 2020: 13 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 3
- FWCI
- 5.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- suicidal ideation, suicide planning, suicide attempts, lifetime prevalence, risk factors, childhood trauma, suicide prevention
- MeSH terms
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Netherlands, Risk Factors, Suicide, Suicide, Attempted, Prevalence, Young Adult, Suicidal Ideation
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