Department of Health Services, School of Public Health, University of Washington, Seattle, Washington.
Corresponding author: Diana E. Naranjo, MPH, Department of Health Services, School of Public Health, University of Washington; Magnuson Health Sciences Center, 1959 NE Pacific St Box 357660, Seattle, WA, 98195-7660.
J Clin Psychiatry. 2021 Apr 6;82(3):19m13184. doi: 10.4088/JCP.19m13184.
To assess the association between debt burden and self-reported suicide attempt among US adults.
Data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (2012-2013) were used to estimate the association between self-reported past-year debt burden and past-year and lifetime suicide attempt with logistic regression, controlling for sociodemographic characteristics with known associations with debt burden and suicide attempt.
Among 36,278 adults aged ≥ 18 years, 13.03% reported past-year debt burden, 0.37% reported past-year suicide attempt, and 5.16% reported lifetime suicide attempt. Self-reported attempt was more likely for persons reporting debt burden than for those without (eg, for past-year suicide attempt: odds ratio [OR] = 7.96 [95% CI, 5.45-11.64; P < .001] when unadjusted; OR = 3.39 [95% CI, 2.15-5.34; P < .001] when adjusted for sociodemographic variables and mood disorders). The adjusted prevalence of past-year suicide attempt for those with and without debt burden was 0.75% (95% CI, 0.50%-1.00%) and 0.23% (95% CI, 0.17%-0.29%), respectively.
Debt burden is strongly associated with increased likelihood of suicide attempt. The strength of the identified association is comparable to or greater than that for other major predictors of suicide (eg, sex) and other mortality risk factors (eg, smoking, obesity). Findings highlight debt burden as a strong social determinant of suicide risk and intervention target.
评估美国成年人的债务负担与自我报告的自杀企图之间的关联。
使用国家酒精流行病学调查与相关条件-III（2012-2013 年）的数据，使用逻辑回归估计自我报告的过去一年的债务负担与过去一年和终身自杀企图之间的关联，控制了与债务负担和自杀企图有已知关联的社会人口特征。
在 36278 名年龄≥18 岁的成年人中，13.03%报告过去一年有债务负担，0.37%报告过去一年有自杀企图，5.16%报告终身有自杀企图。报告有自杀企图的人比没有报告有自杀企图的人更有可能报告债务负担（例如，对于过去一年的自杀企图：未经调整时的优势比[OR]为 7.96[95%CI，5.45-11.64；P<0.001]；调整社会人口统计学变量和情绪障碍后，OR 为 3.39[95%CI，2.15-5.34；P<0.001]）。有债务负担和没有债务负担的人过去一年自杀企图的调整后患病率分别为 0.75%（95%CI，0.50%-1.00%）和 0.23%（95%CI，0.17%-0.29%）。
债务负担与自杀企图的可能性增加密切相关。所确定的关联的强度与其他自杀的主要预测因素（例如，性别）和其他死亡率风险因素（例如，吸烟，肥胖）相当或更大。研究结果强调了债务负担作为自杀风险的一个重要社会决定因素和干预目标。
