Husky Mathilde M, Léon Christophe, Vasiliadis Helen-Maria
Bordeaux Population Health Research Center, Active Team, INSERM U1219, Université de Bordeaux, Bordeaux, France.
Santé publique France, Saint-Maurice, France.
J Affect Disord. 2025 Feb 15;371:54-60. doi: 10.1016/j.jad.2024.11.042. Epub 2024 Nov 17.
The objective of the study was to investigate the prevalence of suicidal ideation disclosure over the past two decades in nationally representative samples of the general population, and to identify factors associated with disclosure.
Data were drawn from consecutive nationally representative cross-sectional Health Barometer surveys. The 2000, 2005, 2010, 2014, 2017, and 2021 waves were pooled to examine disclosure among those who reported 12-month suicidal ideation. Logistic regressions were performed to identify factors associated with the odds of disclosure.
Across all waves (n = 124,124), 6014 of adults (4.7 %) reported 12-month suicidal ideation, and among them, 49.7 % talked to someone about it. Disclosure was 39 % in 2000, 44.6 % in 2005, 49.9 % in 2010, 52.8 % in 2014, 47.2 % in 2017, and 64.8 % in 2021. Female gender, a prior suicide attempt, higher education, inactive status, and younger age were associated with significantly greater odds of disclosure. Each survey wave was also associated with a greater likelihood of disclosure when compared to 2000, 1.31 (95 % CI, 1.08-1.59) in 2005, 1.69 (95 % CI, 1.38-2.07) in 2010, 1.89 (95 % CI, 1.52-2.34) in 2014, 1.47 (95 % CI, 1.21-1.79) in 2017, and 2.99 (95 % CI, 2.43-3.68) in 2021.
Cross-sectional surveys.
In the general population of France, adults with suicidal ideation were increasingly more likely to disclose their ideation to someone in recent years. Factors associated with odds of disclosure should inform national suicide prevention strategies to identify subgroups who remain less likely than others to disclose their ideation.
本研究的目的是调查过去二十年中具有全国代表性的普通人群样本中自杀意念披露的发生率，并确定与披露相关的因素。
数据来自连续的具有全国代表性的横断面健康晴雨表调查。汇总2000年、2005年、2010年、2014年、2017年和2021年各轮调查数据，以检查报告有12个月自杀意念者的披露情况。进行逻辑回归分析以确定与披露几率相关的因素。
在所有轮次调查中（n = 124,124），6014名成年人（4.7%）报告有12个月自杀意念，其中49.7%的人曾与他人谈论过此事。2000年披露率为39%，2005年为44.6%，2010年为49.9%，2014年为52.8%，2017年为47.2%，2021年为64.8%。女性、既往自杀未遂史、高等教育程度、非在职状态和较年轻年龄与显著更高的披露几率相关。与2000年相比，每一轮调查也都与更高的披露可能性相关，2005年为1.31（95%CI，1.08 - 1.59），2010年为1.69（95%CI，1.38 - 2.07），2014年为1.89（95%CI，1.52 - 2.34），2017年为1.47（95%CI，1.21 - 1.79），2021年为2.99（95%CI，2.43 - 3.68）。
横断面调查。
在法国普通人群中，近年来有自杀意念的成年人向他人披露其意念的可能性越来越大。与披露几率相关的因素应纳入国家自杀预防策略，以识别那些比其他人更不太可能披露其意念的亚组人群。
