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Articles by R Bruffaerts
Total Records ( 2 ) for R Bruffaerts
  R Bruffaerts , K Demyttenaere , G Borges , J. M Haro , W. T Chiu , I Hwang , E. G Karam , R. C Kessler , N Sampson , J Alonso , L. H Andrade , M Angermeyer , C Benjet , E Bromet , G de Girolamo , R de Graaf , S Florescu , O Gureje , I Horiguchi , C Hu , V Kovess , D Levinson , J Posada Villa , R Sagar , K Scott , A Tsang , S. M Vassilev , D. R Williams and M. K. Nock
 

Background

Suicide is a leading cause of death worldwide, but the precise effect of childhood adversities as risk factors for the onset and persistence of suicidal behaviour (suicide ideation, plans and attempts) are not well understood.

Aims

To examine the associations between childhood adversities as risk factors for the onset and persistence of suicidal behaviour across 21 countries worldwide.

Method

Respondents from nationally representative samples (n = 55 299) were interviewed regarding childhood adversities that occurred before the age of 18 years and lifetime suicidal behaviour.

Results

Childhood adversities were associated with an increased risk of suicide attempt and ideation in both bivariate and multivariate models (odds ratio range 1.2–5.7). The risk increased with the number of adversities experienced, but at a decreasing rate. Sexual and physical abuse were consistently the strongest risk factors for both the onset and persistence of suicidal behaviour, especially during adolescence. Associations remained similar after additional adjustment for respondents’ lifetime mental disorder status.

Conclusions

Childhood adversities (especially intrusive or aggressive adversities) are powerful predictors of the onset and persistence of suicidal behaviours.

  D Levinson , M. D Lakoma , M Petukhova , M Schoenbaum , A. M Zaslavsky , M Angermeyer , G Borges , R Bruffaerts , G de Girolamo , R de Graaf , O Gureje , J. M Haro , C Hu , A. N Karam , N Kawakami , S Lee , J. P Lepine , M. O Browne , M Okoliyski , J Posada Villa , R Sagar , M. C Viana , D. R Williams and R. C. Kessler
 

Background

Burden-of-illness data, which are often used in setting healthcare policy-spending priorities, are unavailable for mental disorders in most countries.

Aims

To examine one central aspect of illness burden, the association of serious mental illness with earnings, in the World Health Organization (WHO) World Mental Health (WMH) Surveys.

Method

The WMH Surveys were carried out in 10 high-income and 9 low- and middle-income countries. The associations of personal earnings with serious mental illness were estimated.

Results

Respondents with serious mental illness earned on average a third less than median earnings, with no significant between-country differences (2(9) = 5.5–8.1, P = 0.52–0.79). These losses are equivalent to 0.3–0.8% of total national earnings. Reduced earnings among those with earnings and the increased probability of not earning are both important components of these associations.

Conclusions

These results add to a growing body of evidence that mental disorders have high societal costs. Decisions about healthcare resource allocation should take these costs into consideration.

 
 
 
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