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War and first onset of suicidality: the role of mental disorders.

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Title: War and first onset of suicidality: the role of mental disorders.
Authors: Karam, E. G., Salamoun, M. M., Mneimneha, Z. N., Fayyad, J. A., Karam, A. N., Hajjara, R., Dimassi, H., Nock, M. K., Kesslerv, R. C.
Source: Psychological Medicine. Oct2012, Vol. 42 Issue 10, p2109-2118. 10p.
Subjects: Psychology, War, Age distribution, Age factors in disease, Chi-squared test, Confidence intervals, Mental depression, Epidemiology, Impulse control disorders, Interviewing, Mental illness, Research funding, Sex distribution, Data analysis, Social anxiety, Suicidal ideation, Data analysis software
Geographic Terms: Lebanon
Abstract: Background. Suicide rates increase following periods of war; however, the mechanism through which this occurs is not known. The aim of this paper is to shed some light on the associations of war exposure, mental disorders, and subsequent suicidal behavior. Method. A national sample of Lebanese adults was administered the Composite International Diagnostic Interview to collect data on lifetime prevalence and age of onset of suicide ideation, plan, and attempt, and mental disorders, in addition to information about exposure to stressors associated with the 1975-1989 Lebanon war. Results. The onset of suicide ideation, plan, and attempt was associated with female gender, younger age, post-war period, major depression, impulse-control disorders, and social phobia. The effect of post-war period on each type of suicide outcome was largely explained by the post-war onset of mental disorders. Finally, the conjunction of having a prior impulse-control disorder and either being a civilian in a terror region or witnessing war-related stressors was associated with especially high risk of suicide attempt. Conclusions. The association of war with increased risk of suicidality appears to be partially explained by the emergence of mental disorders in the context of war. Exposure to war may exacerbate disinhibition among those who have prior impulse-control disorders, thus magnifying the association of mental disorders with suicidality. [ABSTRACT FROM AUTHOR]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: War and first onset of suicidality: the role of mental disorders.
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  Data: <searchLink fieldCode="AR" term="%22Karam%2C+E%2E+G%2E%22">Karam, E. G.</searchLink><br /><searchLink fieldCode="AR" term="%22Salamoun%2C+M%2E+M%2E%22">Salamoun, M. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Mneimneha%2C+Z%2E+N%2E%22">Mneimneha, Z. N.</searchLink><br /><searchLink fieldCode="AR" term="%22Fayyad%2C+J%2E+A%2E%22">Fayyad, J. A.</searchLink><br /><searchLink fieldCode="AR" term="%22Karam%2C+A%2E+N%2E%22">Karam, A. N.</searchLink><br /><searchLink fieldCode="AR" term="%22Hajjara%2C+R%2E%22">Hajjara, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Dimassi%2C+H%2E%22">Dimassi, H.</searchLink><br /><searchLink fieldCode="AR" term="%22Nock%2C+M%2E+K%2E%22">Nock, M. K.</searchLink><br /><searchLink fieldCode="AR" term="%22Kesslerv%2C+R%2E+C%2E%22">Kesslerv, R. C.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Oct2012, Vol. 42 Issue 10, p2109-2118. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Lebanon%22">Lebanon</searchLink>
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  Data: Background. Suicide rates increase following periods of war; however, the mechanism through which this occurs is not known. The aim of this paper is to shed some light on the associations of war exposure, mental disorders, and subsequent suicidal behavior. Method. A national sample of Lebanese adults was administered the Composite International Diagnostic Interview to collect data on lifetime prevalence and age of onset of suicide ideation, plan, and attempt, and mental disorders, in addition to information about exposure to stressors associated with the 1975-1989 Lebanon war. Results. The onset of suicide ideation, plan, and attempt was associated with female gender, younger age, post-war period, major depression, impulse-control disorders, and social phobia. The effect of post-war period on each type of suicide outcome was largely explained by the post-war onset of mental disorders. Finally, the conjunction of having a prior impulse-control disorder and either being a civilian in a terror region or witnessing war-related stressors was associated with especially high risk of suicide attempt. Conclusions. The association of war with increased risk of suicidality appears to be partially explained by the emergence of mental disorders in the context of war. Exposure to war may exacerbate disinhibition among those who have prior impulse-control disorders, thus magnifying the association of mental disorders with suicidality. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1017/S0033291712000268
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        Text: English
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      – SubjectFull: Lebanon
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