Article in Alter European Journal of Disability Research/Revue Européenne de Recherche sur le Handicap · March 2012 doi: 10. 1016/j alter. 2011. 11. 004 Citations 18 reads 367 8 authors
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The influence of disability on suicidal behaviour(1)
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See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/271409958 The influence of disability on suicidal behaviour
Alter - European Journal of Disability Research/Revue Européenne de Recherche sur le Handicap · March 2012 DOI: 10.1016/j.alter.2011.11.004 CITATIONS 18 READS
367 8 authors , including: Some of the authors of this publication are also working on these related projects: SMaRteN: Student Mental Health Research Network
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CITATIONS SEE PROFILE All content following this page was uploaded by Angela Hassiotis on 09 June 2018. The user has requested enhancement of the downloaded file. This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues. Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. In most cases authors are permitted to post their version of the article (e.g. in Word or Tex form) to their personal website or institutional repository. Authors requiring further information regarding Elsevier’s archiving and manuscript policies are encouraged to visit: http://www.elsevier.com/copyright Author's personal copy ALTER,
European
Journal
of
Disability
Research 6
(2012)
1–12 Disponible
en ligne
sur
www.sciencedirect.com e t
d i s p o n i b l e
s u r
w w w . e m - c o n s u l t e . c o m Research
paper The
influence of
disability
on suicidal
behaviour L’influence
du handicap
sur
les
tentatives
de
suicide Howard
Meltzer
a , ∗ ,
Traolach Brugha
a ,
Michael
S. Dennis
b ,
Angela
Hassiotis c , Rachel Jenkins
d , Sally
McManus
e , Deeraj
Rai
f , Paul
Bebbington c a
of
Health
Sciences, College
of
Medicine,
Biological Sciences
and
Psychology,
University of
Leicester,
Leicester General
Hospital,
Leicester LE5
4PW,
UK b The
School of
Medicine,
Swansea University,
Singleton Park,
Swansea
SA2
8PP,
UK c University
College London,
Department
of
Mental
Health Sciences,
Charles
Bell
House,
67-73
Riding
House
Street,
London
W1W
7EJ,
UK d Kings College
London,
Institute
of
Psychiatry,
London SE5
8AF,
UK e National
Centre for
Social
Research,
35
Northampton
Square, London
EC1V
0AX,
UK f Academic
Unit of
Psychiatry,
School of
Social
and Community
Medicine, University
of
Bristol,
Cotham House,
Cotham
Hill,
Bristol
BS6
6JL, UK a r
t
i c
l
e i
n
f o Article history:
Received
28 February
2011
Accepted
30 October
2011
Available
online 24
December
2011 Keywords: Disability Depression Suicide
attempts
a
b s
t
r a
c
t Disability
has long-term
practical and
social
consequences,
and
is
associated with
mental
disorders,
in
particular
with depres-
sive
disorder. In
this
paper we
investigate
disability in
relation to
suicide
attempts. We
hypothesised
that such
attempts
would
be
more common
in
people
with a
disability,
and that
this
would
be
commensurate with
the
number
of
practical
difficulties. We also hypothesised
that
the
effect
of
disability
on suicidal
behaviour would
mediated
by
depression.
Finally we
examined
whether particular
disabilities were
more
strongly
associated
with
suicide
attempts.
A random
probability
sample
comprising
7461
respon-
dents
were interviewed
throughout 2007
for
the
third
national
survey
of psychiatric
morbidity of
adults
in England.
Disability
was
measured
by difficulties
in
activities
of daily
living
(ADL)
and
instru-
mental
activities of
daily
living (IADL).
About
one
in
every
150 adults
in England
had
made
a
suicide
attempt in
the
past 12
months. Those
with
some
form
of
disability
were four
times
more
likely
to ∗ Corresponding author.
addresses: hm74@le.ac.uk
(H.
Meltzer),
tsb@le.ac.uk (T.
Brugha),
m.s.dennis@swansea.ac.uk
(M.S.
Dennis),
rejuaha@ucl.ac.uk
(A. Hassiotis),
rachel@olan.org (R.
Jenkins),
sallym@natcen.ac.uk (S.
McManus),
Dheraj.Rai@bristol.ac.uk (D.
Rai), P.Bebbington@ucl.ac.uk
(P.
Bebbington). 1875-0672/$
– see
front
matter
©
2011
Association ALTER.
Published
by
Elsevier
Masson SAS.
All
rights
reserved. doi: 10.1016/j.alter.2011.11.004 Author's personal copy 2
H.
Meltzer et
al.
/ ALTER,
European
Journal
of
Disability
Research 6
(2012)
1–12 Mots
clés : Handicap Dépression Tentative
de
suicide have
attempted
suicide
after
adjusting
for
significant
sociodemo- graphic
and socioeconomic
correlates: female,
not
married,
not
employed,
being in
debt
and having
a
physical
health problem.
Diffi-
culty
in managing
ones
financial
affairs
(budgeting
and
paying
bills)
and
dealing with
paperwork
(writing
letters
and
filling
in
forms) appear
to
have
a greater
influence
on
the
likelihood of
suicide attempts
than
difficulties
in
carrying
out personal
care,
practical or
activities.
Helping
people
with
activities
with
a
high cognitive
content
as
well
as with
more
physical
activities
is
an important
element
in
a
suicide prevention
strategy. ©
2011 Association
ALTER.
Published
by
Elsevier
Masson SAS.
All
rights reserved. r
s
u
m é Le handicap
a
des
conséquences pratiques
et
sociales
à long
terme
et est associé
à
l’apparition
de désordres
psychiques, en
particulier
des troubles
dépressifs. Dans
cet
article,
nous
examinons
l’incidence que
peut avoir
la
présence
d’incapacités dans
l’apparition
de
suicidaires.
Nous
faisons
l’hypothèse
que
les
per-
sonnes
en situation
de
handicap
adoptent plus
souvent
des
comportements
suicidaires et
ce,
de fac¸
on
proportionnelle
aux dif-
ficultés
pratiques qu’elles
rencontrent.
L’impact
du
handicap
sur le
comportement suicidaire
pourrait
en
outre
être lié
au
degré de
troubles
dépressifs. Finalement
nous
avons
étudié
la
possibil- ité
que
des
handicaps
spécifiques puissent
être
plus
fortement associés
à l’apparition
de
tentatives
de suicide.
Un
échantillon
de 7461
personnes a
été
interrogé par
tirage
aléatoire,
dans
le
cadre
de la
troisième enquête
nationale
sur
la
morbidité
psychiatrique des
adultes
en Angleterre.
Les
difficultés
à
réaliser
les activités
élémen-
taires
de la
vie
quotidienne (ADL)
et
les
activités instrumentales de
vie
quotidienne
(IADL)
ont
été
retenues
comme
indicateurs d’incapacité.
En Angleterre,
environ
un
adulte
sur 150
a
fait
une tentative
de suicide
au
cours
des 12
derniers
mois, les
person-
nes
présentant un
handicap
ayant une
probabilité
quatre
fois
plus
élevée,
après ajustement
sur
les
variables
sociodémographiques et
socioéconomiques associées
aux
tentatives,
c’est-à-dire le
sexe féminin,
le
fait
d’être célibataire,
d’être
sans
emploi,
d’être
endetté
et
d’avoir des
problèmes
de
santé.
Avoir des
difficultés
dans
la
ges- tion
de
ses
finances et
de
ses documents
administratifs augmente
davantage
la probabilité
d’apparition de
comportement
suicidaire que
les difficultés
à
prendre
soin de
soi
ou à
réaliser
les tâches
ménagères.
Dans le
cadre
d’une stratégie
de
prévention
des sui-
cides,
il pourrait
être
tout
aussi
important
d’assister les
personnes dans
réalisation
des
taches
cognitives
que
physiques. ©
Association
ALTER.
Publié
par
Elsevier
Masson
SAS.
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droits
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