Long-term economic and social outcomes of youth suicide attempts

Massimiliano Orri (), Francis Vergunst, Gustavo Turecki, Cédric Galera (), Eric Latimer, Samantha Bouchard, Pascale Domond, Frank Vitaro, Yann Algan, Richard Tremblay, Marie-Claude Geoffroy and Sylvana Côté
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Massimiliano Orri: BPH - Bordeaux population health - UB - Université de Bordeaux - Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED) - INSERM - Institut National de la Santé et de la Recherche Médicale, MGSS - McGill Group for Suicide Studies - McGill University = Université McGill [Montréal, Canada]
Francis Vergunst: Department of preventive and social medicine [Montréal, QC, Canada] - UdeM - Université de Montréal
Gustavo Turecki: MGSS - McGill Group for Suicide Studies - McGill University = Université McGill [Montréal, Canada]
Cédric Galera: BPH - Bordeaux population health - UB - Université de Bordeaux - Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED) - INSERM - Institut National de la Santé et de la Recherche Médicale
Eric Latimer: Douglas Mental Health University Institute [Montréal] - McGill University = Université McGill [Montréal, Canada]
Samantha Bouchard: Department of School/Applied Child Psychology - McGill University = Université McGill [Montréal, Canada]
Pascale Domond: Department of preventive and social medicine [Montréal, QC, Canada] - UdeM - Université de Montréal
Frank Vitaro: School of Psychoeducation [Montréal] - UdeM - Université de Montréal
Richard Tremblay: Departments of Pediatrics and Psychology - UdeM - Université de Montréal
Marie-Claude Geoffroy: Department of School/Applied Child Psychology - McGill University = Université McGill [Montréal, Canada], MGSS - McGill Group for Suicide Studies - McGill University = Université McGill [Montréal, Canada], Department of Psychiatry [Montréal] - McGill University = Université McGill [Montréal, Canada]
Sylvana Côté: Department of preventive and social medicine [Montréal, QC, Canada] - UdeM - Université de Montréal, BPH - Bordeaux population health - UB - Université de Bordeaux - Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED) - INSERM - Institut National de la Santé et de la Recherche Médicale

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Abstract: Background: Youth who attempt suicide are more at risk for later mental disorders and suicide. However, little is known about their long-term socioeconomic outcomes. Aims: We investigated associations between youth suicide attempts and adult economic and social outcomes. Method: Participants were drawn from the Quebec Longitudinal Study of Kindergarten Children (n = 2140) and followed up from ages 6 to 37 years. Lifetime suicide attempt was assessed at 15 and 22 years. Economic (employment earnings, retirement savings, welfare support, bankruptcy) and social (romantic partnership, separation/divorce, number of children) outcomes were assessed through data linkage with government tax return records obtained from age 22 to 37 years (2002–2017). Generalised linear models were used to test the association between youth suicide attempt and outcomes adjusting for background characteristics, parental mental disorders and suicide, and youth concurrent mental disorders. Results: By age 22, 210 youths (9.8%) had attempted suicide. In fully adjusted models, youth who attempted suicide had lower annual earnings (average last 5 years, US$ −4134, 95% CI −7950 to −317), retirement savings (average last 5 years, US$ −1387, 95% CI −2982 to 209), greater risk of receiving welfare support (risk ratio (RR) = 2.05, 95% CI 1.39 to 3.04) and were less likely to be married/cohabiting (RR = 0.82, 95% CI 0.73 to 0.93), compared with those who did not attempt suicide. Over a 40-year working career, the loss of individual earnings attributable to suicide attempts was estimated at US$98 384. Conclusions: Youth who attempt suicide are at risk of poor adult socioeconomic outcomes. Findings underscore the importance of psychosocial interventions for young people who have attempted suicide to prevent long-term social and economic disadvantage.

Keywords: Suicide; longitudinal; economic outcomes; social outcomes; linked administrative data (search for similar items in EconPapers)
Date: 2021
New Economics Papers: this item is included in nep-isf
Note: View the original document on HAL open archive server: https://hal.science/hal-03347283v1
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Published in British Journal of Psychiatry, 2021, 220 (2), pp.79-85. ⟨10.1192/bjp.2021.133⟩

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Working Paper: Long-term economic and social outcomes of youth suicide attempts (2021)
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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03347283

DOI: 10.1192/bjp.2021.133

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