Mood disorders and prospective suicidality in young adults: a population‐based cohort study

Objective To assess the prospective associations of mood disorders and suicidality in a community sample of young adults from south Brazil. Method Prospective population‐based cohort study. Young adults (18–24 years old) were recruited and followed up on 5 years later; people were interviewed at the...

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Bibliographic Details
Published in:Acta psychiatrica Scandinavica 2018-02, Vol.137 (2), p.109-115
Main Authors: Vieira, D. C., Azevedo Cardoso, T., Mondin, T. C., Jansen, K., Silva, R. A., Mattos Souza, L. D., Kapczinski, F., Magalhães, P. V. S.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anxiety
Anxiety Disorders - epidemiology
Bipolar Disorder - epidemiology
Brazil - epidemiology
Cohort analysis
community sample
Depressive Disorder - epidemiology
Emotional disorders
Female
Follow-Up Studies
Humans
longitudinal study
Male
Mental depression
Mental disorders
Mood
Mood disorders
Population studies
Population-based studies
Prospective Studies
Psychopathology
Socioeconomic Factors
suicide
Suicide - statistics & numerical data
Suicides & suicide attempts
Young Adult
Young adults
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Summary:Objective To assess the prospective associations of mood disorders and suicidality in a community sample of young adults from south Brazil. Method Prospective population‐based cohort study. Young adults (18–24 years old) were recruited and followed up on 5 years later; people were interviewed at their homes. Suicidality, as well as mood and anxiety disorders, was assessed using the Mini‐International Neuropsychiatric Interview. The impact of mood episodes on suicidality was both evaluated when they occurred in the same wave (a current episode) and when suicidality occurred prospectively, with suicidality measured at follow‐up (a past episode). Results The sample included 1560 young adults at baseline, with 1244 reassessed at follow‐up (80.6%). Depressive episodes, both current and past, had a significant impact on suicidality in the final multivariable model. Manic episodes, however, were less consistently associated with suicidality. Conclusion Depressive episodes have a strong, independent, and robust association with prospective suicidality. The association between manic episodes and suicidality, on the other hand, was dependent on the analysis and deserves further exploration.
ISSN:0001-690X
1600-0447
DOI:10.1111/acps.12846