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Am J Psychiatry 1992; 149:41-44
Copyright © 1992 by American Psychiatric Association
Attempted suicide among young adults: progress toward a meaningful estimate of prevalence
PJ Meehan, JA Lamb, LE Saltzman and PW O'Carroll
Division of Injury Control, Centers for Disease Control, Atlanta.
OBJECTIVE: The results of epidemiologic surveys on attempted suicide are
often difficult to interpret; they compare and provide varying estimates of
the prevalence of attempted suicide. The authors sought to estimate the
prevalence of attempted suicide in a young adult population and to define
more precisely what respondents mean when they report a suicide attempt.
METHOD: Survey respondents were a representative sample of all
18-24-year-old freshman students at a major public university. The
self-administered, anonymous survey included questions about suicidal
thoughts and behaviors and about any injury and need for medical care
resulting from reported attempts. RESULTS: Of the 694 respondents, 374
(54%) reported having ever considered suicide and 181 (26%) had considered
suicide during the preceding 12 months. Thirteen (2%) students reported
having attempted suicide during the preceding 12 months, and 72 (10%)
reported ever having attempted suicide. The number of students answering
affirmatively to questions about injuries sustained, medical care sought,
and hospitalization as a result of attempted suicide decreased
progressively: only 18 (3%) students reported having ever sought medical
care due to a suicide attempt, and seven (1%) were ever hospitalized.
CONCLUSIONS: The prevalence of self-reported attempted suicide is not
representative of the prevalence of self-injury and provides little
information concerning the seriousness of the attempt. The use of specific
questions similar to those used in this study should be considered in
future surveys.
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