Suicidality and Associated Factors Among Individuals Assessed for Fetal Alcohol Spectrum Disorder Across the Lifespan in Canada.

Autor: Flannigan K; Canada Fetal Alcohol Spectrum Disorder Research Network, Vancouver, British Columbia., McMorris C; Werklund School of Education, 2129University of Calgary, Calgary, Alberta.; 70401Cumming School of Medicine, 2129University of Calgary, Calgary, Alberta., Ewasiuk A; CASA Child, Adolescent, and Family Mental Health, Edmonton, Alberta., Badry D; Canada Fetal Alcohol Spectrum Disorder Research Network, Vancouver, British Columbia.; Faculty of Social Work, 2129University of Calgary, Calgary, Alberta., Mela M; Department of Psychiatry, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan., Ben Gibbard W; 70401Cumming School of Medicine, 2129University of Calgary, Calgary, Alberta., Unsworth K; Canada Fetal Alcohol Spectrum Disorder Research Network, Vancouver, British Columbia., Cook J; Canada Fetal Alcohol Spectrum Disorder Research Network, Vancouver, British Columbia.; The Society of Obstetricians and Gynaecologists of Canada; Department of Obstetrics and Gynaecology, 12365University of Ottawa, Ottawa, Onatrio., Harding KD; Canada Fetal Alcohol Spectrum Disorder Research Network, Vancouver, British Columbia.; Department of Psychology, Laurentian University, Sudbury, Ontario.
Jazyk: angličtina
Zdroj: Canadian journal of psychiatry. Revue canadienne de psychiatrie [Can J Psychiatry] 2022 May; Vol. 67 (5), pp. 361-370. Date of Electronic Publication: 2021 Nov 05.
DOI: 10.1177/07067437211053288
Abstrakt: Objective: Individuals with fetal alcohol spectrum disorder (FASD) experience a range of complex neurodevelopmental, psychological, and socioenvironmental vulnerabilities. There is growing evidence that suicidal ideation, attempts, and death by suicide are significant concerns within this population. In this study, we (1) determined the rate of suicidal ideation/attempts in a large group of individuals with prenatal alcohol exposure (PAE) who were assessed for FASD in Canada and (2) investigated the associations between suicidal ideation/attempts and select demographic and biopsychosocial factors in this group.
Method: A secondary analysis of data from Canada's National FASD Database, a national repository of clinical information gathered through FASD assessment and diagnostic clinics across the country, was conducted. Descriptive analyses, chi-square/Fisher's exact tests, and binary logistic regression were used to examine demographic and biopsychosocial variables and their associations with suicidality.
Results: In our sample of 796 participants ( M age  = 17.7 years, range = 6-59; 57.6% male) assessed for FASD, 25.9% were reported to experience suicidal ideation/attempts. Numerous demographic and biopsychosocial factors were found to be significantly associated with suicidal ideation/attempts. The strongest associations with suicidal ideation/attempts were substance use, history of trauma/abuse, and impaired affect regulation.
Conclusions: With this study, we contribute to the emerging evidence of elevated risk of suicidality among individuals with PAE/FASD and improve our understanding of factors that may exacerbate this risk. Findings have relevance for improving screening, prevention, and proactive treatment approaches for individuals with PAE and FASD, their families, and wider support systems.
Databáze: MEDLINE
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