Research paper Increases in suicidal thoughts disclosure among adults in France from 2000 to 2021
Mathilde M. Husky a, Christophe Léon b, Helen-Maria Vasiliadis c d
a Bordeaux Population Health Research Center, Active Team, INSERM U1219, Université de Bordeaux, Bordeaux, France
b Santé publique France, Saint-Maurice, France
c Département des sciences de la santé communautaire, Université de Sherbrooke, Canada
d Centre de recherche Charles-Le Moyne, Campus de Longueuil Université de Sherbrooke, Canada
Received 27 August 2024, Revised 9 November 2024, Accepted 11 November 2024, Available online 17 November 2024, Version of Record 21 November 2024.
https://doi.org/10.1016/j.jad.2024.11.042Get rights and content
Journal of Affective Disorders
Volume 371, 15 February 2025, Pages 54-60
Highlights
• The prevalence of 12-month suicidal thoughts was similar in 2000 and 2021.
• Suicidal ideation disclosure was 39 % in 2000 and 64.8 % in 2021.
• Gender, age, education, and occupation were associated with odds of disclosure.
Abstract
Background
The objective of the study was to investigate the prevalence of suicidal ideation disclosure over the past two decades in nationally representative samples of the general population, and to identify factors associated with disclosure.
Methods
Data were drawn from consecutive nationally representative cross-sectional Health Barometer surveys. The 2000, 2005, 2010, 2014, 2017, and 2021 waves were pooled to examine disclosure among those who reported 12-month suicidal ideation. Logistic regressions were performed to identify factors associated with the odds of disclosure.
Results
Across all waves (n = 124,124), 6014 of adults (4.7 %) reported 12-month suicidal ideation, and among them, 49.7 % talked to someone about it. Disclosure was 39 % in 2000, 44.6 % in 2005, 49.9 % in 2010, 52.8 % in 2014, 47.2 % in 2017, and 64.8 % in 2021. Female gender, a prior suicide attempt, higher education, inactive status, and younger age were associated with significantly greater odds of disclosure. Each survey wave was also associated with a greater likelihood of disclosure when compared to 2000, 1.31 (95 % CI, 1.08–1.59) in 2005, 1.69 (95 % CI, 1.38–2.07) in 2010, 1.89 (95 % CI, 1.52–2.34) in 2014, 1.47 (95 % CI, 1.21–1.79) in 2017, and 2.99 (95 % CI, 2.43–3.68) in 2021.
Limitations
Cross-sectional surveys.
Conclusions
In the general population of France, adults with suicidal ideation were increasingly more likely to disclose their ideation to someone in recent years. Factors associated with odds of disclosure should inform national suicide prevention strategies to identify subgroups who remain less likely than others to disclose their ideation.
et https://www.sciencedirect.com/science/article/pii/S0165032724019050