Ying Zhao, Hang Zhao, Hongyu Yu
The transcultural adaptation and validation of the Chinese version of the Oral Health Literacy Scale for Diabetic Patients
BMC oral health
suicide rates us increased 356 2001 2021 given individuals die first attempt earlier detection intervention crucial understanding modifiable risk factors key effective prevention strategies identify distinct suicide profiles classes associated signs suicidal intent patterns modifiable risks targeted prevention efforts crosssectional study used data 20032020 national violent death reporting system restricted access database 306 800 suicide decedents statistical analysis performed july 2022 june 2023 suicide decedent profiles determined using latent class analyses available data suicide circumstances toxicology methods disclosure recent intent suicide note presence known psychotropic usage among 306 800 suicide decedents mean sd age 463 184 years 239 627 males 781 67 108 females 219 5 profiles classes identified largest class class 4 97 175 317 predominantly faced physical health challenges followed polysubstance problems class 5 58 803 192 crisis alcoholrelated intimate partner problems class 3 55 367 180 mental health problems class 2 53 928 176 comorbid mental health substance use disorders class 1 41 527 135 class 4 lowest rates disclosing suicidal intent 13 952 144 leaving suicide note 24 351 251 adjusting covariates compared class 1 class 4 highest odds disclosing suicide intent odds ratio 258 95 ci 251266 leaving suicide note 145 95 ci 141149 class 4 also lowest rates known psychiatric illnesses psychotropic medications among suicide profiles class 4 older adults 23 794 aged 5570 years 245 20 100 aged 71 years 207 veterans 22 220 229 widows 8633 89 individuals less high school education 15 690 161 rural residents 23 966 247 study identified 5 distinct suicide profiles highlighting need tailored prevention strategies improving detection treatment coexisting mental health conditions substance alcohol use disorders physical illnesses paramount implementation means restriction strategies plays vital role reducing suicide risks across profiles reinforcing need multifaceted approach suicide prevention