Authors:	Otten, Daniëlle Ernst, Mareike Tibubos, Ana N. Brähler, Elmar Fleischer, Toni Schomerus, Georg Wild, Philipp S. Zöller, Daniela Binder, Harald Kruse, Johannes Johar, Hamimatunnisa Atasoy, Seryan Grabe, Hans J. Ladwig, Karl-Heinz Münzel, Thomas Völzke, Henry König, Jochem Beutel, Manfred E.
Title:	Does social support prevent suicidal ideation in women and men? : Gender-sensitive analyses of an important protective factor within prospective community cohorts
Online publication date:	20-Jan-2023
Year of first publication:	2022
Language:	english
Abstract:	Background Suicidal ideation and behavior constitute important public mental health issues. In this study, we examined whether social integration prevents suicidal ideation over time and whether gender modifies this association. Methods Data from the Gutenberg Health Study (population-based representative community sample in midwest Germany) and the Study of Health in Pomerania (population-based cohort study in northeast Germany) were used. Participants reporting low social support were compared to those receiving middle or high social support. Within a longitudinal study design, we calculated multiple logistic regression models including interaction terms and relevant covariates to test whether gender modified the association of social support and suicidal ideation. Results Suicidal ideation was present in 7.4% (N = 982) of the pooled cohorts' 13,290 participants. More women (8.6%, N = 565) than men (6.2%, N = 417) reported suicidal ideation. Middle or high social support was associated with a lower probability to report suicidal ideation five years later after controlling for sociodemographic factors, living situation, and cohort (OR = 0.42, 95%-CI = 0.34–0.52). Male gender was negatively related to suicidal ideation, but no statistically significant interaction of gender and social support was found (ratio of ORs = 1.00, 95%-CI = 0.73–1.35). Limitations The number of people reporting suicidal ideation in the SHIP study was small, especially for men. Suicidal ideation was measured using a single item. Conclusions Social support is an important protective factor in preventing suicidal ideation for both women and men. Future research should further clarify gender-specific effects of family variables in suicidal ideation and test similar predictive models of suicidal behavior.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-8600
Version:	Published version
Publication type:	Zeitschriftenaufsatz
Document type specification:	Scientific article
License:	CC BY-NC
Information on rights of use:	https://creativecommons.org/licenses/by-nc/4.0/
Journal:	Journal of Affective Disorders 306
Pages or article number:	157 166
Publisher:	Elsevier
Publisher place:	Amsterdam
Issue date:	2022
ISSN:	2666-9153
Publisher DOI:	10.1016/j.jad.2022.03.031
Appears in collections:	DFG-491381577-H