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Personal debt and suicidal ideation

Published online by Cambridge University Press:  16 June 2010

H. Meltzer ,
P. Bebbington ,
T. Brugha ,
R. Jenkins ,
S. McManus  and
M. S. Dennis
H. Meltzer*
Affiliation:
Department of Health Sciences, College of Medicine, Biological Sciences and Psychology, University of Leicester, UK
P. Bebbington
Affiliation:
Department of Mental Health Sciences, UCL, London, UK
T. Brugha
Affiliation:
Department of Health Sciences, College of Medicine, Biological Sciences and Psychology, University of Leicester, UK New Academic Unit, Leicester General Hospital, UK
R. Jenkins
Affiliation:
King's College London, Institute of Psychiatry, UK
S. McManus
Affiliation:
National Centre for Social Research, London, UK
M. S. Dennis
Affiliation:
The School of Medicine, Swansea University, UK
*
*Address for correspondence: Professor H. Meltzer, Professor of Mental Health and Disability, Department of Health Sciences, College of Medicine, Biological Sciences and Psychology, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK. (Email: [email protected])
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Abstract

Background

Personal debt is one of many factors associated with anxiety, depression and suicidality. The aim of this study was to examine the relationship between personal debt and suicidal ideation in the context of sociodemographic factors, employment and income, lifestyle behaviours, and recently experienced traumatic events.

Method

Interviews were conducted with a random probability sample comprising 7461 respondents for the third national survey of psychiatric morbidity of adults in England. Fieldwork was carried out throughout 2007. The prevalence of suicidal thoughts in the past week, past year and lifetime was assessed and current sources of debt were recorded.

Results

In 2007, 4.3% of adults in England had thought about taking their own life in the past 12 months, ranging from 1.8% of men aged ⩾55 years to 7.0% of women aged 35–54 years. Those in debt were twice as likely to think about suicide after controlling for sociodemographic, economic, social and lifestyle factors. Difficulty in making hire purchase or mail order repayments and paying off credit card debt, in addition to housing-related debt (rent and mortgage arrears), was strongly associated with suicidal thoughts. Feelings of hopelessness partially mediated the relationship between debt and suicidal ideation.

Conclusions

The number of debts, source of the debt and reasons for debt are key correlates of suicidal ideation. Individuals experiencing difficulties in repaying their debts because they are unemployed or have had a relationship breakdown or have heavy caring responsibilities may require psychiatric evaluation in addition to debt counselling.

Keywords

Debthopelessnesssuicidality
Type
Original Articles
Information
Psychological Medicine , Volume 41 , Issue 4 , April 2011 , pp. 771 - 778
Copyright
Copyright © Cambridge University Press 2010

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References

Beck, A, Brown, G, Berchick, R, Stewart, B, Steer, R (1990). Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. American Journal of Psychiatry 147, 190–195.Google ScholarPubMed
Beck, A, Steer, R, Beck, J, Newman, C (1993). Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression. Suicide and Life-Threatening Behavior 23, 139–145.CrossRefGoogle ScholarPubMed
Brown, G, Harris, T, Hepworth, C (1995). Loss, humiliation and entrapment among women developing depression: a patient and non-patient comparison. Psychological Medicine 25, 7–21.CrossRefGoogle ScholarPubMed
Butterworth, P, Fairweather, AK, Anstey, KJ, Windsor, TD (2006). Hopelessness, demoralization and suicidal behaviour: the backdrop to welfare reform in Australia. Australia and New Zealand Journal of Psychiatry 40, 648–656.CrossRefGoogle ScholarPubMed
Cox, BJ, Enns, MW, Clara, IP (2004). Psychological dimensions associated with suicidal ideation and attempts in the National Comorbidity Survey. Suicide and Life-Threatening Behavior 34, 209–219.CrossRefGoogle ScholarPubMed
Graham, G, Burvill, P (1992). A study of coroners' records of suicide in young people, 1986–1988, in Western Australia. Australian and New Zealand Journal of Psychiatry 26, 30–39.CrossRefGoogle Scholar
Gunnell, D, Harbord, R, Singleton, N, Jenkins, R, Lewis, G (2004). Factors influencing the development and amelioration of suicidal thoughts in the general population. Cohort study. British Journal of Psychiatry 185, 385–393.Google ScholarPubMed
Gunnell, D, Platt, S, Hawton, K (2009). The economic crisis and suicide. British Medical Journal 338, 1456–1457.CrossRefGoogle ScholarPubMed
Haider, SI, Haider, I (2002). Deliberate self-poisoning (unemployment and debt). Pakistan Journal of Medical Sciences 18, 122–125.Google Scholar
Hatcher, S (1994). Debt and deliberate self-poisoning. British Journal of Psychiatry 164, 111–114.CrossRefGoogle ScholarPubMed
Hintikka, J, Kontula, O, Saarinen, P, Tanskanen, A, Koskela, K, Viinamäki, H (1998). Debt and suicidal behaviour in the Finnish general population. Acta Psychiatrica Scandinavica 98, 493–496.CrossRefGoogle ScholarPubMed
Jenkins, R, Bebbington, P, Bhugra, D, Brugha, T, Farrell, M, Coid, J, Fryers, T, Singleton, N, Meltzer, H (2009 a). Mental disorder in people with debt in the general population. Public Health Medicine 6, 88–92.Google Scholar
Jenkins, R, Bhugra, D, Bebbington, P, Brugha, T, Farrell, M, Coid, J, Fryers, T, Weich, S, Singleton, N, Meltzer, H (2008). Debt, income and mental disorder in the general population. Psychological Medicine 10, 1–9.Google Scholar
Jenkins, R, Meltzer, H, Bebbington, P, Brugha, T, Farrell, M, McManus, S, Singleton, N (2009 b). The British Mental Health Survey Programme: achievements and latest findings. Social Psychiatry and Psychiatric Epidemiology 44, 899–904.CrossRefGoogle ScholarPubMed
Kish, L (1965). Survey Sampling. John Wiley & Sons, Inc.: New York.Google Scholar
Lewis, G, Pelosi, AJ, Araya, R, Dunn, G (1992). Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychological Medicine 22, 465–486.CrossRefGoogle ScholarPubMed
McManus, S, Meltzer, H, Brugha, T, Bebbington, P, Jenkins, R (2009). Adult Psychiatric Morbidity in England, 2007: Results of a Household Survey. National Centre for Social Research: London.Google Scholar
National Statistics Online (2010). Suicides: UK suicides increase in 2008 (www.statistics.gov.uk/CCI/nugget.asp?ID=1092&Pos=6&ColRank=2&Rank=1000). Accessed 19 March 2010.Google Scholar
Nock, MK, Borges, G, Bromet, EJ, Alonso, J, Angermeyer, M, Beautrais, A, Bruffaerts, R, Chiu, WT, de Girolamo, G, Gluzman, S, de Graaf, R, Gureje, O, Haro, JM, Huang, Y, Karam, E, Kessler, RC, Lepine, JP, Levinson, D, Medina-Mora, ME, Ono, Y, Posada-Villa, J, Williams, DR (2008). Cross-national prevalence and risk factors for suicidal ideation, plans, and attempts. British Journal of Psychiatry 192, 98–105.CrossRefGoogle ScholarPubMed
Paykel, ES, Myers, JK, Lindenthal, JJ, Tanner, J (1974). Suicidal feelings in the general population: a prevalence study. British Journal of Psychiatry 124, 460–469.Google ScholarPubMed
Pirkis, J, Burgess, P, Dunt, D (2000). Suicidal ideation and suicide attempts among Australian adults. Crisis 21, 16–25.CrossRefGoogle ScholarPubMed
Platt, S, Hawton, K (2000). Suicidal behaviour and the labour market. In The International Handbook of Suicide and Attempted Suicide (ed. Hawton, K. and van Heeringen, K.), pp. 309–384. John Wiley & Sons: Chichester.CrossRefGoogle Scholar
Preacher, KJ, Hayes, AF (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments and Computers 36, 717–731.CrossRefGoogle ScholarPubMed
Salmons, PH, Harrington, R (1984). Suicidal ideation in university students and other groups. International Journal of Social Psychiatry 30, 201–205.CrossRefGoogle ScholarPubMed
Saunders, JB, Aasland, OG, Babor, TF, de la Fuente, JR, Grant, M (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborating Project on Early Detection of Persons with Harmful Alcohol Consumption – II. Addiction 88, 791–804.CrossRefGoogle ScholarPubMed
Singleton, N, Bumpstead, R, O'Brien, M, Lee, A, Meltzer, H (2001). Psychiatric Morbidity Among Adults Living in Private Households, 2000. TSO: London.Google Scholar
Stockwell, T, Sitharan, T, McGrath, D, Lang, E (1994). The measurement of alcohol dependence and impaired control in community samples. Addiction 89, 167–174.CrossRefGoogle ScholarPubMed
Thomas, HV, Crawford, M, Meltzer, H, Lewis, G (2002). Thinking life is not worth living: a population survey of Great Britain. Social Psychiatry and Psychiatric Epidemiology 37, 351–356.CrossRefGoogle Scholar
Tourangeau, R, Rips, LJ, Rasinski, K (2000). The Psychology of Survey Response. Cambridge University Press: Cambridge, UK.CrossRefGoogle Scholar
Williams, J, Pollack, L (2000). The psychology of suicidal behaviour. In The International Handbook of Suicide and Attempted Suicide (ed. Hawton, K. and van Heeringen, K.), pp. 79–93. John Wiley & Sons: Chichester.CrossRefGoogle Scholar
Yip, PSF, Yang, KCT, Ip, BYT, Law, YW, Watson, R (2007). Financial debt and suicide in Hong Kong SAR. Journal of Applied Social Psychology 37, 2788–2799.CrossRefGoogle Scholar