{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:42:56Z","timestamp":1790862176192,"version":"4.1.0"},"reference-count":45,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T00:00:00Z","timestamp":1582675200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2020,2,10]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine associations between suicidal ideation and sexual and physical abuse among active and recently retired elite athletics (track and field) athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study population consisted of all athletes (n=402) selected for a Swedish Athletics team between 2011 and 2017. Data on suicidal ideation, suicidal events (estimated through the 1\u2009year non-sports injury prevalence), lifetime abuse experiences, sociodemographics, sense of coherence and coping strategies were collected using a cross-sectional survey. The data were analysed using binary logistic regression with suicidal ideation and non-sports injury as outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      192 athletes (47.8%) returned data. The prevalence of suicidal ideation was 15.6% (men 17.4%; women 14.2%) and the non-sports injury prevalence was 8.0% (men 11.6%; women 5.7%). Among women, suicidal ideation was associated with having been sexually abused (OR 5.94, 95% CI 1.42 to 24.90; p=0.015) and lower sense of coherence (OR 0.90, 95% CI 0.85 to 0.96; p=0.001) (Nagelkerke R\n                      <jats:sup>2<\/jats:sup>\n                      =0.33). Among men, suicidal ideation was only associated with use of behavioural disengagement for coping (OR 1.51, 95% CI 1.18 to 1.95; p=0.001) (\n                      <jats:italic>\n                        R\n                        <jats:sup>2<\/jats:sup>\n                      <\/jats:italic>\n                      =0.25). Among women, non-sports injury prevalence was associated with having been sexually abused (OR 8.61, 95% CI 1.34 to 55.1; p=0.023) and participating in an endurance event (OR 7.37, 95% CI 1.11 to 48.9; p=0.039 (\n                      <jats:italic>\n                        R\n                        <jats:sup>2<\/jats:sup>\n                      <\/jats:italic>\n                      =0.23), while among men, having immigrant parents (OR 5.67, 95% CI 1.31 to 24.5; p=0.020) (\n                      <jats:italic>\n                        R\n                        <jats:sup>2<\/jats:sup>\n                      <\/jats:italic>\n                      =0.11) was associated with injury outside sports.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>About one out of six international athletics athletes reported having experienced suicidal ideation. World Athletics and National Olympic Committees need to include suicide prevention in their athlete protection programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjsports-2019-101386","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T17:24:27Z","timestamp":1582737867000},"page":"198-205","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":65,"title":["Suicidal thoughts (ideation) among elite athletics (track and field) athletes: associations with sports participation, psychological resourcefulness and having been a victim of sexual and\/or physical abuse"],"prefix":"10.1136","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6049-5402","authenticated-orcid":false,"given":"Toomas","family":"Timpka","sequence":"first","affiliation":[{"name":"Athletics Research Center, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department of Health, Medicine, and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Unit for Health Analysis, Centre for Healthcare Development, Region \u00d6sterg\u00f6tland, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin","family":"Spreco","sequence":"additional","affiliation":[{"name":"Athletics Research Center, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department of Health, Medicine, and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Unit for Health Analysis, Centre for Healthcare Development, Region \u00d6sterg\u00f6tland, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3955-0443","authenticated-orcid":false,"given":"Orjan","family":"Dahlstrom","sequence":"additional","affiliation":[{"name":"Athletics Research Center, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department of Behavioural Sciences and Learning, Link\u00f6ping University, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1551-1722","authenticated-orcid":false,"given":"Jenny","family":"Jacobsson","sequence":"additional","affiliation":[{"name":"Athletics Research Center, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department of Health, Medicine, and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Kowalski","sequence":"additional","affiliation":[{"name":"Athletics Research Center, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department of Health, Medicine, and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Bargoria","sequence":"additional","affiliation":[{"name":"Athletics Research Center, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department of Health, Medicine, and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department Orthopaedics and Rehabilitation, Moi University, Eldoret, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8604-2014","authenticated-orcid":false,"given":"Margo","family":"Mountjoy","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl G\u00f6ran","family":"Svedin","sequence":"additional","affiliation":[{"name":"Athletics Research Center, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Department of Health, Medicine, and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Ersta Sk\u00f6ndal Br\u00e4cke University College, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,26]]},"reference":[{"key":"2025080113442120000_55.4.198.1","unstructured":"New York Post . 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