{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T22:29:00Z","timestamp":1788215340441,"version":"build-2803163510"},"reference-count":95,"publisher":"Bristol University Press","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>The prevention paradox describes circumstances in which the majority of cases with a suicide attempt come from a population of low or moderate risk, and only a few from a \u2018high-risk\u2019 group. The assumption is that a low base rate in combination with multiple causes makes it impossible to identify a high-risk group with all suicide attempts.<\/jats:p>\n<jats:p>The best way to study events such as first-time suicide attempts and their causes is to collect event history data. Administrative registers were used to identify a group at higher risk of suicidal behaviour within a population of six national birth cohorts (N = 300,000) born between 1980 and 1985 and followed from age 15 to 29 years. Estimation of risk parameters is based on the discrete-time logistic odds-ratio model.<\/jats:p>\n<jats:p>Lifetime prevalence was 4.5% for first-time suicide attempts. Family background and family child-rearing factors were predicative of later first-time suicide attempts. A young person\u2019s diagnosis with psychiatric or neurodevelopmental disorders (ADHD, anxiety, depression, PTSD), and being a victim of violence or sex offences contributed to the explanatory model. Contrary to the prevention paradox, results suggest that it is possible to identify a discrete high-risk group (&lt;12%) among the population from whom two thirds of all first-time suicide attempts occur, but one third of observed suicide attempts derived from low- to moderate-risk groups.<\/jats:p>\n<jats:p>Findings confirm the need for a combined strategy of universal, targeted and indicated prevention approaches in policy development and in strategic and practice responses, and some promising prevention strategies are presented.<\/jats:p>","DOI":"10.1332\/17579597y2024d000000020","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T22:47:18Z","timestamp":1714430838000},"page":"371-393","source":"Crossref","is-referenced-by-count":1,"title":["Can life events predict first-time suicide attempts? A nationwide longitudinal study"],"prefix":"10.1332","volume":"15","author":[{"given":"Mogens Nygaard","family":"Christoffersen","sequence":"first","affiliation":[{"name":"The Danish Center for Social Science, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Khan","sequence":"additional","affiliation":[{"name":"University College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"165","reference":[{"issue":"4","key":"CIT0001","series-title":"Journal of the American Academy of Child & Adolescent Psychiatry","first-page":"498","article-title":"Perceived family functioning and adolescent suicidal behavior","volume":"33","author":"Adams, D.M.","year":"1994","unstructured":"Adams, D.M., Overholser, J.C. and Lehnert, K.L. 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