Evidence map›Paper›PMID 31278625›Full record

ArticleJournal of racial and ethnic health disparities2019

Higher Educational Attainment is Associated with Lower Risk of a Future Suicide Attempt Among Non-Hispanic Whites but not Non-Hispanic Blacks.

Shervin Assari, Heather T Schatten, Sarah A Arias, Ivan W Miller, Carlos A Camargo, Edwin D Boudreaux

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 55 citations in OpenAlex.

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  6. Immigration, Educational Attainment, and Subjective Health in the United States.Journal of mental health & clinical psychology · 2024
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  13. Race, Family Conflict and Suicidal Thoughts and Behaviors among 9-10-Year-Old American Children.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Shervin AssariDepartment of Family Medicine, Charles R. Drew University of Medicine and Science, 1731 E. 120th St, Los Angeles, CA, 90059, USA. shervinassari@cdrewu.edu.ORCID 0000-0002-5054-6250
Heather T SchattenDepartment of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Box G-BH, Providence, RI, USA.
Sarah A AriasDepartment of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Box G-BH, Providence, RI, USA.
Ivan W MillerDepartment of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Box G-BH, Providence, RI, USA.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Edwin D BoudreauxDepartment of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
Providence College · USCharles R. Drew University of Medicine and Science · USHarvard University · USUniversity of Massachusetts Chan Medical School · US

Funding

Sustaining Faculty Development & Community EngagementS21MD000103 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI CARLISLE, DAVID M · 2001 to 2015
$73.9M
Workshop for Junior Biostatisticians in Health ResearchU54MD007598 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED & SCI · PI Piwen Wang · 2012 to 2026
$60.0M
Emergency Department Safety Assessment and Follow-Up Evaluation (EDSAFE) TrialU01MH088278 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BOUDREAUX, EDWIN D, CAMARGO, CARLOS ARTURO · 2009 to 2013
$11.7M
The CDU-Clinical Research Education and Career Development ProgramR25MD007610 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED & SCI · PI Roberto Balbino Vargas · 2012 to 2026
$7.8M
ED-SAFE 2: Translating Safety Planning into PracticeR01MH106726 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BOUDREAUX, EDWIN D · 2015 to 2018
$3.7M
Functional imaging of cortico-limbic predictors of emotion regulation, emotion reactivity, and risk for suicidal ideation and behaviorR01MH112674 · NIMH · BUTLER HOSPITAL (PROVIDENCE, RI) · PI ARMEY, MICHAEL F · 2017 to 2021
$3.0M
Predicting Suicide: A Longitudinal Analysis of Speech Patterns in a High Risk SampleR01MH108610 · NIMH · BUTLER HOSPITAL (PROVIDENCE, RI) · PI MILLER, IVAN W., PROVOST, EMILY KAPLAN MOWER · 2016 to 2020
$2.9M
RCT of a tailored walking program to reduce stress among pregnant womenR01NR014540 · NINR · BUTLER HOSPITAL (PROVIDENCE, RI) · PI BATTLE, CYNTHIA L., SALISBURY, AMY L · 2014 to 2018
$2.2M
NIMHD NIH HHS R25 MD007610NIMHD NIH HHS S21 MD000103NIMH NIH HHS R01 MH106726NIMH NIH HHS R01 MH108610NIMH NIH HHS R01 MH112674NIMH NIH HHS U01 MH088278NINR NIH HHS R01 NR014540
6 · The paper itself

Abstract

purposeIn a sample of patients presenting to the emergency department (ED), the current study was conducted with two aims: (1) to investigate the protective effects of educational attainment (i.e., completing college) on subsequent risk of suicide attempt/death among patients presenting to the ED and (2) to compare this effect between non-Hispanic Black and non-Hispanic White ED patients.

methodsThe current study analyzed data from the Emergency Department Safety Assessment and Follow-Up Evaluation (ED-SAFE) study, a quasi-experimental, eight-center study of universal suicide screening and follow-up of ED patients presenting for suicidal ideation and behavior. Our sample included 937 non-Hispanic White and 211 non-Hispanic Blacks. The dependent variable was suicide attempt/death during the 52-week follow-up. The independent variable was completing college. Age, gender, lesbian/gay/bisexual status, psychiatric history, and previous suicide attempts at baseline were covariates. Race/ethnicity was the focal effect modifier. Logistic regression models were used to test the protective effects of educational attainment on suicide risk in the overall sample and by race/ethnicity.

resultsIn the overall sample, educational attainment was not associated with suicide risk over the follow-up period. A significant interaction was found between race/ethnicity and educational attainment on suicide risk, suggesting a larger protective effect for non-Hispanic Whites compared with non-Hispanic Blacks. In race/ethnicity-specific models, completing college was associated with decreased future suicide risk for non-Hispanic Whites but not Blacks.

conclusionsConsistent with the Minorities' Diminished Return theory, educational attainment better protected non-Hispanic White than non-Hispanic Blacks against future suicide attempt/death. While Whites who have not completed college may be at an increased risk of suicide, risk of suicide seems to be independent of educational attainment for non-Hispanic Blacks.

Indexed as

Educational StatusAdultBlack or African AmericanEmergency Service, HospitalFemaleFollow-Up StudiesForecastingHumansMaleMiddle AgedRisk AssessmentSuicide, AttemptedWhite PeopleBlacksEthnic health disparitiesEthnicityRaceSocioeconomic statusSuicide

Identifiers

PMID31278625
PMCPMC6739140
OpenAlexW2953969083

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.