{"id":"https://openalex.org/W7123337726","doi":"https://doi.org/10.3390/healthcare14020194","title":"Suicidality in the Criminal Justice System: The Role of Cumulative Adversity and Protective Factors","display_name":"Suicidality in the Criminal Justice System: The Role of Cumulative Adversity and Protective Factors","publication_year":2026,"publication_date":"2026-01-13","ids":{"openalex":"https://openalex.org/W7123337726","doi":"https://doi.org/10.3390/healthcare14020194","pmid":"https://pubmed.ncbi.nlm.nih.gov/41595330"},"language":"en","primary_location":{"id":"doi:10.3390/healthcare14020194","doi":"https://doi.org/10.3390/healthcare14020194","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14020194","pdf_url":"https://www.mdpi.com/2227-9032/14/2/194/pdf","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2227-9032/14/2/194/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078982662","display_name":"Guilherme Welter Wendt","orcid":"https://orcid.org/0000-0002-9014-6120","observed_orcids":["https://orcid.org/0000-0002-9014-6120"]},"institutions":[{"id":"https://openalex.org/I193876067","display_name":"Universidade Estadual do Oeste do Paran\u00e1","ror":"https://ror.org/05ne20t07","country_code":"BR","type":"education","lineage":["https://openalex.org/I193876067"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Guilherme Welter Wendt","raw_affiliation_strings":["Department of Medical Sciences, Postgraduate Program in Applied Health Sciences, Western Paran\u00e1 State University, Francisco Beltr\u00e3o 85601-970, Brazil"],"raw_orcid":"https://orcid.org/0000-0002-9014-6120","affiliations":[{"raw_affiliation_string":"Department of Medical Sciences, Postgraduate Program in Applied Health Sciences, Western Paran\u00e1 State University, Francisco Beltr\u00e3o 85601-970, Brazil","institution_ids":["https://openalex.org/I193876067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122856956","display_name":"Kau\u00ea Furquim Depieri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I193876067","display_name":"Universidade Estadual do Oeste do Paran\u00e1","ror":"https://ror.org/05ne20t07","country_code":"BR","type":"education","lineage":["https://openalex.org/I193876067"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Kau\u00ea Furquim Depieri","raw_affiliation_strings":["Department of Medical Sciences, Postgraduate Program in Applied Health Sciences, Western Paran\u00e1 State University, Francisco Beltr\u00e3o 85601-970, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Sciences, Postgraduate Program in Applied Health Sciences, Western Paran\u00e1 State University, Francisco Beltr\u00e3o 85601-970, Brazil","institution_ids":["https://openalex.org/I193876067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043618138","display_name":"Dalila Moter Benvegn\u00fa","orcid":"https://orcid.org/0000-0002-3419-9674","observed_orcids":["https://orcid.org/0000-0002-3419-9674","https://orcid.org/0000-0002-9503-5649"]},"institutions":[{"id":"https://openalex.org/I3130004620","display_name":"Universidade Federal da Fronteira Sul","ror":"https://ror.org/03z9wm572","country_code":"BR","type":"education","lineage":["https://openalex.org/I3130004620"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Dalila Moter Benvegn\u00fa","raw_affiliation_strings":["Department of Biochemistry and Pharmacology, Federal University of Fronteira Sul (UFFS), Rodovia PR-182, Km 466, Realeza Campus, P.O. Box 253, Realeza 85770-000, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biochemistry and Pharmacology, Federal University of Fronteira Sul (UFFS), Rodovia PR-182, Km 466, Realeza Campus, P.O. Box 253, Realeza 85770-000, Brazil","institution_ids":["https://openalex.org/I3130004620"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039347712","display_name":"Iara do Nascimento Teixeira","orcid":"https://orcid.org/0000-0001-7931-4237","observed_orcids":["https://orcid.org/0000-0001-7931-4237"]},"institutions":[{"id":"https://openalex.org/I99682543","display_name":"University of Minho","ror":"https://ror.org/037wpkx04","country_code":"PT","type":"education","lineage":["https://openalex.org/I99682543"]}],"countries":["PT"],"is_corresponding":true,"raw_author_name":"Iara Teixeira","raw_affiliation_strings":["Department of Psychology, University of Minho, 4710-057 Braga, Portugal"],"raw_orcid":"https://orcid.org/0000-0001-7931-4237","affiliations":[{"raw_affiliation_string":"Department of Psychology, University of Minho, 4710-057 Braga, Portugal","institution_ids":["https://openalex.org/I99682543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044164153","display_name":"P. A. A. Silva","orcid":"https://orcid.org/0000-0001-7204-8044","observed_orcids":["https://orcid.org/0000-0001-7204-8044"]},"institutions":[{"id":"https://openalex.org/I161321875","display_name":"University of Beira Interior","ror":"https://ror.org/03nf36p02","country_code":"PT","type":"education","lineage":["https://openalex.org/I161321875"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Patricia Silva","raw_affiliation_strings":["Department of Psychology and Education, Faculty of Social and Human Sciences, University of Beira Interior, Campus IV, 6200-209 Covilh\u00e3, Portugal"],"raw_orcid":"https://orcid.org/0000-0001-7204-8044","affiliations":[{"raw_affiliation_string":"Department of Psychology and Education, Faculty of Social and Human Sciences, University of Beira Interior, Campus IV, 6200-209 Covilh\u00e3, Portugal","institution_ids":["https://openalex.org/I161321875"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5021314217","display_name":"Felipe Alckmin-Carvalho","orcid":"https://orcid.org/0000-0002-0203-2650","observed_orcids":["https://orcid.org/0000-0002-0203-2650"]},"institutions":[{"id":"https://openalex.org/I161321875","display_name":"University of Beira Interior","ror":"https://ror.org/03nf36p02","country_code":"PT","type":"education","lineage":["https://openalex.org/I161321875"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Felipe Alckmin-Carvalho","raw_affiliation_strings":["Department of Psychology and Education, Faculty of Social and Human Sciences, University of Beira Interior, Campus IV, 6200-209 Covilh\u00e3, Portugal"],"raw_orcid":"https://orcid.org/0000-0002-0203-2650","affiliations":[{"raw_affiliation_string":"Department of Psychology and Education, Faculty of Social and Human Sciences, University of Beira Interior, Campus IV, 6200-209 Covilh\u00e3, Portugal","institution_ids":["https://openalex.org/I161321875"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5039347712"],"corresponding_institution_ids":["https://openalex.org/I99682543"],"apc_list":{"value":2700,"currency":"CHF","value_usd":3258},"apc_paid":{"value":2700,"currency":"CHF","value_usd":3258},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.02208855,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"2","first_page":"194","last_page":"194"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10318","display_name":"Criminal Justice and Corrections Analysis","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13605","display_name":"Homicide, Infanticide, and Child Abuse","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/suicidality","display_name":"suicidality","score":0.9710000157356262},{"id":"https://openalex.org/keywords/male-prisoners","display_name":"incarcerated men","score":0.8529999852180481},{"id":"https://openalex.org/keywords/suicidal-ideation","display_name":"suicidal ideation","score":0.8299999833106995},{"id":"https://openalex.org/keywords/suicide-attempts","display_name":"suicide attempts","score":0.9760000109672546},{"id":"https://openalex.org/keywords/cumulative-adversity","display_name":"cumulative adversity","score":0.9700000286102295},{"id":"https://openalex.org/keywords/protective-factors","display_name":"protective factors","score":0.9279999732971191},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.8920000195503235},{"id":"https://openalex.org/keywords/prison-mental-health","display_name":"prison mental health","score":0.6880000233650208},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.753000020980835},{"id":"https://openalex.org/keywords/domestic-violence","display_name":"domestic violence","score":0.6380000114440918},{"id":"https://openalex.org/keywords/family-visitation","display_name":"family visits","score":0.4950000047683716},{"id":"https://openalex.org/keywords/southern-brazil","display_name":"southern Brazil","score":0.5149999856948853}],"concepts":[{"id":"https://openalex.org/C2776641880","wikidata":"https://www.wikidata.org/wiki/Q944142","display_name":"Suicidal ideation","level":4,"score":0.7735999822616577},{"id":"https://openalex.org/C97928714","wikidata":"https://www.wikidata.org/wiki/Q7251376","display_name":"Protective factor","level":2,"score":0.5388000011444092},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.5325999855995178},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5322999954223633},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.531000018119812},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5285999774932861},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5217999815940857},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.49470001459121704},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.4675999879837036},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.4032000005245209},{"id":"https://openalex.org/C2780656516","wikidata":"https://www.wikidata.org/wiki/Q40357","display_name":"Prison","level":2,"score":0.39250001311302185},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.39089998602867126},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.38850000500679016},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.38339999318122864},{"id":"https://openalex.org/C2780842732","wikidata":"https://www.wikidata.org/wiki/Q3518184","display_name":"Suicide attempt","level":4,"score":0.37299999594688416},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.32330000400543213},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3052999973297119},{"id":"https://openalex.org/C542059537","wikidata":"https://www.wikidata.org/wiki/Q156537","display_name":"Domestic violence","level":4,"score":0.3027999997138977},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.2888999879360199},{"id":"https://openalex.org/C2777126965","wikidata":"https://www.wikidata.org/wiki/Q4880710","display_name":"Behavioral Risk Factor Surveillance System","level":3,"score":0.2858000099658966},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.28279998898506165},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2800999879837036},{"id":"https://openalex.org/C176019070","wikidata":"https://www.wikidata.org/wiki/Q1035954","display_name":"Heterosexuality","level":3,"score":0.2599000036716461},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.2533000111579895},{"id":"https://openalex.org/C9354725","wikidata":"https://www.wikidata.org/wiki/Q286017","display_name":"Operationalization","level":2,"score":0.2506999969482422}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3390/healthcare14020194","doi":"https://doi.org/10.3390/healthcare14020194","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14020194","pdf_url":"https://www.mdpi.com/2227-9032/14/2/194/pdf","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},{"id":"pmid:41595330","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41595330","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare (Basel, Switzerland)","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12840824","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12840824/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Healthcare (Basel)","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3390/healthcare14020194","doi":"https://doi.org/10.3390/healthcare14020194","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14020194","pdf_url":"https://www.mdpi.com/2227-9032/14/2/194/pdf","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions","score":0.833299994468689},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7578999996185303}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/1","display_name":"No poverty","score":0.47817620635032654}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7123337726.pdf","grobid_xml":"https://content.openalex.org/works/W7123337726.grobid-xml"},"referenced_works_count":38,"referenced_works":["https://openalex.org/W1849899401","https://openalex.org/W2034122200","https://openalex.org/W2102104252","https://openalex.org/W2130373985","https://openalex.org/W2149695418","https://openalex.org/W2162808171","https://openalex.org/W2469888201","https://openalex.org/W2765502999","https://openalex.org/W2768480045","https://openalex.org/W2793213771","https://openalex.org/W2922447317","https://openalex.org/W2966045282","https://openalex.org/W2982386571","https://openalex.org/W3010205155","https://openalex.org/W3040572897","https://openalex.org/W3088821839","https://openalex.org/W3092032064","https://openalex.org/W3098295420","https://openalex.org/W3112799665","https://openalex.org/W3127287969","https://openalex.org/W3148054784","https://openalex.org/W3155686428","https://openalex.org/W3175594707","https://openalex.org/W3217186023","https://openalex.org/W4213425748","https://openalex.org/W4232033384","https://openalex.org/W4281294494","https://openalex.org/W4292428639","https://openalex.org/W4293145639","https://openalex.org/W4294200075","https://openalex.org/W4377042585","https://openalex.org/W4386499551","https://openalex.org/W4386927846","https://openalex.org/W4390666009","https://openalex.org/W4406649410","https://openalex.org/W4407031087","https://openalex.org/W4411397302","https://openalex.org/W4412720106"],"related_works":[],"abstract_inverted_index":{"Background:":[0],"Incarcerated":[1],"men":[2,60,253],"experience":[3],"disproportionately":[4],"high":[5],"levels":[6],"of":[7,42,52,62,71,176,210,246,271,290],"health":[8],"inequities":[9],"shaped":[10],"by":[11,302],"social":[12,291],"determinants,":[13],"including":[14],"poverty,":[15],"violence,":[16,107],"family":[17,108,118],"adversity,":[18],"trauma,":[19],"and":[20,55,67,74,95,111,129,144,153,164,190,259,281,284],"limited":[21],"access":[22],"to":[23,29,293],"healthcare.":[24],"These":[25,276],"long-standing":[26],"disadvantages,":[27],"added":[28],"the":[30,50,69,244,288],"adverse":[31],"conditions":[32],"experienced":[33],"in":[34,44,64,78,115,264],"prisons,":[35],"may":[36,278],"be":[37],"associated":[38,149,172,206,227,255,267],"with":[39,87,150,173,207,228,256,268,287],"elevated":[40],"rates":[41],"suicidality":[43],"this":[45,303],"population.":[46],"This":[47],"study":[48,84],"examined":[49],"prevalence":[51,158],"suicidal":[53,151,162,178,211],"ideation":[54,152,163,179,212,272],"lifetime":[56,99],"suicide":[57,154,167,191,229],"attempts":[58,192],"among":[59,251],"deprived":[61],"liberty":[63],"Southern":[65],"Brazil":[66],"investigated":[68],"role":[70],"cumulative":[72,142,257],"adversities":[73,143,170],"current":[75,112],"protective":[76,113,130,145,239],"factors":[77,114,131,146,204,240,263],"these":[79],"outcomes.":[80],"Methods:":[81],"A":[82],"cross-sectional":[83],"was":[85,159],"conducted":[86],"496":[88],"incarcerated":[89,252],"men.":[90],"Participants":[91],"completed":[92],"a":[93],"sociodemographic":[94],"background":[96],"questionnaire":[97],"assessing":[98],"adversity":[100,128],"(e.g.,":[101,117],"hunger,":[102],"homelessness,":[103],"sexual":[104],"abuse,":[105],"domestic":[106],"substance":[109],"dependence)":[110],"prison":[116,265],"visits,":[119],"education,":[120],"leisure,":[121],"physical":[122],"activity,":[123],"religion,":[124],"positive":[125],"self-perception).":[126],"Cumulative":[127,169],"were":[132,147,171,205,224,235,254,266],"operationalized":[133],"as":[134],"composite":[135],"indices.":[136],"Logistic":[137],"regression":[138],"models":[139],"tested":[140],"whether":[141],"independently":[148],"attempts.":[155,168,230,275],"Results:":[156],"Lifetime":[157],"9.6%":[160],"for":[161,166],"10.8%":[165],"higher":[174],"odds":[175,270],"both":[177],"(OR":[180,193,213],"=":[181,185,188,194,198,214,218,221],"1.43;":[182],"95%":[183,196,216],"CI":[184,197,217],"1.11\u20131.84;":[186],"p":[187,200,220],"0.006)":[189],"1.94;":[195],"1.50\u20132.52;":[199],"<":[201],"0.001).":[202],"Protective":[203,262],"lower":[208,269],"likelihood":[209],"0.74;":[215],"0.58\u20130.96;":[219],"0.020)":[222],"but":[223,273],"not":[225,242,274,300],"significantly":[226],"No":[231],"significant":[232],"interaction":[233],"effects":[234],"observed,":[236],"indicating":[237],"that":[238],"did":[241],"moderate":[243],"impact":[245],"adversity.":[247],"Conclusions:":[248],"Suicidal":[249],"tendencies":[250],"structural":[258],"psychosocial":[260],"adversities.":[261],"associations":[277],"inform":[279],"person-centered":[280],"equity-oriented":[282],"approaches":[283],"are":[285,299],"consistent":[286],"relevance":[289],"determinants":[292],"mental":[294],"health,":[295],"although":[296],"causal":[297],"inferences":[298],"supported":[301],"project.":[304]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-01-14T00:00:00"}
