Methods: Data comprised seventeen waves of the National Violent Death Reporting Systems, Restricted Access Database from 2003–2019. In total, 58,545 female suicide cases were included in data analysis, and of these 23% (n=13,496) were women who struggled with IPP. Prior to analysis, the data were thoroughly cleaned. Analyses began with bivariate chi-square tests to compare IPP-related and non-IPP related suicide victims on suicide intent disclosure. Next, logistic regression models reporting adjusted odds ratios (AORs) were used to examine the factors associated with female suicide victims’ decision to disclose suicidal ideations. All p-values were two-sided with values <.05 considered indicative of significance.
Results: Bivariate findings showed that about one-third of IPP-related suicide victims shared their suicidal ideation with others, a much higher proportion than non-IPP related suicide victims (32% vs. 20%; p <.001). Also, IPP-related suicide victims tended to share their suicidal ideations with their partners (11%) more than others (e.g., family, friends, health care workers), while non-IPP-related suicide victims most often shared their ideations with family members (5%). After controlling for demographic covariates, logistic regression results showed that previous suicide ideation history (AOR=3.40, p<.001), current mental illness treatment (AOR=1.40, p<.001), substance problems (AOR=1.16, p<.001), and younger age (AOR=1.12, p<.001) were associated with increased odds of women’s suicide disclosure.
Conclusions and Implications: This study is a first-of-its-kind attempt to understand the disclosures of suicide intent among female suicide victims with IPP using a robust national data set. Results show that female suicide victims tend to share their suicide ideation before committing suicide, which indicates that opportunities exist to identify and prevent such suicides. Guided by these novel findings, this presentation will offer research and practice implications for how social work practitioners and scholars can make important contributions in preventing female suicide, especially among women struggling with IPP. For example, social work practitioners working in marriage counseling, domestic violence, and health care settings may usefully identify warning signs and connect at-risk women to necessary services. Also, women's demographic and psychosocial factors related to suicide disclosure should be also considered in developing suicide prevention programs. Overall, this work fills an important need in the “Mental Health” SSWR clusters.