Psychiatric, Sociodemographic, and Community Belonging Correlates of Suicidal Ideation in Canada: Findings from the 2022 Mental Health and Access to Care Survey.
11 affiliations
- 1Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
- 2Department of Psychiatry, Gyeongsang National University College of Medicine, Jinju, Republic of Korea.
- 3Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
- 4Department of Psychology, McGill University, Montreal, Quebec, Canada.
- 5Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
- 6Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
- 7Centre for Public Health and Family Medicine, Western University, London, Ontario, Canada.
- 8ICES Western, London, Ontario, Canada.
- 9Department of Obstetrics & Gynecology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
- 10Lawson Research Institute, St. Joseph's Health Care London, London, Ontario, Canada.
- 11Department of Psychiatry, College of Medicine, Hanyang University, Seoul, Republic of Korea.
Abstract
ObjectiveTo estimate the prevalence of suicidal ideation among Canadians, identify psychiatric and sociodemographic correlates of past-12-month ideation and its association with community belonging, and compare the out-of-fold predictive performance of logistic regression and random forest models.MethodWe analyzed the nationally representative 2022 Mental Health and Access to Care Survey (analytic n = 8,080; weighted population = 25,828,546). Survey-weighted logistic and multinomial regression used the master weight with 1,000 Fay-adjusted bootstrap replicate weights. Five-fold nested cross-validation compared a sociodemographic-plus-psychiatric logistic model, the same model with belonging added, and a random forest, using out-of-fold discrimination, average precision, Brier scores, and grouped permutation importance.ResultsPast-12-month suicidal ideation was reported by 3.4% (95% CI, 2.9% to 3.9%) and lifetime-only ideation by 7.4% (95% confidence interval (CI), 6.7% to 8.2%). Independent correlates of past-12-month ideation were major depressive episode (MDE) (adjusted odds ratio (aOR) = 5.80; 95% CI, 3.61 to 9.33), very weak community belonging (aOR = 3.64; 95% CI, 1.88 to 7.04), generalized anxiety disorder (aOR = 2.65; 95% CI, 1.56 to 4.50), bipolar disorder (aOR = 2.43; 95% CI, 1.27 to 4.66), and separation/divorce (aOR = 2.25; 95% CI, 1.22 to 4.17). Adjusted probability rose from 2.0% at very strong to 6.0% at very weak belonging. No interaction was supported. Adding belonging did not improve discrimination (area under the curve (AUC), 0.823 vs. 0.823; difference = 0.000; 95% CI, -0.011 to 0.011); the random forest AUC was 0.843 (difference = 0.020; 95% CI, 0.004 to 0.038).ConclusionsPsychiatric morbidity, separation/divorce, younger age, and very weak community belonging were associated with past-12-month suicidal ideation. Community belonging was independently associated but did not improve cross-validated discrimination, whereas MDE was the most robust correlate.
Related
- Alcohol as a reported frequent problem and sociodemographic correlates in a Waorani community in the Ecuadorian Amazon: a community-based cross-sectional census study
- Discrimination and school belonging independently but not interactively associated with suicidal thoughts among adolescents: a brief report
- Intentions to abstain from alcohol during the Buddhist Lent campaign in Thailand: AUDIT-C risk profiles and independent sociodemographic correlates
- Proteomic and metabolomic correlates of sociodemographic factors and their associations with kidney and cardiovascular outcomes: findings from the Chronic Renal Insufficiency Cohort
- Prevalence and correlates of suicidal behavior among adults with chronic health conditions in Malawi
BibTeX
@article{lee2026psychiatric,
title = {{Psychiatric, Sociodemographic, and Community Belonging Correlates of Suicidal Ideation in Canada: Findings from the 2022 Mental Health and Access to Care Survey.}},
author = {Jae-Hon Lee and Lena Palaniyappan and Sung-Wan Kim and Kelly K Anderson and Verinder Sharma and Patricia Hall and Arlene G MacDougall and Mohamad Elfakhani and Kounseok Lee},
journal = {Canadian journal of psychiatry. Revue canadienne de psychiatrie},
year = {2026},
month = oct,
doi = {10.1177/07067437261500231},
url = {https://europepmc.org/article/MED/42924883},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Psychiatric, Sociodemographic, and Community Belonging Correlates of Suicidal Ideation in Canada: Findings from the 2022 Mental Health and Access to Care Survey.
AU - Jae-Hon Lee
AU - Lena Palaniyappan
AU - Sung-Wan Kim
AU - Kelly K Anderson
AU - Verinder Sharma
AU - Patricia Hall
AU - Arlene G MacDougall
AU - Mohamad Elfakhani
AU - Kounseok Lee
PY - 2026
DA - 2026/10/23
JO - Canadian journal of psychiatry. Revue canadienne de psychiatrie
DO - 10.1177/07067437261500231
UR - https://europepmc.org/article/MED/42924883
AB - ObjectiveTo estimate the prevalence of suicidal ideation among Canadians, identify psychiatric and sociodemographic correlates of past-12-month ideation and its association with community belonging, and compare the out-of-fold predictive performance of logistic regression and random forest models.MethodWe analyzed the nationally representative 2022 Mental Health and Access to Care Survey (analytic n = 8,080; weighted population = 25,828,546). Survey-weighted logistic and multinomial regression used the master weight with 1,000 Fay-adjusted bootstrap replicate weights. Five-fold nested cross-validation compared a sociodemographic-plus-psychiatric logistic model, the same model with belonging added, and a random forest, using out-of-fold discrimination, average precision, Brier scores, and grouped permutation importance.ResultsPast-12-month suicidal ideation was reported by 3.4% (95% CI, 2.9% to 3.9%) and lifetime-only ideation by 7.4% (95% confidence interval (CI), 6.7% to 8.2%). Independent correlates of past-12-month ideation were major depressive episode (MDE) (adjusted odds ratio (aOR) = 5.80; 95% CI, 3.61 to 9.33), very weak community belonging (aOR = 3.64; 95% CI, 1.88 to 7.04), generalized anxiety disorder (aOR = 2.65; 95% CI, 1.56 to 4.50), bipolar disorder (aOR = 2.43; 95% CI, 1.27 to 4.66), and separation/divorce (aOR = 2.25; 95% CI, 1.22 to 4.17). Adjusted probability rose from 2.0% at very strong to 6.0% at very weak belonging. No interaction was supported. Adding belonging did not improve discrimination (area under the curve (AUC), 0.823 vs. 0.823; difference = 0.000; 95% CI, -0.011 to 0.011); the random forest AUC was 0.843 (difference = 0.020; 95% CI, 0.004 to 0.038).ConclusionsPsychiatric morbidity, separation/divorce, younger age, and very weak community belonging were associated with past-12-month suicidal ideation. Community belonging was independently associated but did not improve cross-validated discrimination, whereas MDE was the most robust correlate.
SN - 0706-7437
SN - 1497-0015
ER -