scholarly journals The whole is greater than the sum of its parts: profiles of multiple mental health risk factors using Latent class analysis

Author(s):  
Kristin Göbel ◽  
Caroline Cohrdes

Abstract Background The exposure to an accumulation of various risk factors during childhood and adolescence relative to a single risk is associated with poorer mental health. Identification of distinct constellations of risk factors is an essential step towards the development of effective prevention strategies of mental disorders. A Latent class analysis (LCA) extracts different combinations of risk factors or subgroups and examines the association between profiles of multiple risk and mental health outcomes. Methods The current study used longitudinal survey data (KiGGS) of 10,853 German children, adolescents and young adults. The LCA included 27 robust risk and protective factors across multiple domains for mental health. Results The LCA identified four subgroups of individuals with different risk profiles: a basic-risk (51.4%), high-risk (23.4%), parental-risk (11.8%) and social-risk class (13.4%). Multiple risk factors of the family domain, in particular family instability were associated with negative mental health outcomes (e.g. mental health problems, depression, ADHD) and predominately comprised late adolescent girls. The social environment represented a more common risk domain for young males. Conclusion The understanding of multiple risk and different risk “profiles” helps to understand and adjust targeted interventions with a focus on vulnerable groups.

PLoS ONE ◽  
2016 ◽  
Vol 11 (10) ◽  
pp. e0164790 ◽  
Author(s):  
Leyla Ismayilova ◽  
Eleni Gaveras ◽  
Austin Blum ◽  
Alexice Tô-Camier ◽  
Rachel Nanema

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rayner Kay Jin Tan ◽  
Caitlin Alsandria O’Hara ◽  
Wee Ling Koh ◽  
Daniel Le ◽  
Avin Tan ◽  
...  

Abstract Background Young gay, bisexual, and other men who have sex with men (YMSM) are vulnerable to the risks associated with sexualized substance use. This is a novel study in Singapore that aims to classify patterns of sexualized substance use among YMSM, and investigate its association with sexual and mental health outcomes. Methods In this cross-sectional study among 570 YMSM aged 18 to 25 years old, latent class analysis (LCA) conducted to identify classes with similar patterns of sexualized substance use, across which measures of inconsistent condom use, recent STI diagnoses, past suicide ideation and depression severity were compared. Results LCA revealed three classes of YMSM based on types of substances ever used in sexualized contexts, which we labelled as ‘substance-naive’, ‘substance-novice’, and ‘chemsex’. Substance-naive participants (n = 404) had only ever used alcohol, while substance-novice participants (n = 143) were primarily amyl nitrite users with a small proportion who reported using chemsex-related drugs. Chemsex participants (n = 23) comprised individuals who had mostly used such drugs. Those in the chemsex group were more likely to report recent unprotected anal sex with casual partners (aPR = 3.28, 95%CI [1.85, 5.79]), depression severity (aβ = 3.69, 95%CI [0.87, 6.51]) and a history of suicide ideation (aPR = 1.64, 95%CI [1.33, 2.03]). Conclusions Findings of this study highlight how the use of varying substances in sexualized contexts may be classified and characterized by different sexual and mental health outcomes. Health promotion efforts should be differentiated accordingly to address the risks associated with sexualized substance use among YMSM.


2020 ◽  
Author(s):  
Rayner Kay Jin Tan ◽  
Caitlin Alsandria O’Hara ◽  
Wee Ling Koh ◽  
Daniel Le ◽  
Avin Tan ◽  
...  

Abstract Background: Young gay, bisexual, and other men who have sex with men (YMSM) are vulnerable to the risks associated with sexualized substance use. This is a novel study in Singapore that aims to classify patterns of sexualized substance use among YMSM, and investigate its association with sexual and mental health outcomes. Methods: In this cross-sectional study among 570 YMSM aged 18 to 25 years old, latent class analysis (LCA) conducted to identify classes with similar patterns of sexualized substance use, across which measures of inconsistent condom use, recent STI diagnoses, past suicide ideation and depression severity were compared. Results: LCA revealed three classes of YMSM based on types of substances ever used in sexualized contexts, which we labelled as ‘substance-naïve’, ‘substance-novice’, and ‘chemsex’. Substance-naïve participants (n=404) had only ever used alcohol, while substance-novice participants (n=143) were primarily amyl nitrite users with a small proportion who reported using chemsex-related drugs. Chemsex partiipants (n=23) comprised individuals who had mostly used such drugs. Those in the chemsex group were more likely to report recent unprotected anal sex with casual partners, depression severity and a history of suicide ideation.Conclusions: Findings of this study highlight how the use of varying substances in sexualized contexts may be classified and characterized by different sexual and mental health outcomes. Health promotion efforts should be differentiated accordingly to address the risks associated with sexualized substance use among YMSM.


2020 ◽  
Vol 90 (10) ◽  
pp. 771-778
Author(s):  
Katie Heiden‐Rootes ◽  
Joanne Salas ◽  
Rachel Moore ◽  
Shah Hasan ◽  
Lauren Wilson

2021 ◽  
pp. 0095327X2110469
Author(s):  
Scott D. Landes ◽  
Janet M. Wilmoth ◽  
Andrew S. London ◽  
Ann T. Landes

Military suicide prevention efforts would benefit from population-based research documenting patterns in risk factors among service members who die from suicide. We use latent class analysis to analyze patterns in identified risk factors among the population of 2660 active-duty military service members that the Department of Defense Suicide Event Report (DoDSER) system indicates died by suicide between 2008 and 2017. The largest of five empirically derived latent classes was primarily characterized by the dissolution of an intimate relationship in the past year. Relationship dissolution was common in the other four latent classes, but those classes were also characterized by job, administrative, or legal problems, or mental health factors. Distinct demographic and military-status differences were apparent across the latent classes. Results point to the need to increase awareness among mental health service providers and others that suicide among military service members often involves a constellation of potentially interrelated risk factors.


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