Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football

Introduction: It is reasonable to estimate that tens of millions of men in the United States played high school football. There is societal concern that participation in football confers risk for later-in-life mental health problems. The purpose of this study is to examine whether there is an associ...

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Autores principales:	Grant L. Iverson, Amy Deep-Soboslay, Thomas M. Hyde, Joel E. Kleinman, Brittany Erskine, Amanda Fisher-Hubbard, Joyce L. deJong, Rudolph J. Castellani
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	suicide concussion autopsy sports depression Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f6f3e3c64cfe4151a3d92cf970bac71d
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spelling	oai:doaj.org-article:f6f3e3c64cfe4151a3d92cf970bac71d2021-12-01T08:15:37ZSuicide in Older Adult Men Is Not Related to a Personal History of Participation in Football1664-229510.3389/fneur.2021.745824https://doaj.org/article/f6f3e3c64cfe4151a3d92cf970bac71d2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.745824/fullhttps://doaj.org/toc/1664-2295Introduction: It is reasonable to estimate that tens of millions of men in the United States played high school football. There is societal concern that participation in football confers risk for later-in-life mental health problems. The purpose of this study is to examine whether there is an association between a personal history of playing high school football and death by suicide.Methods: The subjects were obtained from the Lieber Institute for Brain Development (LIBD) brain donation program in collaboration with the Office of the Medical Examiner at Western Michigan University Homer Stryker MD School of Medicine. Donor history was documented via medical records, mental health records, and telephone interviews with the next-of-kin.Results: The sample included 198 men aged 50 or older (median = 65.0 years, interquartile range = 57–75). There were 34.8% who participated in contact sports during high school (including football), and 29.8% participated in high school football. Approximately one-third of the sample had suicide as their manner of death (34.8%). There was no statistically significant difference in the proportions of suicide as a manner of death among those men with a personal history of playing football compared to men who did not play football or who did not play sports (p = 0.070, Odds Ratio, OR = 0.537). Those who played football were significantly less likely to have a lifetime history of a suicide attempt (p = 0.012, OR = 0.352). Men with mood disorders (p < 0.001, OR = 10.712), substance use disorders (p < 0.020, OR = 2.075), and those with a history of suicide ideation (p < 0.001, OR = 8.038) or attempts (p < 0.001, OR = 40.634) were more likely to have suicide as a manner of death. Moreover, those men with a family history of suicide were more likely to have prior suicide attempts (p = 0.031, OR = 2.153) and to have completed suicide (p = 0.001, OR = 2.927).Discussion: Suicide was related to well-established risk factors such as a personal history of a mood disorder, substance abuse disorder, prior suicide ideation, suicide attempts, and a family history of suicide attempts. This study adds to a steadily growing body of evidence suggesting that playing high school football is not associated with increased risk for suicidality or suicide during adulthood.Grant L. IversonGrant L. IversonGrant L. IversonGrant L. IversonGrant L. IversonAmy Deep-SoboslayThomas M. HydeThomas M. HydeThomas M. HydeJoel E. KleinmanJoel E. KleinmanBrittany ErskineAmanda Fisher-HubbardJoyce L. deJongRudolph J. CastellaniFrontiers Media S.A.articlesuicideconcussionautopsysportsdepressionNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	suicide concussion autopsy sports depression Neurology. Diseases of the nervous system RC346-429
spellingShingle	suicide concussion autopsy sports depression Neurology. Diseases of the nervous system RC346-429 Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Amy Deep-Soboslay Thomas M. Hyde Thomas M. Hyde Thomas M. Hyde Joel E. Kleinman Joel E. Kleinman Brittany Erskine Amanda Fisher-Hubbard Joyce L. deJong Rudolph J. Castellani Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football
description	Introduction: It is reasonable to estimate that tens of millions of men in the United States played high school football. There is societal concern that participation in football confers risk for later-in-life mental health problems. The purpose of this study is to examine whether there is an association between a personal history of playing high school football and death by suicide.Methods: The subjects were obtained from the Lieber Institute for Brain Development (LIBD) brain donation program in collaboration with the Office of the Medical Examiner at Western Michigan University Homer Stryker MD School of Medicine. Donor history was documented via medical records, mental health records, and telephone interviews with the next-of-kin.Results: The sample included 198 men aged 50 or older (median = 65.0 years, interquartile range = 57–75). There were 34.8% who participated in contact sports during high school (including football), and 29.8% participated in high school football. Approximately one-third of the sample had suicide as their manner of death (34.8%). There was no statistically significant difference in the proportions of suicide as a manner of death among those men with a personal history of playing football compared to men who did not play football or who did not play sports (p = 0.070, Odds Ratio, OR = 0.537). Those who played football were significantly less likely to have a lifetime history of a suicide attempt (p = 0.012, OR = 0.352). Men with mood disorders (p < 0.001, OR = 10.712), substance use disorders (p < 0.020, OR = 2.075), and those with a history of suicide ideation (p < 0.001, OR = 8.038) or attempts (p < 0.001, OR = 40.634) were more likely to have suicide as a manner of death. Moreover, those men with a family history of suicide were more likely to have prior suicide attempts (p = 0.031, OR = 2.153) and to have completed suicide (p = 0.001, OR = 2.927).Discussion: Suicide was related to well-established risk factors such as a personal history of a mood disorder, substance abuse disorder, prior suicide ideation, suicide attempts, and a family history of suicide attempts. This study adds to a steadily growing body of evidence suggesting that playing high school football is not associated with increased risk for suicidality or suicide during adulthood.
format	article
author	Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Amy Deep-Soboslay Thomas M. Hyde Thomas M. Hyde Thomas M. Hyde Joel E. Kleinman Joel E. Kleinman Brittany Erskine Amanda Fisher-Hubbard Joyce L. deJong Rudolph J. Castellani
author_facet	Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Amy Deep-Soboslay Thomas M. Hyde Thomas M. Hyde Thomas M. Hyde Joel E. Kleinman Joel E. Kleinman Brittany Erskine Amanda Fisher-Hubbard Joyce L. deJong Rudolph J. Castellani
author_sort	Grant L. Iverson
title	Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football
title_short	Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football
title_full	Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football
title_fullStr	Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football
title_full_unstemmed	Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football
title_sort	suicide in older adult men is not related to a personal history of participation in football
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/f6f3e3c64cfe4151a3d92cf970bac71d
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Suicide in Older Adult Men Is Not Related to a Personal History of Participation in Football

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