OBJECTIVE We aimed to examine whether suicidal thoughts and behaviour were independently associated with a wide range of health and social risk behaviours. METHODS We conducted cross-sectional analyses of data collected from 13,763 adult males who participated in The Australian Longitudinal Study on Male Health. We fit generalised linear models to estimate the relative risk of engaging in a range of health and social risk behaviours across several domains by suicidal thoughts and behaviour status. RESULTS Men with recent suicidal ideation (relative risk range, 1.10-5.25) and lifetime suicide attempts (relative risk range, 1.10-7.65) had a higher risk of engaging in a broad range of health and social risk behaviours. The associations between suicidal thoughts and behaviour and health and social risk behaviours were typically independent of socio-demographics and in many cases were also independent of depressive symptoms. CONCLUSION Suicidal thoughts and behaviour overlaps with increased risk of engagement in a wide range of health and social risk behaviours, indicating the need for an alignment of broader public health interventions within clinical and community-based suicide prevention activities. The experience of suicidality may be an important catalyst for a broader psychosocial conversation and assessment of health and social risk behaviours, some of which may be modifiable. These behaviours may not carry an imminent risk of premature death, such as from suicide, but they carry profound health and social consequences if left unaddressed.

中文翻译：

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发生自杀念头和行为的男性中，健康和社会风险行为的患病率很高：必须进行全面评估。

目的我们旨在研究自杀的思想和行为是否与广泛的健康和社会风险行为独立相关。方法我们对参与澳大利亚男性健康纵向研究的13763名成年男性的数据进行了横断面分析。我们采用广义线性模型进行拟合，以通过自杀思想和行为状态来估计跨多个领域从事一系列健康和社会风险行为的相对风险。结果近期有自杀意念（相对危险度范围1.10-5.25）和终生自杀企图（相对危险度范围1.10-7.65）的男性从事各种健康和社会风险行为的风险较高。自杀思想和行为与健康和社会风险行为之间的关联通常独立于社会人口统计学，在许多情况下也独立于抑郁症状。结论自杀的思想和行为与参与多种健康和社会风险行为的风险增加重叠，这表明需要在临床和社区自杀预防活动中纳入更广泛的公共卫生干预措施。自杀的经验可能是促进广泛的社会心理对话以及对健康和社会风险行为进行评估的重要催化剂，其中一些行为可能是可修改的。这些行为可能不会带来诸如自杀之类的过早死亡的迫在眉睫的风险，但是如果不加以解决，它们将对健康和社会产生深远的影响。