Youth who attempt suicide are more at risk for later mental disorders and suicide. However, little is known about their long-term socioeconomic outcomes.

We investigated associations between youth suicide attempts and adult economic and social outcomes.

Participants were drawn from the Quebec Longitudinal Study of Kindergarten Children (n = 2140) and followed up from ages 6 to 37 years. Lifetime suicide attempt was assessed at 15 and 22 years. Economic (employment earnings, retirement savings, welfare support, bankruptcy) and social (romantic partnership, separation/divorce, number of children) outcomes were assessed through data linkage with government tax return records obtained from age 22 to 37 years (2002–2017). Generalised linear models were used to test the association between youth suicide attempt and outcomes adjusting for background characteristics, parental mental disorders and suicide, and youth concurrent mental disorders.

By age 22, 210 youths (9.8%) had attempted suicide. In fully adjusted models, youth who attempted suicide had lower annual earnings (average last 5 years, US$ −4134, 95% CI −7950 to −317), retirement savings (average last 5 years, US$ −1387, 95% CI −2982 to 209), greater risk of receiving welfare support (risk ratio (RR) = 2.05, 95% CI 1.39 to 3.04) and were less likely to be married/cohabiting (RR = 0.82, 95% CI 0.73 to 0.93), compared with those who did not attempt suicide. Over a 40-year working career, the loss of individual earnings attributable to suicide attempts was estimated at US$98 384.

Youth who attempt suicide are at risk of poor adult socioeconomic outcomes. Findings underscore the importance of psychosocial interventions for young people who have attempted suicide to prevent long-term social and economic disadvantage.

企图自杀的青少年更容易患上后来的精神障碍和自杀。然而，人们对其长期的社会经济结果知之甚少。

我们调查了青少年自杀未遂与成人经济和社会结果之间的关联。

参与者来自魁北克幼儿园儿童纵向研究 ( n = 2140)，并从 6 岁到 37 岁进行了随访。在 15 岁和 22 岁时评估了终生自杀未遂。通过与 22 至 37 岁（2002-2017 年）政府纳税申报记录的数据链接，评估经济（就业收入、退休储蓄、福利支持、破产）和社会（浪漫伙伴关系、分居/离婚、子女数量）结果. 广义线性模型用于测试青少年自杀企图与调整背景特征、父母精神障碍和自杀以及青少年并发精神障碍的结果之间的关联。

到 22 岁时，有 210 名青年（9.8%）曾企图自杀。在完全调整的模型中，企图自杀的青年的年收入较低（过去 5 年平均，-4134 美元，95% CI -7950 至 -317），退休储蓄（过去 5 年平均，-1387 美元，95% CI −2982 至 209），接受福利支持的风险更大（风险比 (RR) = 2.05，95% CI 1.39 至 3.04），结婚/同居的可能性较小（RR = 0.82，95% CI 0.73 至 0.93），与那些没有企图自杀的人相比。在 40 年的职业生涯中，因自杀未遂造成的个人收入损失估计为 98 384 美元。

企图自杀的青少年面临成人社会经济状况不佳的风险。研究结果强调了对试图自杀的年轻人进行心理社会干预以防止长期社会和经济劣势的重要性。