Comparison of impulsive and nonimpulsive suicide attempt patients treated in the emergency departments of four general hospitals in Shenyang, China

Wei, Shengnan; Liu, Lei; Bi, Bo; Li, Haiyan; Hou, Jinglin; Chen, Wenxue; Tan, Sonny; Chen, Xiaoming; Jia, Xiaoju; Dong, Guang‐Hui; Qin, Xiaoxia

doi:10.1016/j.genhosppsych.2012.10.015

Cited by 23 publications

(29 citation statements)

References 22 publications

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“…Impulsive suicidal attempts comprised a substantial proportion of suicide attempts in a given period in the clinic. The rate of impulsive attempts in the present study (about 48%) is similar to that reported in certain studies[ 21 23 26 ] but higher than the rate reported in others. [ 4 27 ] Studies have used different operational definitions for classifying suicide attempts as impulsive.…”

Section: Discussionsupporting

confidence: 90%

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Stressful life events, hopelessness, and coping strategies among impulsive suicide attempters

Kattimani

Sarkar

Rajkumar

et al. 2015

Journal of Neurosciences in Rural Practice

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Background:Suicides are among the most important causes of death in the economically productive population. Characteristics of impulsive and nonimpulsive suicide attempters may differ which would have a bearing on planning preventive measures.Aims:This study aimed to characterize the clinical and psychological profile of impulsive and nonimpulsive suicide attempters.Settings and Design:This retrospective comprehensive chart-based study was conducted at a tertiary care hospital in South India.Methods:The study utilized records of patients over a period of 3 years. An attempt was considered impulsive if the time between suicidal idea and the attempt was <30 min. Stressful life events were assessed using presumptive stressful life events scale; hopelessness was evaluated using Beck Hopelessness Scale (BHS) and coping was measured using Coping Strategies Inventory Short Form.Statistical Analysis Used:Impulsive and nonimpulsive suicide attempters were compared using appropriate inferential statistical tests.Results:Of 316 patients, 151 were classified as having an impulsive suicidal attempt (47.8% of the sample). The impulsive and nonimpulsive suicide attempters did not differ on demographic characteristics. Use of natural plant products was more common in impulsive attempters (27.2% vs. 12.7%), while physical methods like hanging was less common (0.7% vs. 7.3%). Those with an impulsive attempt were more likely to have a recent contact with a health professional (24.5% vs. 4.5%). Impulsive suicide attempters had higher scores on BHS (Mann–Whitney U = 7680.5, P < 0.001), and had recollected greater number of stressors.Conclusion:Impulsive suicide attempters differ from nonimpulsive suicide attempters in clinical features like methods of attempt, presence of hopelessness, and stressors.

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Section: Discussionsupporting

confidence: 90%

“…Previous researchers have also used time-based criteria for defining impulsive suicide attempts. [ 4 21 22 23 ]…”

Section: Methodsmentioning

confidence: 99%

Stressful life events, hopelessness, and coping strategies among impulsive suicide attempters

Kattimani

Sarkar

Rajkumar

et al. 2015

Journal of Neurosciences in Rural Practice

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“…These differences may be due to the existence of two different people who have attempted suicide and they form a different dimension. Building on our previous studies [ 16 , 35 , 36 ], we hypothesized that key differences are extant in the personality traits of people with and without psychiatric disorders who have attempted suicide in a mainland Chinese population. This hypothesis is strongly supported by our data.…”

Section: Discussionmentioning

confidence: 99%

Personality traits and suicide attempts with and without psychiatric disorders: analysis of impulsivity and neuroticism

Liu

Zhou

et al. 2017

BMC Psychiatry

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BackgroundThere is a critical need for empirical data concerning the association of personality traits and attempted suicide with and without psychiatric disorders in mainland China. The objective of the present study is to provide such data by determining the prevalence of psychiatric disorders and analyzing the levels of impulsivity and neuroticism among people who have attempted suicide, and to examine the association between these personality traits and suicide attempt in people with or without psychiatric disorders.MethodsWe administered self-reported tests and clinical interviews to 196 people who have attempted suicide who were admitted to a hospital emergency room or our psychiatric settings after a suicide attempt.ResultsOne hundred and fifty-six subjects (79.6%) met the criteria for Axis I disorders and eleven (6.6%) met the criteria Axis II personality disorders. Those who have attempted suicide who did not have psychiatric disorders exhibited a greater degree of background characteristics (e.g., high lethality, more interpersonal conflicts and more alcohol use), lower levels of suicidality (suicide risk, depressive symptoms) and differences of personality traits (e.g., more impulsive and less neuroticism) as compared to those who do have psychiatric disorders. Profile differences existed even after control for the stressful life event.ConclusionOur findings suggest that some personality traits differ between people who have attempted suicide depending on whether or not they have psychiatric disorders. Based on these findings, investigating the impact of personality traits on suicidal behavior in therapeutic settings would provide critical data to improve patient treatment and outcomes.

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“…Impulsivity is an important factor and can be a predictor for suicide which has been identified in many studies [32, 33]. In China, about 50% of suicide attempt can be categorized as impulsivity suicide [34].…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Chinese rural young suicides: Who did not have a strong intent to die

Sun¹,

Zhang²

2015

Comprehensive Psychiatry

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Background In exploration of the risk factors of the Chinese rural young suicide, previous researchers found low prevalence of mental problems, high degree of impulsivity, and great proportion of lethal pesticide consumption. It noticed that some of the young suicides in rural China did not intend to die from the suicidal behavior which was only instrumentally used for certain gains. Aims This study aims to look into the characteristics of those young suicides who did not really intend to die and compare them with those young suicides who had a strong intent to die. Methods Subjects were 386 suicides aged 15-34 years in the rural areas of three provinces in China. The data were obtained by psychological autopsy method. The degree of suicidal intent of the subjects was evaluated by the first 8 items of Beck’s Suicide Intent Scale (SIS). Results It was found that those suicides who had a strong intent of death were more likely to have higher age, more years of education, live alone, and suffer mental disease. On the other hand, the low intent suicides were more likely to have pesticides at home and to be impulsive. In other words, pesticides and impulsivity killed some Chinese rural young men and women who did not really want to die by suicide. Conclusion Findings of the study may be translated into practical measures in suicide prevention in China as well as elsewhere in the world.

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Comparison of impulsive and nonimpulsive suicide attempt patients treated in the emergency departments of four general hospitals in Shenyang, China

Cited by 23 publications

References 22 publications

Stressful life events, hopelessness, and coping strategies among impulsive suicide attempters

Stressful life events, hopelessness, and coping strategies among impulsive suicide attempters

Personality traits and suicide attempts with and without psychiatric disorders: analysis of impulsivity and neuroticism

Characteristics of Chinese rural young suicides: Who did not have a strong intent to die

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