Completed Suicide After a Suicide Attempt: A 37-Year Follow-Up Study

Suominen, Kirsi; Isometsä, Erkki; Suokas, Jaana; Haukka, Jari; Achté, Kalle; Lönnqvist, Jouko

doi:10.1176/appi.ajp.161.3.562

Cited by 528 publications

(373 citation statements)

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“…A history of suicidal behaviour is one of the most robust predictors of future suicide (Hawton and van Heeringen, 2009), and is, therefore, frequently the focus of research efforts to better understand the aetiology of suicide (Suominen et al, 2004). Although our knowledge of distal suicide risk factors (e.g., mental disorders) has increased considerably in recent decades (O'Connor and Nock, 2014), how and why certain factors work together to increase suicide risk is unclear.…”

Section: Introductionmentioning

confidence: 99%

A structural test of the Integrated Motivational-Volitional model of suicidal behaviour

Dhingra

Boduszek

O’Connor

2016

Psychiatry Research

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Suicidal behaviours are highly complex, multi-determined phenomena. Despite this, historically research has tended to focus on bivariate associations between atheoretical demographic and/or psychiatric factors and suicidal behaviour. The aim of this study was to empirically test the Integrated Motivational-Volitional model of suicidal behaviour using structural equation modeling. Healthy adults (N = 1, 809) completed anonymous self-report surveys. The fit of the proposed model was good, and explained 79% of variance in defeat, 83% of variance in entrapment, 61% of variance in suicidal ideation, and 27% of variance in suicide attempts. All proposed paths were significant except for those between goal reengagement and two factors of suicide resilience (Internal Protective and External Protective) and suicidal ideation; and impulsivity and discomfort intolerance and suicide attempts. These findings represent a preliminary step towards greater clarification of the mechanisms driving suicidal behaviour, and support the utility of basing future research on the Integrated Motivational-Volitional model of suicidal behaviour.

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Section: Introductionmentioning

confidence: 99%

A structural test of the Integrated Motivational-Volitional model of suicidal behaviour

Dhingra

Boduszek

O’Connor

2016

Psychiatry Research

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“…De hecho, los intentos de suicidio no se incluyen en las estadísticas oficiales, cuando cada vez existen más datos sobre su importancia como factores de riesgo [8][9][10][11][12][13][14] . Harris y Barraclough 15 realizaron un meta-análisis de los estudios de seguimiento de la mortalidad, estimando que quienes intentaron suicidarse tenían una probabilidad de 38 (quienes lo intentaron empleando cualquier método) a 40 (quienes lo intentaron por envenenamiento) veces mayor de cometer suicidio que quienes no presentaron ningún intento.…”

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“…Determinados estudios sobre la población general indican que las tasas de ideación suicida oscilan entre el 2,3% y el 14,1%, y los intentos de suicidio entre el 0,7% y el 2,1%, dependiendo de la definición de suicidio considerada, el periodo de seguimiento y la población estudiada 13,14,17 . La presente investigación tiene como objetivo el análisis de las demandas por conducta suicida al Servicio Provincial de Urgencias y Emergencias de Málaga.…”

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Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga: characteristics and associated factors

2017

An Sist Sanit Navar

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Material y métodos. Esta investigación consiste en un estudio observacional retrospectivo de las demandas registradas en la base de datos de la Empresa Pública de Emergencias Sanitarias durante un año. Las comparaciones y análisis de regresión logística multivariante se realizaron respecto a la edad y sexo de los demandantes y respecto a las siguientes características de las demandas: horas del día, días laborables o festivos, meses del año y trimestres, número de recursos movilizados y tipos de resolución.resultados. Los análisis se realizaron sobre un total de 163.331 llamadas. 1.380 fueron por conducta suicida (0,8%), 9.951 por motivos psiquiátricos (6,1%) y 152.000 por motivos físicos (93%). Las llamadas por conducta suicida fueron realizadas preferentemente por mujeres jóvenes, que solicitan atención durante la tarde y la noche, requiriendo traslado al hospital y la movilización de más de un recurso sanitario. Las demandas por suicidio consumado las realizaron más frecuentemente varones en edades más avanzadas. En el primer trimestre del año se dan más demandas por ideación que por amenaza/intento, mientras que en el tercer trimestre ocurre lo contrario.conclusión. Los resultados indicaron características diferenciales de las llamadas por conducta suicida potencialmente relevantes para la prevención del suicidio. aBstractBackground. Suicidal behaviour (fatal and non-fatal) has become a serious public health problem in many countries. The aim of the study was to describe the differential characteristics of emergency calls due to suicidal behaviour made to the Emergency Coordinating Centre (CCUE) in the province of Málaga, in comparison with calls due to physical or psychiatric problems.Methods. retrospective observational study of the calls recorded in the database of the Public Company for Emergency Health during one year. Multivariate logistic regression analyses were carried out including age, gender and the following variables related with the demand: hours of the day, type of day (working days or bank holidays), months of the year and trimesters, number of resources mobilized and types of resolution.results. The analyses were carried out on 163,331 calls, of which 1,380 calls were due to suicidal behaviour (0.8%), 9,951 for psychiatric reasons (6.1%) and 152,000 for physical reasons (93%). The emergency calls for suicidal behaviour were mainly made by females, between 31-60 years, in the evening and at night, and required transfer to hospital and more than one mobilized resource. Calls due to completed suicide were more frequently made by older men. Calls due to suicidal tendencies predominated over those due to attempted or threatened suicide during the first trimester of the year, while the opposite was the case during the third trimester.conclusions. The results indicated differential characteristics of suicide calls that are potentially relevant for prevention in spite of the limitations of the present study.

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“…Suicide mortality up to fourth decade after a first or an index suicide attempt, respectively, has also been reported (Brådvik 2003, Suominen et al 2004). In the latter study there was a higher risk of late suicide in men than in women.…”

Section: Introductionmentioning

confidence: 95%

Last Suicide Attempt before Completed Suicide in Severe Depression: An Extended Suicidal Process May Be Found in Men Rather Than Women

Brådvik

2013

Archives of Suicide Research

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The case records of 100 suicide victims with severe depression were evaluated. All suicide attempts during the course of depression were noted. The time from last suicide attempt to suicide was compared as well as the occurrence of suicide attempt during the last depressive episode, by gender. Results: Male suicide attempters made fewer suicide attempts than women during their last depressive episode before suicide (8% versus 37%). Conclusion:Men appeared to have a more extended suicidal process from suicide attempt to completed suicide, which ought to be considered in the after-care.3

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Completed Suicide After a Suicide Attempt: A 37-Year Follow-Up Study

Abstract: A history of a suicide attempt by self-poisoning indicates suicide risk over the entire adult lifetime.

Cited by 528 publications

References 5 publications

A structural test of the Integrated Motivational-Volitional model of suicidal behaviour

A structural test of the Integrated Motivational-Volitional model of suicidal behaviour

Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga: characteristics and associated factors

Last Suicide Attempt before Completed Suicide in Severe Depression: An Extended Suicidal Process May Be Found in Men Rather Than Women

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