Differences Between Patients that Made an Impulsive or Premeditated Suicide Attempt in a Mexican Population

Reyes-Tovilla, Jorge E.; Yánez, Homero Daniel Hernández; Peralta-Jiménez, Yesenia; Ramón-Frías, Teresa; Juárez-Rojop, Isela; Pool-García, Sherezada; Velázquez-Sánchez, Martha Patricia; López-Narvóez, Lilia; Fresán, Ana; Tovilla-Zárate, Carlos Alfonso

doi:10.2190/pm.49.1.e

Cited by 6 publications

(7 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In South Africa, past month frequency of cannabis use was associated with a higher composite measure of suicide risk [ 66 ]. In Mexico, intake of cannabis prior to a suicide attempt was inversely associated with an impulsive or premeditated suicide attempt, while past cannabis use was not associated with any suicide attempt [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Seven of the studies on the association between cannabis use and SIB included only adolescents between the ages of 13 and 18 years old, while the remaining two studies included both adolescents and adults in their sample [ 57 , 70 ]. The studies were predominantly cross-sectional in nature, while one study was a cohort study [ 57 ] and none were case-control or interrupted-time series studies. The studies included in this sub-section were from the EAP [ 50 ], ECA [ 60 , 61 ], LAC [ 57 , 59 ], MNA [ 70 ], and SSA [ 40 , 66 , 69 ] study region while no studies were from the SAS study region.…”

Section: Resultsmentioning

confidence: 99%

“…The studies were predominantly cross-sectional in nature, while one study was a cohort study [ 57 ] and none were case-control or interrupted-time series studies. The studies included in this sub-section were from the EAP [ 50 ], ECA [ 60 , 61 ], LAC [ 57 , 59 ], MNA [ 70 ], and SSA [ 40 , 66 , 69 ] study region while no studies were from the SAS study region. Two of the nine studies were assessed to be of low-quality [ 60 , 69 ].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Substance use and suicidal ideation and behaviour in low- and middle-income countries: a systematic review

2018

View full text Add to dashboard Cite

BackgroundUnderstanding relationships between substance use and suicidal ideation and behaviour (SIB) has important public health implications for suicide prevention in low- and middle-income countries (LMICs), where 75% of suicides occur. This systematic review explored the associations between substance use and SIB in LMICs.MethodsWe searched five databases using a combination of keywords for substance use, SIB and LMICs to identify English-written quantitative studies published between January 2006 and February 2016. Data were extracted to provide an overview of what is known about the topic, highlight gaps in the literature, and explore the implications of current knowledge for suicide prevention. Studies included in the review were assessed for methodological quality using the Scottish Intercollegiate Guidelines Network checklist.ResultsAnalysis of included studies (N = 108) demonstrated a consistent positive association between substance use and SIB across all substances (i.e. alcohol, tobacco, cannabis, illicit drugs, non-medical use of prescription drugs), all substance use dimensions (i.e. intoxication, use, and pathological use) and all SIB dimensions (i.e. suicidal ideation, non-fatal suicidal behaviour, and suicide). Most of the available research evidence comes from upper-middle-income countries, only 22% comes from lower-middle-income and low-income countries. Most studies focused on alcohol and tobacco, while neglecting substances such as cannabis, opioids, sedatives, stimulants, misuse of prescription medication, inhalants, and hallucinogens. Most of the studies employed a cross-sectional design, were conducted within a risk-factor paradigm, and provided little information about the potential interaction between variables.ConclusionsPublic health suicide prevention policy and research in LMICs should take account of the fact that: substance use is a potentially modifiable risk factor; assessment and management of substance use is integral to the care of at-risk patients; reducing consumption and hazardous use of substances in LMICs is important for suicide prevention; and research needs to be expanded to include more theory driven research that focuses on all substance use dimensions and SIB dimensions, while employing more sophisticated statistical methods.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5425-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Substance use and suicidal ideation and behaviour in low- and middle-income countries: a systematic review

2018

View full text Add to dashboard Cite

show abstract

“…( 21 )], Smith et al ( 22 ) suggest that, if suicide is planned, the suicide behavior could not, in these cases, be explained by the impulsive tendency. Reyes-Tovilla et al ( 23 ) verified important differences between people who attempt suicide in an inapposite way and those who premeditate the attempt. The second group tends to try in a more lethal way, has higher rates of comorbidity with alcoholism, and use cannabis besides having lower level of education.…”

Section: Cognition and Suicide Behaviormentioning

confidence: 99%

Cognition As a Therapeutic Target in the Suicidal Patient Approach

et al. 2018

View full text Add to dashboard Cite

The current considerations about completed suicides and suicide attempts in different cultures call the attention of professionals to this serious public health problem. Integrative approaches have shown that the confluence of multiple biological and social factors modulate various psychopathologies and dysfunctional behaviors, such as suicidal behavior. Considering the level of intermediate analysis, personality traits and cognitive functioning are also of great importance for understanding the suicide phenomenon. About cognitive factors, we can group them into cognitive schemas of reality interpretation and underlying cognitive processes. On the other hand, different types of primary cognitive alterations are related to suicidal behavior, especially those resulting from changes in frontostriatal circuits. Among such cognitive mechanisms can be highlighted the attentional bias for environmental cues related to suicide, impulsive behavior, verbal fluency deficits, non-adaptive decision-making, and reduced planning skills. Attentional bias consists in the effect of thoughts and emotions, frequently not conscious, about the perception of environmental stimuli. Suicidal ideation and hopelessness can make the patient unable to find alternative solutions to their problems other than suicide, biasing their attention to environmental cues related to such behavior. Recent research efforts are directed to assess the possible use of attention bias as a therapeutic target in patients presenting suicide behavior. The relationship between impulsivity and suicide has been largely investigated over the last decades, and there is still controversy about the theme. Although there is strong evidence linking impulsivity to suicide attempts. Effective interventions address to reduce impulsivity in clinical populations at higher risk for suicide could help in the prevention. Deficits in problem-solving ability also seem to be distorted in patients who attempt suicide. Understanding cognitive changes in patients who attempt suicide open an important perspective in the approach of patients with mental disorders. Identifying cognitive deficits in these patients, along with personality traits, depressive symptoms, and suicidal cognitive schemas may indicate to the psychiatrist the need for emergency care. Behavioral and cognitive interventions have been associated with reductions in suicide ideation, as well as suicide attempts in different populations.

show abstract

The role of premeditation in suicide: Identifying factors associated with increased planning among suicide decedents

et al. 2023

View full text Add to dashboard Cite

IntroductionSuicide premeditation is a critical factor to consider when assessing suicide risk. Understanding which individuals are more or less likely to plan their suicidal behavior can shed light on how suicidal thoughts turn into actions.MethodThe present study used psychological autopsy data to identify factors associated with level of premeditation among 131 adults who died by suicide.ResultsLogistic regression analyses indicated that suicide decedents with higher premeditation scores had higher odds of being diagnosed with a depressive disorder and choosing a violent suicide method, specifically a firearm. Individuals with lower premeditation scores had higher odds of being diagnosed with a polysubstance use disorder.ConclusionSuicide decedents exhibiting greater premeditation before their deaths were different in several ways from suicide decedents exhibiting less premeditation. A better understanding of suicide premeditation can ultimately aid in the development of improved risk assessments and targeted safety interventions for those struggling with suicidal thoughts.

show abstract

Differences Between Patients that Made an Impulsive or Premeditated Suicide Attempt in a Mexican Population

Cited by 6 publications

References 23 publications

Substance use and suicidal ideation and behaviour in low- and middle-income countries: a systematic review

Substance use and suicidal ideation and behaviour in low- and middle-income countries: a systematic review

Cognition As a Therapeutic Target in the Suicidal Patient Approach

The role of premeditation in suicide: Identifying factors associated with increased planning among suicide decedents

Contact Info

Product

Resources

About