Medically serious versus non-serious suicide attempts: Relationships of lethality and intent to clinical and interpersonal characteristics

Horesh, Netta; Levi, Yossi; Apter, Alan

doi:10.1016/j.jad.2011.11.035

Cited by 74 publications

(69 citation statements)

References 43 publications

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“…The distribution of methods for attempting suicide is in line with other studies (Horrocks, Price, House, & Owens, 2003). Overdosing has been associated with higher rates of repeat attempts (Arensman, Corcoran, & Fitzgerald, 2011), while high lethality methods have a higher risk of subsequent suicide (Bergen, Hawton, Waters, Cooper, & Kapur, 2010;Horesh, Levi, & Apter, 2012;Runeson, Tidemalm, Dahlin, Lichtenstein, & Langstrom, 2010).…”

Section: Discussionsupporting

confidence: 79%

Suicide Ideation Is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicide

Gysin-Maillart¹,

Soravia²,

Gemperli³

et al. 2016

Archives of Suicide Research

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Section: Discussionsupporting

confidence: 79%

Suicide Ideation Is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicide

Gysin-Maillart¹,

Soravia²,

Gemperli³

et al. 2016

Archives of Suicide Research

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“…Further, medically serious suicide attempts among middle-aged samples are associated with difficulty communicating emotions to others (20, 21). Thus, problems recognizing, labeling, understanding, and communicating emotions may undermine timely help-seeking for mental health concerns (22) and underlie risk for suicidal behavior and lead to difficulties answering the question, “why did you attempt suicide?” Many of the older adults in our sample may not have fully understood their reasons for attempting suicide and/or have difficulties conveying that information to others.…”

Section: Discussionmentioning

confidence: 99%

Reasons for Attempted Suicide in Later Life

Orden

Wiktorsson

Duberstein

et al. 2015

The American Journal of Geriatric Psychiatry

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Objectives Using the Interpersonal Theory of Suicide as a guiding framework, we investigated older adults' causal attributions for suicidal behavior. We hypothesized that older adults who attributed their suicidal behavior to thwarted belongingness or perceived burdensomeness would be more likely to use more immediately lethal means and to re-attempt suicide during the 12-month follow-up. Design Prospective cohort study in western Sweden. Participants A total of 101 older adults who presented to medical emergency rooms for suicide attempts. Measurements Participants were asked why they attempted suicide. Results Attributions included: a desire to escape (n=29), reduced functioning and autonomy (n=24), psychological problems, including depression (n=24), somatic problems and physical pain (n=16), perceived burdensomeness (n=13), social problems that reflected either thwarted belongingness or family conflict (n=13) and lack of meaning in life (n=8); 41 participants provided more than one reason. No specific reason was given by 28 participants, 15 of whom reported not understanding or remembering why they attempted suicide and 13 reported simply wanting to die (or go to sleep and not wake up). As hypothesized, patients who attributed the attempt to thwarted belongingness were more likely to use more immediately lethal means for their index attempt and were more likely to re-attempt during follow-up. This was not the case for those reporting burdensomeness. Conclusions People who attribute suicide attempts to thwarted belongingness use more lethal methods and have a poorer prognosis. Replications across diverse cultural settings are needed to determine whether attributing suicide attempts to thwarted belongingness may warrant increased monitoring.

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“…Some studies have demonstrated an important correlation (Horesh, Levi, & Apter, 2012), while others only a small association (Brown, Henriques, Sosdjan, & Beck, 2004), but all concur that individuals who have accurate expectations about the likelihood of dying from their attempts, commit more serious attempts. Other studies have shown a positive relationship between the degree of suicide intent and the lethality of suicide methods (Harriss, Hawton, & Zahl, 2005;Haw, Hawton, Houston, & Townsend, 2003;Zhang & Xu, 2007): the stronger the suicide intent, the more lethal the means chosen by the attempter.…”

Section: Suicide Continuummentioning

confidence: 96%

“…More specifically, among depressed patients the presence of melancholia appears to be associated with more serious past suicide attempts and with a greater probability of future suicide (Grunebaum, Galfalvy, Oquendo, Burke, & Mann, 2004). It has also been found that the lethality of suicide attempts increases with hopelessness (Fairweather-Schmidt et al, 2010): in these cases, the suicide attempt is usually more planned, with more precautions against discovery and without communication before or during the attempts (Horesh et al, 2012;Levi, Horesh, & Apter, 2011). Others studies have hypothesized that the severity of suicide attempts among depressed patients increases in the presence of factors that reduce inhibitions toward suicidal behavior (Pezawas et al, 2002) and in the case of comorbidity with attention deficit disorder (Nasser & Overholser, 1999).…”

Section: Mental Disordersmentioning

confidence: 99%

“…Horesh et al (2012) Depression Suicidal individuals with depression and hopelessness who cannot express their pain to others are at high risk of committing a medically serious suicide attempt. Koeda et al (2012) Schizophrenia Schizophrenic patients tend to use more violent and lethal suicide attempt methods than patients diagnosed with mood disorders.…”

Section: Studymentioning

confidence: 99%

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