Predictors of re-attempt in a cohort of suicide attempters: A survival analysis

Irigoyen, Maria Cláudia; Porras-Segovia, Alejandro; Galván, Leonardo; Puigdevall, Margarita; Giner, Lucas; León, Santiago; Baca‐García, Enrique

doi:10.1016/j.jad.2018.12.050

Cited by 76 publications

(58 citation statements)

References 42 publications

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“…However, a rate of patients with more than one registered episode of 19.4% during the 5 years of study, is similar to widely cited rates of 16% at 1 year and 23% at 4 years [50], and in other studies in our country as the 20.1% reported by Parra-Uribe also in a 5-year study [51] or Irigoyen with 18.9% at 2 years [52].…”

Section: Discussionsupporting

confidence: 89%

Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and the Relationship with a Nurse-Led Suicide Prevention Program.

Pons-Baños¹,

Ferrando²,

Riesco-Miranda³

et al. 2020

Preprint

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(1) Aims: To analyse the relationship between demographic and clinical characteristics and particular kinds of suicidal behaviour and its relationship with a nurse-led suicide prevention program. (2) Methods: A 5-year cross-sectional study design. Study performed in the region of Osona (Catalonia) during 2013-2017. Suicidal behaviour was classified as suicidal ideation, interrupted self-directed violence, suicide attempt and completed suicide. (3) Results: The sample included 753 patients ─ of whom 53 died by suicide─ and encompassed 931 suicidal behaviour episodes. Men represented 38.4% of the sample but 81.1% of deaths by suicide. Mental disorders were associated with suicidal behaviour in 75.4% of the sample. 66.4% of the individuals were engaged in the nurse-led Suicidal Behaviour Case Management Program, of which 0.8% (n=4) died by suicide. (4) Conclusion: The main risk factors were female sex for suicidal behaviour, and male sex and older age for suicide. Mental disorders, widowhood and retirement were also associated with suicide. A high proportion of patients was engaged to the nurse-led suicide prevention program with a low proportion of suicides.

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Section: Discussionsupporting

confidence: 89%

Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and the Relationship with a Nurse-Led Suicide Prevention Program.

Pons-Baños¹,

Ferrando²,

Riesco-Miranda³

et al. 2020

Preprint

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“…These results are in line with previous research suggesting that longer duration of NSSI is associated with increased risk of suicide attempts (41,42), that suicide attempts are one of the most important risk factors for re-attempts (43), and that the highest risk of re-attempts is relatively shortly after the rst suicide attempt (43). A possibility as to why NSSI elevates the risk of suicide attempts was made by…”

Section: Age Of Onset Duration and Repeated Suicide Attemptssupporting

confidence: 90%

Is Age of Self-Harm Onset Associated With Increased Frequency of Non-Suicidal Self-Injury and Suicide Attempts in Adolescent Outpatients?

Brager-Larsen

Klungsøyr

Mehlum

2021

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Background Self-harm in adolescents is an increasing public health concern and an important risk factor for suicide. We aimed to examine how age of self-harm onset in adolescents was associated with frequency of subsequent suicidal and non-suicidal self-harm (NSSI) episodes, and how age of onset and duration of self-harm may influence the frequency of self-harm. Methods Data from 103 adolescents with recurrent self-harm recruited from child and adolescent psychiatric outpatient clinics were collected through clinical interviews and self-reports, and analysed with negative binomial and hurdle models. Results A lower age of self-harm onset and a longer duration of self-harm were both significantly associated with increased frequency of subsequent episodes of NSSI and risk of a first suicide attempt. There was an increase in repeated suicide attempts when the age of onset of self-harm decreased and the duration increased, and dramatically more for long duration of NSSI before first suicide attempt. Conclusion Initiating self-harm behaviour at the youngest age had the highest risk of increased frequency of NSSI and suicide attempts. Longer duration of self-harm behaviour increased this risk. This underlines the importance of early identification of self-harm behaviour in adolescents, and the use of effective interventions.

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“…The data collected retrospectively from electronic medical charts included the patient's age, sex, 12 past medical history, 4 number of combinations of psychotropic medications, [13][14][15] any previous suicide attempt within 5 years, 9 whether there was an organized plan for the patient, 16 the presence of anxiety and/or insomnia while in the hospital, 17 and whether the patient had family and/or social support. We considered patients have an organized plan when they have persistent thought of death and planning to collect medications for overdose and/or when psychiatrists judged not impulsive.…”

Section: Datamentioning

confidence: 99%

Recurrence of Overdose Suicide Attempt Index: A Novel Scoring System for Predicting the Recurrence of Intentional Overdose

Hirose

Kasugai

Tajima

et al. 2020

Preprint

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Aim: Repeated suicide attempts through intentional overdose are not infrequent, but little is known about the risk factors for intentional overdose. We aimed to investigate risk factors for the recurrence of intentional overdose within 1 year of discharge and to develop an index that predicts recurrence.Methods: This retrospective observational study included 419 patients admitted to our hospital between 2011 and 2018 because of an intentional overdose. Of them, 43 (10.0%) repeated an overdose within 1 year of discharge. The risk factors with the highest odds ratios in multivariate logistic regression analysis were used to develop an index Recurrence of Overdose Suicide Attempt. The predictive value of this index for recurrence was compared with that of the existing SAD PERSONS scale.Results: The following variables were significantly associated with recurrence and were included in the index: anxiety and/or insomnia at discharge; use of five or more psychotropic drugs; a neurotic, stress-related, or somatoform disorder; and female sex (odds ratios: 4.24; 5.52; 2.41; and 3.41, respectively). The newly developed index was a significantly better predictor of recurrence than the SAD PERSONS scale (area under the receiver operating characteristics curve, 0.797 vs. 0.668; p = 0.007). Sensitivity, specificity, and positive and negative predictive values for Recurrence of Overdose Suicide Attempt > 4 points (out of 6) were 72.1%, 75.8%, 25.4%, and 96.0%, respectively.Conclusion: The novel index can predict the recurrence of intentional overdose with a good negative predictive value and may therefore be a useful screening tool for this high-risk population.

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Predictors of re-attempt in a cohort of suicide attempters: A survival analysis

Cited by 76 publications

References 42 publications

Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and the Relationship with a Nurse-Led Suicide Prevention Program.

Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and the Relationship with a Nurse-Led Suicide Prevention Program.

Is Age of Self-Harm Onset Associated With Increased Frequency of Non-Suicidal Self-Injury and Suicide Attempts in Adolescent Outpatients?

Recurrence of Overdose Suicide Attempt Index: A Novel Scoring System for Predicting the Recurrence of Intentional Overdose

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