Suicide Reattempters

Méndez-Bustos, Pablo; León-Martínez, Victoria de; Miret, Marta; Baca‐García, Enrique; López-Castromán, Jorge

doi:10.1097/hrp.0000000000000001

Cited by 86 publications

(42 citation statements)

References 93 publications

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“…Suicidal ideation is a well-known predictor of suicide attempts in community adolescent samples as well as adults 24–27). In a Norwegian study, the strongest predictor of previous suicide attempts was suicidal ideation.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents

Kwon

Song

Yook

et al. 2016

Clin Psychopharmacol Neurosci

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We examined predictors of suicide attempts in clinically depressed adolescents in Korea and gender differences in suicidal behavior. In total, 106 adolescents diagnosed with depressive disorder were recruited in South Korea. We assessed various variables that might affect suicide attempts, and used a structured interview for the diagnosis of depression and comorbidities and to evaluate suicidality. Demographic and clinical characteristics of the subjects were compared between suicide attempt and non-suicide attempt groups and we examined significant predictors of suicide attempts. Gender differences in suicidal ideation and suicidal behavior were also analyzed. Among 106 depressed participants, 50 (47.2%) adolescents were classified in the suicide attempt group. Generally, the suicide attempt and non-suicide attempt group shared similar clinical characteristics. The suicide attempt group had more females, more major depressive disorder diagnoses, more depressive episodes, and higher suicidal ideation than the non-suicide attempt group. Suicidal ideation was the only significant predictor of suicidal attempt, regardless of gender. Higher suicidal ideation frequency scores and more non-suicidal self-injurious behaviors were shown in the female suicide attempt group than the male suicide attempt group. It is recommended that suicidal ideation be assessed regularly and managed rigorously to decrease suicide risks in depressive adolescents.

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Section: Discussionmentioning

confidence: 99%

Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents

Kwon

Song

Yook

et al. 2016

Clin Psychopharmacol Neurosci

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“…Data were analyzed using multivariate logistic regressions for outcomes occurring within 3 months and 12 months of index hospitalization. 2 All models included NSSI history and multiple attempter status as covariates because these are robust prospective predictors of suicide-related outcomes (Hamza et al, 2012; Lopez-Castroman et al, 2011; Mendez-Bustos et al, 2013) and their inclusion allows for inferences about the incremental predictive validity of YSR profiles.…”

Section: Methodsmentioning

confidence: 99%

“…It is well-established that more severe psychopathology in general (including co-occurring internalizing and externalizing symptoms) confers greater risk for suicidal behavior among population, community, and outpatient clinical samples (May and Klonsky, 2016; Mendez-Bustos et al, 2013; Nock et al, 2008). This study extends these findings by examination of YSR psychopathology profiles within an inpatient sample.…”

Section: Future Directionsmentioning

confidence: 99%

Psychopathology profiles of acutely suicidal adolescents: Associations with post-discharge suicide attempts and rehospitalization

Berona

Horwitz

Czyz

et al. 2017

Journal of Affective Disorders

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Background Suicidal adolescents are heterogeneous, which can pose difficulties in predicting suicidal behavior. The Youth Self-Report (YSR) psychopathology profiles predict the future onset of psychopathology and suicide-related outcomes. The present study examined the prevalence and correlates of YSR psychopathology profiles among suicidal adolescents and prospective associations with post-discharge rates of suicide attempts and psychiatric rehospitalization. Methods Participants were acutely suicidal, psychiatrically hospitalized adolescents (N=433 at baseline; n=355 at follow-up) who were enrolled in a psychosocial intervention trial during hospitalization. Psychopathology profiles were assessed at baseline. Suicide attempts and rehospitalization were assessed for up to 12 months following discharge. Results Latent profile analysis identified four psychopathology profiles: subclinical, primarily internalizing, and moderately and severely dysregulated. At baseline, profiles differed by history of non-suicidal self-injury (NSSI) and multiple suicide attempts (MA) as well as severity of suicide ideation, hopelessness, depressive symptoms, anxiety symptoms, substance abuse, and functional impairment. The dysregulation profiles predicted suicide attempts within 3 months post-discharge. The internalizing profile predicted suicide attempts and rehospitalization at 3 and 12 months. Limitations This study’s participants were enrolled in a randomized trial and were predominantly female, which limit generalizability. Additionally, only a history of NSSI was assessed. Conclusions The dysregulation profile was overrepresented among suicidal youth and associated with impairment in several domains as well as suicide attempts shortly after discharge. Adolescents with a severe internalizing profile also reported adverse outcomes throughout the study period. Psychopathology profiles warrant further examination in terms of their potential predictive validity in relation to suicide-related outcomes.

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“…Expected reattempt rate is about 18% [ 6 , 16 ]. We hope to reduce this rate to 9% in the intervention group.…”

Section: Methodsmentioning

confidence: 99%

SIAM (Suicide intervention assisted by messages): the development of a post-acute crisis text messaging outreach for suicide prevention

et al. 2014

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BackgroundSuicidal behaviour and deliberate self-harm are common among adults. Research indicates that maintaining contact either via letter or postcard with at-risk adults following discharge from care services can reduce reattempt risk. Feasibility trials demonstrated that intervention through text message was also effective in preventing suicide repetition amongst suicide attempters. The aim of the current study is to investigate the effect of text message intervention versus traditional treatment on reducing the risk of suicide attempt repetition among adults after self-harm.Methods/designThe study will be a 2-year multicentric randomized controlled trial conducted by the Brest University Hospital, France. Participants will be adults discharged after self–harm, from emergency services or after a short hospitalization. Participants will be recruited over a 12-month period. The intervention is comprised of an SMS that will be sent at h48, D7, D15 and monthly. The text message enquires about the patients’ well-being and includes information regarding individual sources of help and evidence-based self help strategies. Participants will be assessed at the baseline, month 6 and 13. As primary endpoint, we will assess the number of patients who reattempt suicide in each group at 6 months. As secondary endpoints, we will assess the number of patients who reattempt suicide at 13 month, the number of suicide attempts in the intervention and control groups at 6 and 13 month, the number of death by suicide in the intervention and control groups at month 6 and 13. In both groups, suicidal ideations, will be assessed at the baseline, month 6 and 13. Medical costs and satisfaction will be assessed at month 13.DiscussionThis paper describes the design and deployment of a trial SIAM; an easily reproducible intervention that aims to reduce suicide risk in adults after self-harm. It utilizes several characteristics of interventions that have shown a significant reduction in the number of suicide reattempts. We propose to assess its efficacy in reducing suicide reattempt in the suicide attempter (SA) population.Trial registrationThe study was registered on Clinical Trials Registry (clinicaltrials.gov): NCT02106949, registrerd on 06 June 2014.

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Suicide Reattempters

Cited by 86 publications

References 93 publications

Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents

Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents

Psychopathology profiles of acutely suicidal adolescents: Associations with post-discharge suicide attempts and rehospitalization

SIAM (Suicide intervention assisted by messages): the development of a post-acute crisis text messaging outreach for suicide prevention

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