Suicide risk factors across suicidal ideators, single suicide attempters, and multiple suicide attempters

Park, C. Hyung Keun; Lee, Jae Won; Lee, Sang Yeol; Moon, Jung-Joon; Jeon, Dong-Wook; Shim, Se-Hoon; Cho, Seong Jin; Kim, Shin Gyeom; Lee, Jeewon; Paik, Jong Woo; Kim, Min-Hyuk; You, Sungeun; Jeon, Hong Jin; Rhee, Sang Jin; Kim, Min Ji; Kim, Jung-Hyun; Ahn, Yong Min

doi:10.1016/j.jpsychires.2020.08.018

Cited by 37 publications

(19 citation statements)

References 38 publications

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“…This is consistent with findings that greater stress was significantly correlated with more negative psychological effects in both patients with severe acute respiratory syndrome and healthy control subjects (50). Previous studies also indicated that people under higher levels of stress, which might have come from work, family, or traumatic life events, were more vulnerable to suicidal behavior compared with control groups (51,52). Moreover, a higher probability of mental health problems and suicidal behavior was also identified among individuals who experienced changes in lifestyle and who reported alcohol use during the pandemic.…”

Section: Discussionsupporting

confidence: 90%

“…As a consequence of school closures, students' daily routines have changed dramatically, such as a reduction of social contacts and an increase of problem internet use, which can result in a higher incidence of mental health problems and suicidal behavior (53,54). Furthermore, previous studies suggested that alcohol abuse was a major risk factor for mental health problems and suicidal behavior because of increases in impulsive and aggressive behaviors (51,(55)(56)(57).…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Risk Factors of Mental Health Symptoms and Suicidal Behavior Among University Students in Wuhan, China During the COVID-19 Pandemic

Jiang

et al. 2021

Front. Psychiatry

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Background: University students who are exposed to coronavirus disease 2019 (COVID-19) could be mentally distressed. We aimed to evaluate the pattern and risk factors of mental health and suicidal behavior among students who experienced long-term school closure due to the COVID-19 pandemic.Methods: This large-sample, cross-sectional, online survey was conducted from June 29, 2020, to July 18, 2020. Eleven thousand two hundred fifty four participants were recruited from 30 universities located in Wuhan, Hubei Province, China. The prevalence of symptoms of depression, anxiety, insomnia, and posttraumatic stress disorder (PTSD) and suicidal behavior was evaluated using the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Insomnia Severity Index, Posttraumatic Stress Disorder Checklist for DSM-5, and questions about suicidal ideation and attempts, respectively. Logistic regression was used to explore risk factors for mental health problems and suicidal behavior.Results: The prevalence of mental health problems was 41.5% for depressive symptoms, 32.6% for anxiety symptoms, 35.0% for insomnia symptoms, 8.5% for PTSD symptoms, and 2.0% for suicidal behavior. Participants with high stress during the pandemic were at higher risk of symptoms of depression [adjusted odds ratio (OR) = 1.67, 95% confidence interval (CI) = 1.43–1.95, p < 0.01), anxiety (adjusted OR = 1.90, 95% CI = 1.63–2.23, p < 0.01), insomnia (adjusted OR = 1.64, 95% CI = 1.44–1.87, p < 0.01), PTSD (adjusted OR = 1.71, 95% CI = 1.38–2.11, p < 0.01) and suicidal behavior (adjusted OR = 3.51, 95% CI = 2.28–5.40, p < 0.01). Distant relationship with parents, changes in lifestyle and alcohol use during the pandemic were associated with higher risk of mental health symptoms and suicidal behavior, whereas regular physical exercise reduced the risk of mental health problems.Conclusions: The psychological symptoms and suicidal behavior were relatively high among students who attended university in Wuhan, China after 6 months of the COVID-19 outbreak in China. Comprehensive mental health services and suicide prevention strategies are essential for university students during the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Mental Health Symptoms and Suicidal Behavior Among University Students in Wuhan, China During the COVID-19 Pandemic

Jiang

et al. 2021

Front. Psychiatry

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“… 19 The distribution of age, gender, coexisting psychiatric illnesses, and personality disorders were consistent with several previous studies that reported mental illnesses as risk factors for suicide. 20 , 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

Suicidal attempts and self‐poisoning: 1‐year retrospective cohort study from the quaternary hospital in Thai metropolitan area

Thumtecho

Sriworasuwat

Wainipitapong

2022

Health Science Reports

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Background and Aims In Thailand, suicide is the leading cause of death among middle‐aged adults. We believe suicide characteristics depend on different cultural/socioeconomic status. This study aimed to describe the characteristics and associated factors of suicidal attempts by self‐poisoning in Bangkok, the metropolitan city of Thailand. Methods Records of all patients visiting the emergency department of King Chulalongkorn Memorial Hospital, Bangkok, Thailand, with self‐poisoning suicidal attempts throughout 2021 were collected and analyzed. Results Self‐poisoning accounted for 110 attempts (by 74 patients). Females aged 11–30 were the most prevalent group. Pharmaceutical agents were commonly used. Most patients (86.4%) had underlying psychiatric illness(es), mostly major depressive disorder. Female, history of psychiatric illness and follow‐ups, personality comorbid, and previous attempts reached statistical significance by univariate regression for factors associated with reattempting suicide, but only personality comorbid was significant from multivariable study ( p = 0.02). Reattempting mostly recurred within 8 days after the prior attempt. Conclusion Majority of self‐poisoned patients in Bangkok were young adults taking medications, which differs from the overall Thai population where most instances involve patients of older patients (30–50 years) and ingestion of agricultural substances. Appropriate strategies are needed for specific psychosocial/socioeconomic contexts and within the critical period after previous nonfatal attempts.

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“…Suicides may be far more common than this figure, as they are frequently under-reported for a variety of societal, economic, and political reasons (Pattonet al, 2009 and Soron, 2018a) [ 25 ]. Suicide is often the result of comprehensive effects of many factors [ 26 ]. The mortality rate of male suicide is higher than that of female suicide.…”

Section: Discussionmentioning

confidence: 99%

Trend analysis and prediction of injury death in Xi’an city, China, 2005-2020

Zhang

Chen

et al. 2022

Arch Public Health

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Background Injury is an important cause of death in China. In the present study, we systematically analyzed the epidemiological characteristics and trends of injury death in Xi’an residents from 2005 to 2020. Methods Data on injury deaths from 2005 to 2020 were obtained from the “Xi’an Center for Disease Control and Prevention”, injury deaths were classified according to the International Classification Disease-10th Revision (ICD-10). The data were stratified by gender, age groups, injury types, and then overall and type-specific injury mortality rates were estimated. Joinpoint regression analysis was conducted to estimate annual percent change (APC). The grey interval predicting method was used to predict the future characteristics of injury deaths in Xi’an city. Results From 2005 to 2020, injury caused 32,596 deaths (5.79% of all deaths; 35.71/100000 population). Injury mortality rates were higher among males than females. Motor vehicle traffic accidents were the commonest injury type. The highest injury mortality rates were in those aged 85 years or older. Overall, Joinpoint regression analysis revealed that injury mortality had significantly (p < 0.05) decreasing trends. GM (1,1) model estimated that injury mortality will be on a declining curve. Conclusions Motor vehicle traffic accidents, transport accidents other than motor vehicles, unintentional falls, suicide, and accidental poisoning are the main causes of injury. The injury death rate is projected to decline over the next decade.

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Suicide risk factors across suicidal ideators, single suicide attempters, and multiple suicide attempters

Cited by 37 publications

References 38 publications

Prevalence and Risk Factors of Mental Health Symptoms and Suicidal Behavior Among University Students in Wuhan, China During the COVID-19 Pandemic

Prevalence and Risk Factors of Mental Health Symptoms and Suicidal Behavior Among University Students in Wuhan, China During the COVID-19 Pandemic

Suicidal attempts and self‐poisoning: 1‐year retrospective cohort study from the quaternary hospital in Thai metropolitan area

Trend analysis and prediction of injury death in Xi’an city, China, 2005-2020

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