The Catalonia Suicide Risk Code: A secondary prevention program for individuals at risk of suicide

Pérez, Ví­ctor; Elices, Matilde; Prat, Bibiana; Vieta, Eduard; Blanch, Jordi; Alonso, Jordi; Pifarré, Josep; Mortier, Philippe; Cebrià, Ana Isabel; Campillo, M.; Vila-Abad, Montserrat; Colom, Francesc; Dolz, Montserrat; Molina, C.; Palao, Diego

doi:10.1016/j.jad.2020.03.009

Cited by 23 publications

(16 citation statements)

References 19 publications

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“…The hope is that governments will allocate much more of their budgets to collaborative translational research, as Spain has done with the CIBER consortium, 28 and to health registries. 29,30 In short, virtual conferences and distance learning will be greatly enhanced after the pandemic, and this will spare a lot of travel, although not all. Collaborative research will be enhanced and the speed of knowledge advancement, including in mental health, may be substantially increased.…”

Section: Education and Researchmentioning

confidence: 99%

Psychiatry in the aftermath of COVID-19

Vieta

Pérez

Arango

2020

Revista de Psiquiatría y Salud Mental

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151

116

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Section: Education and Researchmentioning

confidence: 99%

Psychiatry in the aftermath of COVID-19

Vieta

Pérez

Arango

2020

Revista de Psiquiatría y Salud Mental

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151

116

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“…Some other studies have identified risk factors for suicide attempts, such as female sex, being younger than 14 years old, previous psychiatric hospitalizations, previous selfinjury behaviors, previous suicidal behavior, family history of psychopathology and family difficulties, stressful life events, and previous history of psychopathology [8][9][10][11]). As can be seen, a broad range of factors have been pointed out, but more research is needed to clarify and identify which predictive factors are the strongest.…”

Section: Introductionmentioning

confidence: 99%

“…The Catalonia Suicide Risk Code Programme (CSRC Programme) [10] is a protocolbased program consisting of suicidal behavior healthcare and preventive interventions launched by the Department of Health of the Catalan regional government, consisting of three phases: (1) early detection and an initial screening of suicide risk, (2) specialized care, and (3) a clinical assessment and preventive follow-up. This secondary suicide prevention program provides a systematic approach to follow-up care for at-risk subjects to ensure patient engagement with the healthcare system.…”

Section: Introductionmentioning

confidence: 99%

“…The CSRC combines immediate face-to-face specialized care with telephone management. The program includes a clear action pathway designed to shorten the time between the participant's first contact with the health care system and the delivery of specialized mental care [10]. The CSRC reported 465 episodes of suicidal behavior between the ages of 12 and 17 in 2019, with 15.7% becoming re-attempts and 2.7% of these re-attempts dying from suicide.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up

Alvarez-Subiela

Castellano-Tejedor

Verge-Muñoz³

et al. 2022

IJERPH

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Background: This study aims to identify the main predictive factors that allow for the recognition of adolescents with a higher risk of re-attempting suicide. Method: A longitudinal 12-month follow-up design was carried out in a sample of 533 Spanish adolescents between 12 and 17 years old. The data collection period comprised September 2013 to November 2016, including a one-year follow-up after hospital discharge. Results: A statistically significant regression model was obtained to predict suicide re-attempt at 12-months’ follow-up (χ2 = 34.843; p < 0.001; Nagelkerke R2 = 0.105), including personal history of self-injury (OR = 2.721, p < 0.001, 95% CI [1.706, 4.340]) and age (OR = 0.541, p = 0.009, 95% CI [0.340, 0.860]), correctly classifying 82.6% of the sample. Our results show that having a personal history of self-injury and being younger than 14 years old were predictors of suicide re-attempt during the first year after an adolescent’s first admission to emergency services. Conclusions: Considering these factors could contribute to the design of more tailored and effective interventions to prevent suicidal behavior in adolescents at high risk of re-attempting suicide.

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“…Suicide is a major health issue worldwide involving nearly 800,000 deaths per year (1). Identifying risk factors can lead to a better understanding and prevention of this behavior (2). Age, sex, history of previous attempts, genetic predisposition, drug consumption, and early adversity, among others, have been extensively reported as relevant features that can predict a suicide attempt (3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Cognition in Recent Suicide Attempts: Altered Executive Function

et al. 2021

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Background: Neuropsychological alterations can lead to inaccurate perception, interpretation, and response to environmental information, which could be a risk factor for suicide.Methods: Ninety-six subjects were recruited from the Psychiatry Department of the Araba University Hospital—Santiago, including 20 patients with a recent attempt and diagnosis of major depressive disorder (MDD) according to DSM-V, 33 MDD patients with history of attempted suicide, 23 non-attempter MDD patients, and 20 healthy controls. All participants underwent a clinical interview and neuropsychological assessment on the following cognitive domains: working memory, processing speed, decision-making, executive function, and attention. Backward multiple regressions were performed adjusting for significant confounding variables. For group comparisons, ANOVA and Bonferroni post-hoc tests were performed with a p < 0.05 significance level.Results: The patient groups did not differ regarding severity of depression and stressful events in the last 6 months. In comparison to healthy controls, depressed patients with lifetime suicide attempts had more general trauma (p = 0.003), emotional abuse (p = 0.003), emotional negligence (p = 0.006), and physical negligence (p = 0.009), and depressed patients with recent suicide attempts had experienced more child sexual abuse (p = 0.038). Regarding neuropsychological assessment, all patient groups performed significantly worse than did healthy controls in processing speed, decision-making, and attention. Comparisons between patient groups indicated that recent suicide attempters had poorer performance on executive function in comparison to both depressed lifetime attempters and depressed non-attempters (B = 0.296, p = 0.019, and B = 0.301, p = 0.028, respectively). Besides, women with recent attempts had slightly better scores on executive function than males. Regarding the rest of the cognitive domains, there were no significant differences between groups.Conclusion: Executive function performance is altered in recent suicide attempts. As impaired executive function can be risk factor for suicide, preventive interventions on suicide should focus on its assessment and rehabilitation.

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The Catalonia Suicide Risk Code: A secondary prevention program for individuals at risk of suicide

Cited by 23 publications

References 19 publications

Psychiatry in the aftermath of COVID-19

Psychiatry in the aftermath of COVID-19

Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up

Cognition in Recent Suicide Attempts: Altered Executive Function

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