The characteristics of the suicide attempter according to the onset time of the suicidal ideation

Abstract

ObjectiveTo determine the timing of development of suicidal ideation and factors associated therewith in suicide attempters who required psychiatric emergency treatment.MethodsOf a total of 2818 suicide attempters in Japan who presented to the primary or secondary emergency department of Iwate Medical University Hospital (hereinafter, referred to as our hospital) or Iwate Prefecture Advanced Emergency and Critical Care Center (hereinafter, referred to as the emergency center), an affiliated institution to our hospital, during the 12-year period from April 1, 2002–March 31, 2014, 2274 patients for whom the timing of development of suicidal ideation was identified were included in the study. The study subjects were classified into three groups according to the timing of development of suicide ideation: the “same-day” group, those who developed suicidal ideation and attempted suicide on the same day; the “short-term” group, those who developed suicidal ideation 2–7 days before attempting suicide; and the “long-term” group, those who developed suicidal ideation more than 7 days before attempting suicide. Factors associated with the development of suicidal ideation in each group were analyzed by a multiple logistic regression analysis with background factors, the diagnosis according to the ICD and the situations before and after the suicide attempt as explanatory variables.ResultsThe same-day group was characterized by a high female ratio, high global functioning, low stress level, non-depressed status and a lack of seeking consultation. In contrast, the long-term group was characterized by low global functioning and a high stress level, suggesting that these patients exhibit consultation behavior, but have not received psychiatric services. In the short-term group, only male gender was identified as a significant factor.DiscussionFor those patients who developed suicidal ideation and attempted suicide on the same day, treatment strategies focusing on the acquisition of coping skills and stress management are recommended. For those with suicidal ideation lasting for more than a week or recurrent ideation, early detection and subsequent early treatment of such ideation are essential. In intermediate cases, treatment strategies that make the full use of mental health management in the workplace and gate-keeping are likely to be effective.

The association between reattempted suicide and incoming calls to the brief contact intervention service, VigilanS: a study of the clinical profile of callers

“…This reflects the characteristics previously described in other studies on those who attempt suicide [ 36 , 37 ]. The main mode utilized by our sample was the ingestion of drugs, which is also consistent with previous reports [ 38 , 39 ]. However, while 45% of relevant studies described a wide range of alcohol consumption (10 to 73%), a meta-analysis in 2004 identified a mean of 40% [ 40 ], which is again similar to earlier reports from our hospital [ 41 ].…”

Short‐ and long‐term effects of a community‐based suicide prevention program: A Hong Kong experience

“…Various kinds of interventions were specifically designed to address problems identified by the Police and CSRP. Research has shown that suicide attempters, people with self‐harm behaviors, and suicide survivors have higher subsequent risk of suicide (Otsuka et al, 2015; Stallard et al, 2013; Young et al, 2012). This was the driver for the three‐pronged intervention, targeting indicated risk (individual), selective risk (at‐risk subgroups), and universal risk (whole population) (World Health Organziation, 2019; Yip, 2005).…”