The Repetition of Suicidal Behavior

Kapur, Navneet; Cooper, Jayne; King-Hele, Sarah; Webb, Roger; Lawlor, Martin; Rodway, Cathryn; Appleby, Louis

doi:10.4088/jcp.v67n1016

Cited by 151 publications

(134 citation statements)

References 37 publications

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“…The repetition rate of 2.7% (n=9) at one year follow up is substantially lower than the rates of repetition reported in the West, where the estimated one year repetition rate of non-fatal self-harm has been reported to be 16.3% [2,3,6,11]. A limitation of this study is that only 35.3% of the original sample was available for follow-up.…”

Section: Discussionmentioning

confidence: 61%

“…Sri Lanka has an increasing rate of non-fatal self-harm by self-poisoning, but data on repetition rates are limited [4]. The SUPRE-MISS longitudinal follow-up study [5] reported that the repetition rate at 18 months in Sri Lanka was 4% (treatment as usual group) -substantially lower than the estimated one year repetition rate of 16% reported in the West [3,6]. In contrast, the rate of previous selfharm in those who have died by suicide in Sri Lanka has been reported to be as high as 26% [7,8].…”

Section: Introductionmentioning

confidence: 99%

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Repetition rate after non-fatal self-poisoning in Sri-Lanka: a one year prospective longitudinal study

et al. 2016

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Introduction Attempted or non-fatal self-poisoning is an important public health problem in Sri Lanka. Current evidence from Sri Lanka suggests that this phenomenon is more common among young people, and females, and is associated with a recent interpersonal conflict. International studies indicate that recent non-fatal selfharm is associated with an increased risk of repetition and completed suicide. Prospective follow-up data regarding rates of repetition of self-harm in Sri Lanka is limited.Objectives The aim of this study was to describe the rate of repetition, and rate of suicidal ideation, at one-year follow up among those who have survived an act of selfpoisoning.Methods Participants who presented to the toxicology unit, Teaching Hospital Peradeniya over a 14-month period, for medical management of non-fatal self-poisoning, were contacted by telephone one-year following the initial presentation.Results A total of 949 persons were included in the study, of which 35.3% (n=335) were contactable at one-year follow-up. The rate of repetition of self-harm after one year was 2.5% and 2.7% of participants had suicidal ideation at one-year follow-up.Conclusions The rate of repetition of self-harm in Sri Lanka is lower than the rate reported in the West (15%).

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Section: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Repetition rate after non-fatal self-poisoning in Sri-Lanka: a one year prospective longitudinal study

et al. 2016

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“…Another misconception concerns the level of risk posed by self-cutting, often regarded as minimal in health care settings. In fact those who cut may have features indicative of high risk (Horrocks, Price, House, & Owens, 2003), tend to receive poor services (Horrocks et al, 2003;Kapur et al, 2008), and are more likely to repeat self-harm (Kapur et al, 2006) and die by suicide (Cooper et al, 2005) than those who poison themselves.…”

Section: Self-harm and Suicidementioning

confidence: 99%

Health services and suicide prevention

Kapur¹

2009

Journal of Mental Health

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“…These include socio-demographic factors such as age (Christiansen and Jensen, 2007;Corcoran et al, 2004), unemployment (Tejedor et al, 1999), not being married (Kreitman and Foster, 1991) or low educational level (Christiansen and Jensen, 2007) which have been associated with repetition of suicidal behaviour (Osvath et al, 2003). Clinical factors include lethality of the index attempt (Gibb et al, 2005), poor physical health (Colman et al, 2004), and mental illness or psychiatric comorbidity, which has been noted to be a risk factor for repetition in studies on parasuicides (Colman et al, 2004;Osvath et al, 2003), non-fatal suicidal behaviours (Kapur et al, 2006) and SAs among inpatients (Spiessl et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Distinguishing the relevant features of frequent suicide attempters

López-Castromán

Perez‐Rodriguez

Jaussent

et al. 2011

Journal of Psychiatric Research

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a b s t r a c tBackground: In spite of the high prevalence of suicide behaviours and the magnitude of the resultant burden, little is known about why individuals reattempt. We aim to investigate the relationships between clinical risk factors and the repetition of suicidal attempts. Methods: 1349 suicide attempters were consecutively recruited in the Emergency Room (ER) of two academic hospitals in France and Spain. Patients were extensively assessed and demographic and clinical data obtained. Data mining was used to determine the minimal number of variables that blinded the rest in relation to the number of suicide attempts. Using this set, a probabilistic graph ranking relationships with the target variable was constructed. Results: The most common diagnoses among suicide attempters were affective disorders, followed by anxiety disorders. Risk of frequent suicide attempt was highest among middle-aged subjects, and diminished progressively with advancing age of onset at first attempt. Anxiety disorders significantly increased the risk of presenting frequent suicide attempts. Pathway analysis also indicated that frequent suicide attempts were linked to greater odds for alcohol and substance abuse disorders and more intensive treatment. Conclusions: Novel statistical methods found several clinical features that were associated with a history of frequent suicide attempts. The identified pathways may promote new hypothesis-driven studies of suicide attempts and preventive strategies.

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The Repetition of Suicidal Behavior

Cited by 151 publications

References 37 publications

Repetition rate after non-fatal self-poisoning in Sri-Lanka: a one year prospective longitudinal study

Repetition rate after non-fatal self-poisoning in Sri-Lanka: a one year prospective longitudinal study

Health services and suicide prevention

Distinguishing the relevant features of frequent suicide attempters

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