Attempted Suicide in Psychiatric Outpatients with Concurrent Physical Illness

Kontaxakis, V.P.; Christodoulou, George N.; Mavreas, V.; Havaki-Kontaxaki, B.J.

doi:10.1159/000288121

Cited by 19 publications

(12 citation statements)

References 7 publications

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“…In the group not interviewed the so matically ill did only differ significantly from the not somatically ill with respect to age. The higher age and BDI score in patients with a somatic disease is consistent with the results of the earlier mentioned investigation of suicide attempters with and without a so matic disease [ 17], It was found in the investi gation that patients with a somatic disease were older and more often had an affective disorder. Furthermore, in contrast to the present study, the somatically ill were more often psychotic or had an affective disorder.…”

supporting

confidence: 90%

“…An increase in the risk of attempted suicide has been seen in connection with e.g., mi graine and epilepsy [14][15][16], A comparison has been made [ 17] of suicide attempters with concurrent psychiatric and somatic disease and suicide attempters with a psychiatric dis ease alone. It has shown that attempters suf fering both from a somatic and psychiatric disease were found to be older, more often suffered from an organic psychotic condition or affective disorder, and more frequently used violent methods in the attempt.…”

Section: Introductionmentioning

confidence: 99%

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Attempted Suicide, Depression and Physical Diseases: A 1-Year Follow-Up Study

Stenager

Jensen

1994

Psychother Psychosom

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In the period January 1, 1990 to March 31, 1991 a sample of suicide attempters admitted to the Department of Psychiatry, Odense University Hospital, underwent a structured interview. In the study 52% of the patients interviewed were found to suffer from a somatic disease, and 21 % were daily on analgesics for pain. Patients that suffered from a somatic disease differed from other suicide attempters in depression score, age, pain and the presence of psychosis. Fewer of the somatically ill suicide attempters had a psychosis. Patients complaining of pain were more often depressed and abused medicine. Statistically, the risk of repetition of parasuicide for patients with a somatic disease but without depression was significantly less. The 7 patients committing suicide were older and a tendency was found towards painful somatic diseases and depression as risk factors for suicide.

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supporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Attempted Suicide, Depression and Physical Diseases: A 1-Year Follow-Up Study

Stenager

Jensen

1994

Psychother Psychosom

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“…These were often consistent with known risk factors, including physical and psychiatric health complaints(22–24), daily stimulant use(17), violent behavior(19), and previous SI or SA(23). After controlling for overlap among risk factors through multiple logistic regression, the SI and SA were both predicted by past 30-day SI and lifetime SA, while SI was additionally predicted by EuroQol depression/anxiety and SA was additionally predicted by difficulties with violent behavior.…”

Section: Discussionmentioning

confidence: 55%

“…These clinics were part of a large, urban medical center and were considered safety-net clinics in that they served a large number of patients who are low-income and have limited or no health insurance. Few patients in this setting formally seek substance use treatment, and many patients have several suicide risk factors (e.g., high rates of physical and psychiatric illness(22–24), low-income and/or unemployment(25), homelessness, and prior SI and SA(23,26)).…”

Section: Methodsmentioning

confidence: 99%

Prediction of Suicide Ideation and Attempt Among Substance-Using Patients in Primary Care

et al. 2017

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Background Suicide is a major public health concern, particularly among people who use illicit substances and/or non-prescribed medications. Objective The present study prospectively assessed the incidence and predictors of suicidal ideation (SI) and suicide attempt (SA) among such substance-using patients over 12 months after receiving primary care. Design Secondary analysis of data from a randomized clinical trial of screening, brief intervention, and referral to treatment for substance use within seven public, safety-net, primary care clinics. Participants Adults (N=868) who used illicit drugs or non-prescribed medications at least once in the past 90 days prior to the baseline primary care visit and consented to participate. Main Measures At baseline, interviewers assessed demographics, psychiatric symptoms, substance use, psychosocial stressors, treatment service utilization, quality of life, past-month SI, and lifetime SA. Follow-up interviews three, six, nine, and twelve months later assessed past-month SI and any SA since the previous assessment. Key Results Participants reported a high incidence of SI (25.9%) and SA (7.1%) over the year following the baseline primary care visit. In univariate analyses, odds of SI or SA during the one-year follow-up were significantly elevated in patients who were female; lacked a high school diploma; were unemployed; reported depression, anxiety, hallucinations, concentration difficulty, or violent behavior in the past 30 days; used nicotine or stimulants on a daily basis; used the emergency department or mental health services in the past 90 days; reported current quality-of-life impairment in mobility or usual activities; or reported past 30-day SI or any lifetime SA at baseline. In multiple regression analyses, only past 30-day SI, any lifetime SA, past 90-day violent behavior, and current impairment due to anxiety or depression at baseline uniquely predicted SI or SA beyond other variables over the one-year follow-up. Conclusions Results support the need for screening for suicidality among primary care patients who use illicit substances and identify key subgroups of these patients who are at particularly elevated risk for suicidality.

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“…people with an episode of depression are more likely to develop an episode of MUS and those with MUS are more likely to develop an episode of depression 7 . It should be remembered that most conditions resulting in physical symptoms, especially when they include pain and disability, place the sufferer at an elevated risk of depression, which will worsen the prognosis in a variety of physical conditions 8 . The interplay between what we often assume to be separate physical and mental symptoms is complex and may simply reflect a basic interconnectivity of physical and mental states.…”

Section: What Is Known About Gynaecological Mus?mentioning

confidence: 99%

Medically unexplained symptoms in gynaecology

Burnel

2011

The Obstetric & Gynaecologis

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Attempted Suicide in Psychiatric Outpatients with Concurrent Physical Illness

Cited by 19 publications

References 7 publications

Attempted Suicide, Depression and Physical Diseases: A 1-Year Follow-Up Study

Attempted Suicide, Depression and Physical Diseases: A 1-Year Follow-Up Study

Prediction of Suicide Ideation and Attempt Among Substance-Using Patients in Primary Care

Medically unexplained symptoms in gynaecology

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