Characteristics of suicide attempters with family history of suicide attempt: a retrospective chart review

Nakagawa, Mitsuo; Kawanishi, Chiaki; Yamada, Tomoki; Iwamoto, Yoko; Sato, Ryoko; Hasegawa, Hana; Morita, Satoshi; Odawara, Toshinari; Hirayasu, Yoshio

doi:10.1186/1471-244x-9-32

Cited by 18 publications

(17 citation statements)

References 28 publications

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“…Risk factors have been conceptualized in a number of ways e.g. modifiable and non-modifiable, static and dynamic, biological and psychosocial, state and trait risk, etc [3,4] . The simplest way to discuss risk factors is to classify the masons that have been present for a long time and are inherent to individual's personality, and as ones that are transitory.…”

Section: Risk Factorsmentioning

confidence: 99%

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Risk Assessment of Suicide in Clinical Practice

Shrivastava¹,

Desousa²,

Campbell³

et al. 2016

JAD

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Suicide is a global public health problem. Its management in clinical practice is complex and challenging .Studies show about 26% suicide in mental health system. Out of these, 14% commit suicide during hospital stay; about 50-90% have at least one psychiatric diagnosis. 60-70% of patients are hospitalized due to an attempt or potential crisis, about 15-20% attempt suicide prior to admission. Suicide is also common in post-discharge period. Every psychiatrist on an average loses atleast on client due to suicide in an average span of 20 years of practice. In about 70% of cases, suicide behavior is there as on for hospitalization in acute settings. Continuous training and skill development are two of the most important measures in clinical practice for dealing with suicide behavior. High suicide rates are reported in prodromal stage, acute illness, post-hospitalization and soon after discharge in the community. A clinician faces challenging situations while determining the level of care and referral for a patient with a high suicide potential. There is continued struggle amongst clinicians for decision-making in regards to the need for hospitalization, level of monitoring, voluntary status, and time of discharge. It is generally agreed that suicide is difficult to predict and prevent; however, in order to develop clinical excellence and offer a standard of care, continued education and knowledge translation for bringing research into practice is the least that can be done. Inspite of this need, continued education for mental health professionals and psychiatrists in-training remains limited.

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Section: Risk Factorsmentioning

confidence: 99%

“…currently has an acute psychiatric condition. 4. seemed at-risk during screening for mental health problems 5. is being hospitalized for psychiatric condition.…”

mentioning

confidence: 99%

Risk Assessment of Suicide in Clinical Practice

Shrivastava¹,

Desousa²,

Campbell³

et al. 2016

JAD

View full text Add to dashboard Cite

show abstract

“…Previous descriptive studies on suicide attempts and self-harm have been conducted only in single institutions. [7][8][9][10][11] A systematic review of descriptive studies of suicide attempters in emergency departments in Japan described these patients' characteristics; however, the results of this study may have been biased because the review included only published articles. 12 No previous study has examined the psychiatric medical care system after individuals who have attempted suicide or engaged in self-harm are admitted to acute-care hospitals.…”

Section: Introductionmentioning

confidence: 99%

Clinical Trajectories of Suicide Attempts and Self-harm in Patients Admitted to Acute-care Hospitals in Japan: A Nationwide Inpatient Database Study

Ohbe

Goto

Yamazaki

et al. 2021

Journal of Epidemiology

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Background: For patients with suicide attempts or self-harm, acute-care hospitals often function as the primary or sole point of contact with the healthcare system. However, little is known about patient characteristics or clinical trajectories of suicide attempts and self-harm episodes among those admitted to acute-care hospitals. This study aimed to describe the characteristics of suicide attempts and self-harm among patients admitted to acute-care hospitals, and the clinical practices provided in these hospitals, using a nationwide inpatient database in Japan. Methods: Using data from the Japanese Diagnosis Procedure Combination inpatient database from June 2015 to March 2017, we identified patients with emergency admission for suicide attempts or self-harm. We did not include patients with elective admission to psychiatric hospitals or outpatients. We described patient characteristics, treatments for physical injuries, psychiatric interventions, and discharge status. Results: We identified 17,881 eligible patients during the 22-month study period. Overall, 38% of the patients did not have any psychiatric or behavioral comorbidities at admission. The most common suicide method was drug overdose (50%), followed by hanging (18%), jumping from a height (13%), cutting or piercing without wrist cutting (7.1%), poisoning (6.6%), and wrist cutting (5.4%). Suicide was completed by 2,639 (15%) patients. Among patients discharged to home, 51% did not receive any psychiatric intervention. In 468 acute-care hospitals (54%), no psychiatric intervention was provided during the study period. Conclusion: We found that half of acute-care hospitals did not provide any hospital-based psychiatric care for patients with suicide attempts or self-harm.

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“…[18][19][20] Family history of mental illness and completed/attempted suicide and abuse were included. 17,[21][22][23] We also characterized actions taken after the event (communication of event, witnesses of event, attempts to prevent discovery, and seeking medical care), as well as information about medical treatment and disposition.…”

Section: Study Variablesmentioning

confidence: 99%

Suicidal Behavior Differs Among Early and Late Adolescents Treated With Antidepressant Agents

2011

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT:Adolescent suicidal behavior is a major public health problem. Late adolescents (aged 15-18 years) have higher rates of suicide and suicidal behavior than early adolescents (aged 10 -14 years), which possibly reflects differences in developmental stage, psychopathology, or methods used. WHAT THIS STUDY ADDS:In 250 episodes of suicidal behavior from a cohort of adolescents prescribed antidepressants, 85.2% involved medication ingestion and half had previous attempts. Suicidal behavior among early and late adolescents differed in methods used, presence of psychotic disorders, and abuse history.abstract OBJECTIVE: To identify circumstances and characteristics of suicidal behavior among early (aged 10 -14 years) and late (aged 15-18 years) adolescents from a cohort of youth who were prescribed antidepressant medication. METHODS:In-depth reviews of all available medical records were performed for 250 randomly chosen confirmed episodes of suicidal behavior identified as part of a large retrospective cohort study of antidepressant users and suicidal behavior. Study data were obtained from Tennessee Medicaid records and death certificates from January 1, 1995, to December 31, 2006. Medical records and autopsy reports for cases identified from electronic data were adjudicated by 2 investigators blinded to exposure status and classified by using a validated scale. RESULTS:Of the 250 cases reviewed, 65.6% were female and 26.4% were aged 10 to 14 years. Medication ingestion was the most frequent method of suicidal behavior for both early and late adolescents; however, early adolescents were significantly more likely to use hanging as a method of suicide. Nearly one-half of the adolescents had previously attempted suicide. Early adolescents were significantly more likely to have a history of sexual abuse and significantly less likely to have a history of substance abuse. Early adolescents were also significantly more likely than older adolescents to have a history of a psychotic disorder and to report hallucinations before the suicide attempt. CONCLUSION:Suicidal behavior among early and late adolescents prescribed antidepressant medication differed in terms of methods used, previous psychiatric history, and proximal symptoms. Pediatrics 2011; 128:447-454

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Characteristics of suicide attempters with family history of suicide attempt: a retrospective chart review

Abstract: Background: Family history of suicide attempt is one of the risks of suicide. We aimed at exploring the characteristics of Japanese suicide attempters with and without a family history of suicide attempt.

Cited by 18 publications

References 28 publications

Risk Assessment of Suicide in Clinical Practice

Risk Assessment of Suicide in Clinical Practice

Clinical Trajectories of Suicide Attempts and Self-harm in Patients Admitted to Acute-care Hospitals in Japan: A Nationwide Inpatient Database Study

Suicidal Behavior Differs Among Early and Late Adolescents Treated With Antidepressant Agents

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