Clinical Differences Between Single and Multiple Suicide Attempters, Suicide Ideators, and Non-suicidal Inpatients

Berardelli, Isabella; Forte, Alberto; Innamorati, Marco; Imbastaro, Benedetta; Montalbani, Benedetta; Sarubbi, Salvatore; Luca, Gabriele Pasquale De; Mastrangelo, Martina; Anibaldi, Gaia; Rogante, Elena; Lester, David; Erbuto, Denise; Serafini, Gianluca; Amore, Mario; Pompili, Maurizio

doi:10.3389/fpsyt.2020.605140

Cited by 18 publications

(11 citation statements)

References 38 publications

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“…In other youth, this fear fails to develop and might even enhance fearlessness through desensitization as proposed by the IPTS (Joiner, 2005), increasing the likelihood of future attempts. Single-and multiple attempters have been found to be different on other characteristics including lethality of past attempt (Berardelli et al, 2020), conferring possible additional value to FAD's ability to distinguish these two groups.…”

Section: Discussionmentioning

confidence: 99%

Validation of Fearlessness about Death Scale in adolescents.

Krantz

Yang

King

et al. 2021

Psychological Assessment

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Recent theories of suicide behavior have proposed a risk factor that differentiates suicide ideators from suicide attempters: Suicide capability. Fearlessness about death, one component of capability, has predicted the likelihood of a future attempt in adult samples. Although there is preliminary evidence about its value in youth, the fearlessness about death scale (FAD) has not yet been validated in clinical adolescents. We sought to examine the psychometric properties of this scale in adolescents at high risk for making a future suicide attempt. Youth who were evaluated for an intensive outpatient program (IOP) for suicidal adolescents (N = 496; M, SD for age = 14.78, 1.59) reported lifetime history of suicide attempts and NSSI, suicide ideation, depressive symptoms, and completed the FAD at entry and at discharge (n = 329). Confirmatory factor analysis showed structural validity of the FAD scale and its invariance across age, sex, and time. Independent t-tests indicated that FAD scores distinguished between those with and without NSSI, as well as those with single versus multiple attempts. When depression was covaried in logistic regression analyses, FAD’s relationship with suicide attempt history persisted, showing the construct’s divergence from depression. Our findings present psychometric validity in adolescents for a widely used scale developed for adults. This validation offers confidence that this promising risk factor can be adequately investigated in adolescents. If future studies can confirm its predictive validity, the brevity of this scale would make it a practical addition to a clinical assessment.

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Section: Discussionmentioning

confidence: 99%

Validation of Fearlessness about Death Scale in adolescents.

Krantz

Yang

King

et al. 2021

Psychological Assessment

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“…The need to identify patients at a higher risk for attempting suicide is a clinical challenge and has stimulated researchers to better investigate the clinical and demographical features of patients who attempt suicide [ 1 , 2 ], because a suicide attempt strongly predicts future suicide attempts [ 3 , 4 , 5 ]. Suicide attempts, however, occur 15–20 times more frequently than completed suicides, causing important physical and psychological damage for the patient [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Is Lethality Different between Males and Females? Clinical and Gender Differences in Inpatient Suicide Attempters

Berardelli

Rogante

Sarubbi

et al. 2022

IJERPH

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According to the gender paradox in suicidology, an important sex difference has been reported with a preponderance of females in nonfatal suicidal behavior and a preponderance of males in completed suicide. Furthermore, females and males present different risk factors for suicide. The present study explored possible clinical differences between male and female psychiatric inpatients who had recently attempted suicide. The study included 177 adult inpatients hospitalized following a suicide attempt at the University Psychiatric Clinic, Sant’Andrea Hospital, Sapienza University of Rome. Clinical features assessed included psychiatric diagnosis, method and lethality of suicide attempts using the Risk/Rescue Rating Scale, the history of suicide attempts, age at onset of psychiatric illness, the presence of substance or alcohol use, and the length of stay. The results found that males and females differed in the method used for the suicide attempt, the scores for risk and rescue, and the length of hospitalization post-suicide attempt. In conclusion, identifying gender characteristics of patients at higher risk of suicide is important for implementing specific suicide prevention strategies and reducing the risk of future suicidal behavior in psychiatric inpatients.

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“…Prior suicidal behavior increases the risk of subsequent death by suicide 10- to 60-fold, and about 40% of suicide attempters die as a result of their second or later attempt [ 8 ]. Furthermore, people who have attempted suicide multiple times show different risk factors in comparison to single attempters [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature

Sarubbi

Rogante

Erbuto

et al. 2022

JCM

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Suicide risk is a multifaceted phenomenon, and many risk factors are involved in its complexity. In the last few decades, mental health apps have spread, providing economic and affordable strategies to prevent suicide. Therefore, the aim of this review is to identify original studies on mobile apps that target suicidal crises. The review follows PRISMA guidelines, searching through four major electronic databases (PubMed/MEDLINE, Scopus, PsycInfo and Web of Science) for relevant titles/abstracts published from January 2010 to May 2022. It includes original studies that explicitly analyze mobile apps for suicide prevention. A total of 32 studies met the inclusion criteria. Sixteen studies assessed the feasibility and acceptability of mobile apps, ten studies assessed the efficacy of mobile apps in preventing suicide, and six studies described randomized control trial protocols not yet implemented. Generally, the apps were judged by participants to be acceptable and helpful, and several improvements to enhance the functionality of apps were suggested. The efficacy of mobile apps, although limited and assessed with very heterogenous methods, was confirmed by most of the studies. Mobile apps could represent a helpful supplement to traditional prevention tactics, providing real-time monitoring of at-risk persons, personalized tools to cope with suicidal crises, and immediate access to specific support.

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Clinical Differences Between Single and Multiple Suicide Attempters, Suicide Ideators, and Non-suicidal Inpatients

Cited by 18 publications

References 38 publications

Validation of Fearlessness about Death Scale in adolescents.

Validation of Fearlessness about Death Scale in adolescents.

Is Lethality Different between Males and Females? Clinical and Gender Differences in Inpatient Suicide Attempters

The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature

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