Diagnostic and psychosocial differences in psychiatrically hospitalized military service members with single versus multiple suicide attempts

Kochanski-Ruscio, Kristen M.; Carreno-Ponce, Jaime T.; DeYoung, Kathryn A.; Grammer, Geoffrey; Ghahramanlou‐Holloway, Marjan

doi:10.1016/j.comppsych.2013.10.012

Cited by 16 publications

(8 citation statements)

References 13 publications

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“…We found that the two groups did not differ on any of the demographic characteristics. This is broadly similar to previous reports from India[ 10 ] and the West[ 9 23 ] and suggests that the demographics of repeat attempters tend to remain uniform across various ethno-cultural settings. Only a few studies have reported a female preponderance among multiple attempters.…”

Section: Discussionsupporting

confidence: 89%

How do repeat suicide attempters differ from first timers? An exploratory record based analysis

Menon

Kattimani

Sarkar

et al. 2016

Journal of Neurosciences in Rural Practice

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Background:Evidence indicates that repeat suicide attempters, as a group, may differ from 1st time attempters. The identification of repeat attempters is a powerful but underutilized clinical variable.Aims:In this research, we aimed to compare individuals with lifetime histories of multiple attempts with 1st time attempters to identify factors predictive of repeat attempts.Setting and Design:This was a retrospective record based study carried out at a teaching cum Tertiary Care Hospital in South India.Methods:Relevant data was extracted from the clinical records of 1st time attempters (n = 362) and repeat attempters (n = 61) presenting to a single Tertiary Care Center over a 4½ year period. They were compared on various sociodemographic and clinical parameters. The clinical measures included Presumptive Stressful Life Events Scale, Beck Hopelessness Scale, Coping Strategies Inventory – Short Form, and the Global Assessment of Functioning Scale.Statistical Analysis Used:First time attempters and repeaters were compared using appropriate inferential statistics. Logistic regression was used to identify independent predictors of repeat attempts.Results:The two groups did not significantly differ on sociodemographic characteristics. Repeat attempters were more likely to have given prior hints about their act (χ2 = 4.500, P = 0.034). In the final regression model, beck hopelessness score emerged as a significant predictor of repeat suicide attempts (odds ratio = 1.064, P = 0.020).Conclusion:Among suicide attempters presenting to the hospital, the presence of hopelessness is a predictor of repeat suicide attempts, independent of clinical depression. This highlights the importance of considering hopelessness in the assessment of suicidality with a view to minimize the risk of future attempts.

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Section: Discussionsupporting

confidence: 89%

How do repeat suicide attempters differ from first timers? An exploratory record based analysis

Menon

Kattimani

Sarkar

et al. 2016

Journal of Neurosciences in Rural Practice

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“…Despite growing concerns about suicide among military personnel, however, only a few studies have examined the issue of multiple attempter status in this population. Similar findings were recently reported in a sample of psychiatrically hospitalized military personnel (Kochanski-Ruscio et al, 2014). Similar findings were recently reported in a sample of psychiatrically hospitalized military personnel (Kochanski-Ruscio et al, 2014).…”

supporting

confidence: 91%

Acute vs. Chronic Stressors, Multiple Suicide Attempts, and Persistent Suicide Ideation in US Soldiers

Bryan

Clemans

Leeson

et al. 2015

Journal of Nervous &Amp; Mental Disease

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This study examined recent-onset (i.e., acute) and persistent (i.e., chronic) life stressors among 54 acutely suicidal US Army Soldiers and examined their relationship to persistence of suicidal crises over time. Soldiers with a history of multiple suicide attempts reported the most severe suicide ideation (F(2,51) = 4.18, p = 0.021) and the greatest number of chronic stressors (F(2,51) = 5.11, p = 0.009). Chronic but not acute stressors were correlated with severity of suicide ideation (r = 0.24, p = 0.026). Participants reporting low-to-average levels of chronic stress resolved suicide ideation during the 6-month follow-up, but participants reporting high levels of chronic stress did not (Wald χ(1) = 4.57, p = 0.032). Soldiers who are multiple attempters report a greater number of chronic stressors. Chronic, but not acute-onset, stressors are associated with more severe and longer-lasting suicidal crises.

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“…Nine studies reported an association between alcohol or drug use/dependence and suicidal attempts (67,93) and suicide mortality (75,77,81,87,88,96,103). This association was found across a range of populations including general population samples (67,77,87,96), elderly individuals (103), soldiers/veterans (88,93), patients discharged from a psychiatric facility ( 81), and patients with major depressive disorder (75). Five studies (75,81,87,88,93) examined both alcohol and drug use disorders, one study assessed substance abuse (96) and one study measured alcohol use disorders (103).…”

Section: Mental Health Problems/psychiatric Illnessmentioning

confidence: 99%

A systematic review of suicidal behaviour in men: A narrative synthesis of risk factors

Richardson

Robb

O’Connor

2021

Social Science & Medicine

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Diagnostic and psychosocial differences in psychiatrically hospitalized military service members with single versus multiple suicide attempts

Abstract: Marjin, "Diagnostic and psychosocial differences in psychiatrically hospitalized military service members with single versus multiple suicide attempts" (2014

Cited by 16 publications

References 13 publications

How do repeat suicide attempters differ from first timers? An exploratory record based analysis

How do repeat suicide attempters differ from first timers? An exploratory record based analysis

Acute vs. Chronic Stressors, Multiple Suicide Attempts, and Persistent Suicide Ideation in US Soldiers

A systematic review of suicidal behaviour in men: A narrative synthesis of risk factors

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