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

Menon, Vikas; Kattimani, Shivanand; Sarkar, Siddharth; Mathan, Kaliaperumal

doi:10.4103/0976-3147.168435

Cited by 11 publications

(9 citation statements)

References 33 publications

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“…In contrast to the findings of Pompili et al (2011), our results did not indicate that the number of stressors precipitating death by suicide varied depending on suicide attempt history. However, these findings are consistent with other studies in suicide attempters (e.g., Menon et al, 2016). Our finding that those who died on a first attempt experienced a less intense stressor prior to death by suicide is also consistent with the results reported by Pettit and colleagues (2004) – this study found that the number of suicide attempts was significantly and positively associated with level of stress precipitating the attempt.…”

Section: Discussionsupporting

confidence: 93%

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The role of stressful life events preceding death by suicide: Evidence from two samples of suicide decedents

Buchman‐Schmitt

Chu

Michaels

et al. 2017

Psychiatry Research

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Stressful life events (SLEs) are associated with increased risk for suicidal behavior. Less is known regarding the intensity of SLEs and how this may vary as a function of suicide attempt history. As a large percentage of suicide decedents do not have a history of suicidal behavior, SLEs precipitating suicide may help characterize suicidality in this understudied population. This paper examines the intensity, number, and accumulation of SLEs preceding death by suicide among decedents with varying suicide attempt histories. Suicide attempts, SLEs, and suicide methods were examined in two samples: 62 prison-based and 117 community-based suicide decedents. Regression was used to compare the level of stressor precipitating death by suicide in decedents who died on a first attempt versus multiple previous attempts. A non-significant trend was observed in the prison population which was supported by significant findings in the community-based sample. Decedents who died on a first attempt experienced a stressor of a lower magnitude when compared to decedents with multiple previous suicide attempts. We discuss the implications of these findings in relation to the stress-diathesis model for suicide.

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Section: Discussionsupporting

confidence: 93%

“…For example, Menon and colleagues (2016) found individuals with multiple previous attempts to have higher levels of hopelessness in comparison to those with only one previous attempt. Thus, future studies should investigate if and how these findings may relate to populations of suicide decedents.…”

Section: Future Directionsmentioning

confidence: 99%

The role of stressful life events preceding death by suicide: Evidence from two samples of suicide decedents

Buchman‐Schmitt

Chu

Michaels

et al. 2017

Psychiatry Research

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“…Although there were significant differences in suicide methods, using pesticide or other poisons were still the most common methods of suicide (Menon et al, 2016), which was contrary to the findings that one fifth of suicide repeaters attempted subsequent suicides with more violent and lethal methods such as hanging and jumping from height (Pompili et al, 2011). Repeated attempters were found to maintain highly lethal methods in the following fatal attempts (Chen et al, 2016; Pan et al, 2013).…”

Section: Discussionmentioning

confidence: 78%

“…There have been many studies supporting close connection between mental disorders such as mood disorder, psychotic disorder, adjustment disorder, substance abuse, etc., and suicide attempts (Menon et al, 2016; Pagura et al, 2008). The rate of mental disorders in suicide attempters (10%) was much lower compared to those found in western countries, of which, sometimes can be as high as 80–90%.…”

Section: Discussionmentioning

confidence: 99%

Who are likely to attempt suicide again? A comparative study between the first and multiple timers

Liu

Zhang

Sun

2017

Comprehensive Psychiatry

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Background Various explanations account for suicide incidents, and some patients continue to attempt afterwards and others never again. The suicide mortality rate increases with the number of serious attempts. The prevention of secondary attempt of suicide should be an important approach to reduce suicide mortality. However, the characteristics of the targeted population of repeated suicide attempters are understudied. Methods This was a cross-sectional data collection from hospital emergency room from patients who had either attempted suicide for the first time (n=721) or for two or more times (n=70). The subjects were between 14–53 years old and comprised 293 males and 498 females. In-depth interview was conducted for each suicide attempter with a semi-structural protocol. Demographic and social-psychological characteristics were compared between the two groups of suicide attempters. Logistic regression was used to identify independent predictors of multiple attempts. Findings The two groups only differed in religion factor among demographic characteristics and multiple suicide attempters group have a higher percentage of subjects who reported to have a religion affiliation than first time suicide attempters. Multiple attempters were more likely to have family suicide history, physical illness, mental disorder, higher scores on Beck Hopelessness Scale (BHS) and Suicide Intent Scale (SIS) and lower scores on Duke Social Support Scale (DSSI). In the final regression model, family history of suicide, mental disorder, hopelessness and social support emerged as significant predictors of multiple suicide attempts. Conclusion Suicide attempters that have mental disorder, family history of suicide, higher level of hopelessness and lower level of social support are more likely to re-attempt suicide again. Social and clinical interventions may have to also focus on this sub-group of patients with these characteristics to effectively reduce suicide mortality rate.

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“…The Association between Neuroticism and Re-Attempted Suicide compared to single attempters [11,19]. Previous research have shown that certain personality traits like neuroticism appear to be associated with increased suicide risk of completed suicide [24].…”

Section: Research Articlementioning

confidence: 99%

The Association between Neuroticism and Re-Attempted Suicide

Probert-Lindström¹,

Ambrus²

2021

anndepressanxiety

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Background: Strong evidence suggests that suicide attempters who repeat suicide (re-attempters) may differ from those with a single attempt (single attempters) in various clinical and sociodemographic factors. Furthermore, there is some evidence that re-attempters may be characterized by higher levels of neuroticism, a well-known risk factor for completed suicide compared to single attempters. Purpose: The aim of the present study was to investigate the possible association between neuroticism and re-attempted suicide. Methods and Materials: 230 recent drug-free suicide attempters were involved into the study. Clinical diagnoses were assessed by the Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised (DSM-III-R). Personality traits were measured by the Karolinska Scale of Personality (KSP). Results and Conclusions: There was a significant association between re-attempted suicide, female gender, personality disorder and higher levels of impulsivity. We found that re-attempters had significantly higher levels of neuroticism compared to single attempters adjusted of gender, personality disorder diagnosis, age and impulsivity. Our result gives further evidence for the association between re-attempted suicide and neuroticism.

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

Cited by 11 publications

References 33 publications

The role of stressful life events preceding death by suicide: Evidence from two samples of suicide decedents

The role of stressful life events preceding death by suicide: Evidence from two samples of suicide decedents

Who are likely to attempt suicide again? A comparative study between the first and multiple timers

The Association between Neuroticism and Re-Attempted Suicide

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