Les récidives suicidaires : étude comparative des caractéristiques des suicidants à répétition et des primosuicidants admis aux urgences d’un hôpital général tunisien

Mechri, Anwar; Mrad, Ali Ben; Ajmi, F.; Zaâfrane, F.; Khiari, G.; Nouira, S.; Gaha, L.

doi:10.1016/s0013-7006(05)82373-5

Cited by 14 publications

(6 citation statements)

References 10 publications

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“…Khan and Reza showed that 75% of nonfatal suicides in Pakistan were among those aged under 30 years and compared to men women were younger and more often married [15]. Mechri et al in Tunisia found that repeated suicide attempts were more common in divorced or separated people [16]. Our findings showed the most common method of suicide (attempted and completed) was drug overdose (73.0% of all cases used this method).…”

Section: Discussionmentioning

confidence: 50%

Epidemiology of suicide and attempted suicide derived from the health system database in the Islamic Republic of Iran: 2001–2007

Saberi-Zafaghandi¹,

Hajebi²,

Eskandarieh³

et al. 2012

East Mediterr Health J

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Suicide is an important public health problem worldwide. A retrospective study from March 2001 to March 2007 examined some characteristics of cases of suicide and attempted suicide in the Islamic Republic of Iran based on the health system database of 41 medical universities. A total of 53 100 cases of suicide and attempted suicide were analysed. Just over half were among women (55.0%). The most usual method of attempted suicide among both males and females was drug overdose. Self-burning was more frequent in females (5.8%) while hanging (4.5%), cutting (2.8%) and firearms (0.5%) were more common in males. There were 3883 (7.3%) completed (fatal) suicides. Hanging had the highest case fatality rate (76.5%) and drug overdose the lowest (2.3%). Older people had a higher mortality rate. Suicide and attempted suicides increased from 8.3 per 100 000 population in 2001 to 19.4 Au total, 53 100 cas de suicides et de tentatives de suicide ont été analysés. À peine plus de la moitié concernait des femmes (55,0 %). La méthode la plus fréquemment utilisée des tentatives de suicide chez les hommes comme chez les femmes était une surdose médicamenteuse. L'immolation par le feu était plus fréquente chez les femmes (5,8 %) alors que les recours à la pendaison (4,5 %), au sectionnement (2,8 %) et aux armes à feu (0,5 %) étaient plus nombreux chez les hommes. Dans l'étude, 3883 tentatives de suicide ont été mortelles (7,3 %). La pendaison était associée au taux le plus élevé de décès (76,5 %) et la surdose médicamenteuse, au taux le plus faible (2,3 %

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Section: Discussionmentioning

confidence: 50%

Epidemiology of suicide and attempted suicide derived from the health system database in the Islamic Republic of Iran: 2001–2007

Saberi-Zafaghandi¹,

Hajebi²,

Eskandarieh³

et al. 2012

East Mediterr Health J

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“…Studies have shown that multiple suicide attempters, among others, tend to possess the following characteristics: younger in age (Kir et al, 2014), female gender (Zahl & Hawton, 2004), unmarried (Choi et al, 2013), unemployed (Mechri et al, 2005), not living at home (Morris et al, 1992), family history of suicidal behavior (Jeglic et al, 2005; Lizardi et al, 2009), chronic illness (Vajda & Steinbeck, 2000); mental disorders (e.g., depression, personality disorder, schizophrenia, substance abuse, anxiety) (Chandrasekaran & Chandrasekaran, 2008; Esposito et al, 2003; Kochanski-Ruscio et al, 2014; Stein et al, 1998), feelings of hopelessness (Chandrasekaran & Chandrasekaran, 2008), serious suicide ideation (Forman et al, 2004), less social support (Chandrasekaran & Chandrasekaran, 2008), chronic or acute negative life events (e.g., marital and family relationship, work and study performance, economic situation, interpersonal relationship) (Forman et al, 2004; Hong et al, 2011; Kattimani et al, 2015), poor coping skills (Rudd et al, 1996), and prior suicide attempts (Hultén et al, 2001). …”

Section: Introductionmentioning

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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“…We already know that when an adolescent makes an early SA recurrence, this is not “only” the sign of actual difficulties but also a risk factor of lifelong SA recurrence and death by suicide or violent causes (Bobin & Sarfati, 2003; Goldston et al., 1999; Mechri et al., 2005). To illustrate the previously described interpersonal theory of suicide from Joiner, we can make a link between low belonging and the salience of the quality of relationships in adolescence in the domain of suicidal behaviors.…”

Section: Methodsmentioning

confidence: 99%

Recurrence of suicide attempt in adolescents lost to contact early by clinicians: The 10‐year REPEATERS cohort of French adolescents

Ligier

Guillemin

Angot

et al. 2015

Journal of Adolescence

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Losing contact with adult suicide attempters in the year after the suicide attempt (SA) increases the risk of recurrence. The situation with adolescents is unknown. We aimed to determine whether being lost to contact early (LCE) by clinicians is a risk factor of long‐term SA recurrence among adolescents and the associated factors. Data were collected 10 years after an index SA and a Cox model was used for analysis. Among the 249 SA patients included, 59 (24%) were LCE, the most important risk factor of SA recurrence up to 10 years (hazard ratio [HR] = 2.8 [95% confidence interval (95% CI) 1.4–5.5]; p = .016). Risk factors of being LCE were female sex (odds ratio [OR] = 2.9 [95% CI 1.1–8.2]; p = .009), a psychiatric comorbidity (OR = 2.2 [1.1–4.3]; p = .023) and no family history of suicide (OR = 2.1 [1.1–4.3]; p = .047). These results support the development of preventive actions early after an SA in an adolescent to maintain contact and care.

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Les récidives suicidaires : étude comparative des caractéristiques des suicidants à répétition et des primosuicidants admis aux urgences d’un hôpital général tunisien

Cited by 14 publications

References 10 publications

Epidemiology of suicide and attempted suicide derived from the health system database in the Islamic Republic of Iran: 2001–2007

Epidemiology of suicide and attempted suicide derived from the health system database in the Islamic Republic of Iran: 2001–2007

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

Recurrence of suicide attempt in adolescents lost to contact early by clinicians: The 10‐year REPEATERS cohort of French adolescents

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