Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: optimised methodological approach of a case-control psychological autopsy study

Arensman, Ella; Larkin, Celine; McCarthy, Jane; Leitão, Sara; Corcoran, Paul; Williamson, Eileen; McAuliffe, Carmel; Perry, Ivan J.; Griffin, Eve; Cassidy, Eugene; Bradley, Colin; Kapur, Navneet; Kinahan, James; Cleary, Anne; Foster, Tom; Gallagher, J; Malone, Kevin; Costa, Ana Paula; Greiner, Birgit A.

doi:10.1186/s12888-019-2249-6

Cited by 15 publications

(15 citation statements)

References 62 publications

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“…Most studies on suicide attempts or reattempts have focused on risk factors ( Arensman et al, 2019 ; Sher, 2019a ) rather than on the protective variables that can minimize suicide reattempt ( Larkin et al, 2014 ; Sánchez-Teruel et al, 2020 ). Interestingly, there is a significant proportion of people who, after the first attempt, do not make another suicide attempt, not even in adverse situations ( Deuter et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Resilience Assessment Scale for the Prediction of Suicide Reattempt in Clinical Population

et al. 2021

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The objective of this work was to construct and validate an instrument for assessing resilience to suicide attempts in a Spanish clinical population that has made a previous attempt, and to verify its efficacy for predicting future suicide reattempts at 6 months. For the construction of a Scale of Resilience to Suicide Attempts (SRSA) the theoretical-rational strategy was used. The constructed SRSA-18 consisted of 18 items and 3 subdimensions (internal and external protection and emotional stability), had high internal consistency (α = 0.88; ω = 0.89) and a high positive correlation with the Suicide Resilience Inventory-25, SRI-25 (r = 0.91; p < 0.01), and to a lesser extent with general resilience scales such as the Connor-Davidson Resilience Scale, CD-RISC (r = 0.79; p < 0.01) and the Resilience Scale of 14 items, RS-14 (r = 0.76; p < 0.01). Additionally, a specific SRSA-18 score predicted future suicide reattempts 6 months after the first attempt. This new scale (SRSA-18) assesses in a brief and rapid way, through protective factors rather than risk factors, the level of resilience to the suicide attempt in specific clinical subpopulations in hospital emergency services, being able to prevent suicide reattempts with higher lethality.

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Section: Introductionmentioning

confidence: 99%

Resilience Assessment Scale for the Prediction of Suicide Reattempt in Clinical Population

et al. 2021

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“… 38 Recently, Arensman and colleagues have described an optimized methodological approach to a PA that allows for investigating a range of risk and protective factors for suicide whilst also examining consistency across various information sources. 39 …”

Section: Discussionmentioning

confidence: 99%

Psychological autopsy study and risk factors for suicide in Muslim countries

Arafat¹,

Khan

Menon

et al. 2021

Health Science Reports

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Background Suicide and risk factors have been poorly studied in the Muslim‐majority countries that hinder the formulation of prevention strategies and affect suicide prevention eventually. Objectives We aimed at identifying and analyzing the psychological autopsy studies assessing the risk factors for suicide conducted in Muslim‐majority countries. Methods We did a search to trace all the available psychological autopsy studies in the Muslim countries with the search term “psychological autopsy study in Muslim countries.” We also checked the available bibliographies to identify the psychological autopsy studies in the Muslim countries so that all the possible studies could be included. Results Out of the Muslim countries, only eight psychological autopsy studies were identified in five countries (Bangladesh [1], Indonesia [1], Iran [1], Pakistan [2], and Turkey [3]). Six studies adopted a case‐control study design, and all were carried out in urban settings. The prevalence of psychiatric disorders among case‐control studies varied from 52.8% in Turkey to 96% in Pakistan. Psychiatric illness, self‐harm, and stressful life events were the commonly replicated risk factors for suicide across studies. Conclusions Psychological autopsy studies have been conducted only in five Muslim countries revealing that the risk factor for suicide is certainly under‐researched in the incumbent countries. This review identified a similar list of risk factors for suicide, namely, psychiatric disorder, past non‐fatal attempts, and adverse life events compared to the Western countries even though the rate varies.

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“…High-risk self-harm: (a) highly lethal self-harm presentations, and/or (b) presentations with high levels of suicidal intent. The same criteria used by Arensman et al [18,26] will be used to define high-risk self-harm, which is a combination of a highly lethal methods, medical severity and clinical impression of high suicide intent (See Additional File 1).…”

Section: Methods/ Designmentioning

confidence: 99%

Study protocol for the implementation and evaluation of the Self-harm Assessment and Management for General Hospitals programme in Ireland (SAMAGH)

Arensman

Troya

Nicholson

et al. 2020

BMC Health Serv Res

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Background: Previous self-harm is one of the strongest predictors of future self-harm and suicide. Increased risk of repeated self-harm and suicide exists amongst patients presenting to hospital with high-risk self-harm and major self-harm repeaters. However, so far evidence-based training in the management of self-harm for mental health professionals is limited. Within this context, we aim to develop, implement and evaluate a training programme, SAMAGH, Self-harm Assessment and Management Programme for General Hospitals in Ireland. SAMAGH aims to (a) reduce hospital-based self-harm repetition rates and (b) increase rates of mental health assessments being conducted with self-harm patients. We also aim to evaluate the training on self-harm knowledge, attitudes, and skills related outcomes of healthcare professionals involved in the training. Methods/design: The study will be conducted in three phases. First, the SAMAGH Training Programme has been developed, which comprises two parts: 1) E-learning Programme and 2) Simulation Training. Second, SAMAGH will be delivered to healthcare professionals from general hospitals in Ireland. Third, an outcome and process evaluation will be conducted using a pre-post design. The outcome evaluation will be conducted using aggregated data from the National Self-Harm Registry Ireland (NSHRI) on self-harm repetition rates from all 27 public hospitals in Ireland. Aggregated data based on the 3-year average (2016, 2017, 2018) self-harm repetition rates prior to the implementation of the SAMAGH will be used as baseline data, and NSHRI data from 6 and 12 months after the implementation of SAMAGH will be used as follow-up. For the process evaluation, questionnaires and focus groups will be administered and conducted with healthcare professionals who completed the training.

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Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: optimised methodological approach of a case-control psychological autopsy study

Cited by 15 publications

References 62 publications

Resilience Assessment Scale for the Prediction of Suicide Reattempt in Clinical Population

Resilience Assessment Scale for the Prediction of Suicide Reattempt in Clinical Population

Psychological autopsy study and risk factors for suicide in Muslim countries

Study protocol for the implementation and evaluation of the Self-harm Assessment and Management for General Hospitals programme in Ireland (SAMAGH)

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