Risk and protective factors predicting multiple suicide attempts

Choi, Kyoung Ho; Wang, Sheng‐Min; Yeon, Bong; Suh, Sooyeon; Oh, Youngmin; Lee, Hae-Kook; Kweon, Yong‐Sil; Lee, Chung Tai; Lee, Kyoung‐Uk

doi:10.1016/j.psychres.2013.09.026

Cited by 71 publications

(53 citation statements)

References 25 publications

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“…However, the lower odds for women attempting suicide may be explained by their greater likelihood for utilizing mental health services than men [50]. There were no significant difference ( p = 0.12) in suicide attempts in regard to age, which did not coincide with investigations with non-offenders [20,27,29,41,51]. The population that smoked tobacco, as well as the group with bipolar, depression, or bipolar with anxiety disorder, had significantly greater odds for attempting suicide compared to offenders who did not smoke or have these mental health disorders, which investigations of non-imprisoned populations have found [8,33,52,53,54].…”

Section: Discussionmentioning

confidence: 99%

“…We also did not have a complete history for previous suicidal ideation, attempts, completions, or family history of suicide. Competed suicides were documented in a restricted system and family history, which may be a risk factor [21,27,36,51], was not a routine initial screening question for new arrivals. We also did not have access to clinical notes regarding the details and severity of suicide attempts.…”

Section: Discussionmentioning

confidence: 99%

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Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

Gates

Turney²,

Ferguson

et al. 2017

IJERPH

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Substance use disorders (SUD) and mental health disorders are significant public health issues that co-occur and are associated with high risk for suicide attempts. SUD and mental health disorders are more prevalent among offenders (i.e., prisoners or inmates) than the non-imprisoned population, raising concerns about the risk of self-harm. This cross-sectional study examined the population of a state prison system (10,988 out of 13,079) to identify associations among SUD (alcohol, cannabis, intravenous drugs, narcotics, and tobacco smoking), mental health disorders (anxiety, bipolar, depression, and psychotic disorders), and suicide attempts. The primary aim was to determine which groups (SUD, mental health disorders, and co-occurrences) were strongly association with suicide attempts. Groups with a documented SUD or mental health disorders compared to peers without these issues had 2.0 and 9.2 greater odds, respectively, for attempting suicide, which was significant at p < 0.0001 for both conditions. There were also significant differences within SUD and mental health disorders groups in regard to suicide attempts. Groups with the greatest odds for suicide attempts were offenders with comorbid bipolar comorbid and anxiety, alcohol combined with depression, and cannabis co-occurring with depression. Documentation of suicide attempts during imprisonment indicates awareness, but also suggest a need to continue enhancing screening and evaluating environmental settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

Gates

Turney²,

Ferguson

et al. 2017

IJERPH

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“…Hopelessness was also often accompanied by psychopathological factors such as depression among multiple attempters compared to first time attempters (Chandrasekaran & Chandrasekaran, 2008; Choi et al, 2013; Forman et al, 2004). Repeated suicide attempters may be more desperate than first time attempters to commit suicide.…”

Section: Discussionmentioning

confidence: 99%

“…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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“…Suicide is one of the most serious mental health problems and common causes of death worldwide, especially in South Korea (Boisseau et al, ; Choi et al, ; Jeon et al, ; Walker, McGee, & Druss, ). According to recent data in South Korea (Statistics Korea, ), suicide is the most common cause of death in young adults.…”

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confidence: 99%

Risk Factors for Serious Suicide Attempts with High Medical Severity

Kim

Choi

Lee

et al. 2019

Suicide & Life Threat Behav

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Objectives his study investigated the risk factors leading to serious suicide attempts with high medical severity. Methods Nine hundred and eighty‐two patients who visited the emergency room after attempting suicide were divided into two groups: suicide attempters with high medical severity (25.3%) and those with low medical severity (74.7%). Demographic variables, clinical characteristics, and factors related to each suicide attempt were compared between the two groups. Multivariate logistic regression analysis was conducted to investigate risk factors for high medical severity in patients’ current suicide attempts. Results The results show that suicide attempters with high medical severity had more severe depression and psychological disturbances such as agitation, intense emotions, and self‐reproach. Suicide attempters with high medical severity also had more serious risk factors for suicide such as repetitive/intense/continuous thoughts of suicide, suicidal planning, and a stronger wish to die. School/work problems and physical illnesses were related to high medical severity with more lethal methods. Logistic regression demonstrated that school/work problems, total risk rating, severity of suicidal ideation, and agitation were risks for more serious suicide attempts, whereas more frequent lifetime suicide attempts were a protective factor. Conclusion This study demonstrates that suicide attempters with high medical severity had more severe psychopathologies and risk factors related to suicidal behavior than those with low medical severity.

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Risk and protective factors predicting multiple suicide attempts

Cited by 71 publications

References 25 publications

Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

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

Risk Factors for Serious Suicide Attempts with High Medical Severity

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