Serious Suicide Attempts: Evidence on Variables for Manage and Prevent this Phenomenon

Mento, Carmela; Presti, Eleonora Lo; Mucciardi, Massimo; Sinardi, A; Liotta, Marco; Salvatore, Silvia

doi:10.1007/s10597-015-9933-x

Cited by 6 publications

(5 citation statements)

References 91 publications

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“…Accordingly, our results show that probable ADHD is associated with highly lethal suicide attempts (leading to admission in an intensive care unit) independently of comorbid psychiatric disorders, treatment or impulsive-aggression levels. Serious suicide attempters, if they survive, often complete suicide later in life 26,27 .…”

Section: Discussionmentioning

confidence: 99%

Association of symptoms of attention deficit-hyperactivity disorder and impulsive-aggression with severity of suicidal behavior in adult attempters

Conejero

Jaussent

Lopez

et al. 2019

Sci Rep

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Literature emphasizes the relationship between attention deficit-hyperactivity disorder (ADHD) and suicidal behavior (SB). However, the link between ADHD and the severity of SB is yet to be determined. We investigated the association between a probable diagnosis of ADHD and the severity of SB in 539 hospitalized suicide attempters, and determined the role of comorbid psychiatric diagnoses. The severity of SB was defined as the number of suicide attempts, age at first suicide attempt, seriousness and violence of suicide attempts. A diagnosis of probable adult ADHD (probable ADHD) was defined as the presence of both current ADHD symptoms and ADHD symptoms in childhood. We evaluated the combined effect of high impulsive-aggression levels and probable ADHD. Probable ADHD was not associated with early or frequent suicide attempts after adjustment for psychiatric disorders and treatment intake. High levels of impulsive-aggression increased the risk of an early suicide attempt, particularly in patients with ADHD symptoms, and independently of other clinical factors. The association between serious suicide attempts and probable ADHD remained significant after adjustment. Although ADHD is involved in suicidal vulnerability, psychiatric comorbidities and impulsive-aggression appear to largely explain the severity of SB in adult attempters with ADHD symptoms.

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Section: Discussionmentioning

confidence: 99%

Association of symptoms of attention deficit-hyperactivity disorder and impulsive-aggression with severity of suicidal behavior in adult attempters

Conejero

Jaussent

Lopez

et al. 2019

Sci Rep

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“…Two-thirds of those with serious physical illness and half without reported psychological pain as a reason for the attempt, and 23% with serious physical illness provided no explanation, suggesting that psychological processes play a greater role in the suicidality of individuals with poorer physical health (Wiktorsson et al, 2016). Among medically serious suicide attempts, 13.7% had orthopaedic diseases (Mento et al, 2015). Our findings are considerably controversial, with musculoskeletal diseases presenting as a possible preventive factor for serious suicidality.…”

Section: Discussionmentioning

confidence: 99%

Self-reported suicidal behaviours and associated factors in the general population of Latvia (2010–2018)

Mieze

Ķīvīte‐Urtāne

Grīnberga³

et al. 2023

Int J Soc Psychiatry

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Background: Latvia has the second highest suicide rate in the European Union – with a total population age-standardized suicide rate of 16.1 per 100,000 inhabitants. Aims: We aimed to assess the prevalence of different types of self-reported suicidal behaviours in Latvia and determine the associated sociodemographic and health-related factors. Methods: This study was based on secondary data obtained from the Health Behaviour Among Latvian Adult Population survey. A representative sample of the general population was used, aged 15 to 64 years in 2010, 2012, 2014; and 15 to 74 years in 2016 and 2018 ( n = 16,084). Respondents were asked to report the occurrence of life weariness, death wishes, suicidal ideation, suicidal plans and suicide attempts during the previous year. We assessed socio-demographics and health-related factors associated with suicidality. We performed univariate analysis and constructed stepwise multivariate logistic regression models. Results: In 2010 to 2018, 15.6% of responders reported some type of suicidal behaviour (95% CI [15.1, 16.2]). Sociodemographic factors – including non-cohabitation status and Latvian nationality – were associated with mild (life-weariness and death wishes) and serious (suicidal ideation, plans to commit suicide, suicide attempts) types of behaviour. Older age was associated with mild suicidal behaviours, whereas lower educational levels were associated with serious suicidal behaviours. Diagnosed depression, self-reported depression, self-reported anxiety, stress, low mood, alcohol intake habits with heavy drinking episodes (less than monthly, monthly and weekly), perceived health as average or below average, disuse of primary health services were associated with mild and serious types of suicidal behaviour. Current smoking status and absenteeism were associated with mild suicidal behaviour types. Self-reported insomnia, having at least two somatic diagnoses, occasional smoking status, absenteeism with 11 or more days in the last year, receiving disability pension were associated with serious suicidal behaviour types. Musculoskeletal diseases exhibited preventive effects. Conclusions: Our findings indicate that certain groups of individuals might exhibit greater vulnerability to suicidality.

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“…Specifically, hopelessness has been shown to be elevated among SSA survivors (Beautrais et al, 1999;Durant et al, 2006). Mento et al (2016) examined a sample of suicide attempters that had been admitted to intensive care units and found having a deceased father and a history of physical illness prior to hospitalization, may predict further severe suicide attempts and even fatal attempts. These variables are robustly linked to the experience of mental pain, which may stand at the center of the suicide wishes (see also Kim et al, 2020).…”

Section: Psychopathologymentioning

confidence: 99%

“…Mento et al. (2016) examined a sample of suicide attempters that had been admitted to intensive care units and found having a deceased father and a history of physical illness prior to hospitalization, may predict further severe suicide attempts and even fatal attempts.…”

Section: Introductionmentioning

confidence: 99%

The Serious Suicide Attempts Approach for Understanding Suicide: Review of the Psychological Evidence

2020

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The study of survivors of a serious suicide attempt (SSA)––an attempt that would have been fatal had it not been for the provision of rapid and effective emergency treatment––can help researchers understand the suicidal mind. Serious suicide attempters are epidemiologically very similar to those who died by suicide, and thus can serve as valid proxies for studying suicides. In this paper, our objective was to briefly review the main risk factors that may facilitate more dangerous suicide behavior with high levels of intent. Our review highlights several dimensions of risk factors for SSAs, including psychopathology, mental pain, communication difficulties, decision-making impulsivity, and aggression. Several studies have indicated that the interaction between some of these dimensions, especially between mental pain and interpersonal difficulties, may serve as major catalysts for SSAs. Suicidal risk assessment should incorporate a designated evaluation of these risk factors as part of suicide prevention models.

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Serious Suicide Attempts: Evidence on Variables for Manage and Prevent this Phenomenon

Cited by 6 publications

References 91 publications

Association of symptoms of attention deficit-hyperactivity disorder and impulsive-aggression with severity of suicidal behavior in adult attempters

Association of symptoms of attention deficit-hyperactivity disorder and impulsive-aggression with severity of suicidal behavior in adult attempters

Self-reported suicidal behaviours and associated factors in the general population of Latvia (2010–2018)

The Serious Suicide Attempts Approach for Understanding Suicide: Review of the Psychological Evidence

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