Suicidal behaviour recurrence in psychiatric emergency departments of patients without a prior suicide attempt, index and reattempters: A prospective study

López-Goñi, José Javier; Goñi-Sarriés, Adriana; Azcárate-Jiménez, Leire; Sabater-Maestro, Pablo

doi:10.1016/j.rpsmen.2018.07.002

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…Referral to psychiatry within 7 days after the index suicide attempt reduced the risk of suicide reattempt by half compared to those who did not visit psychiatry; this suggests the importance of rapid psychiatric intervention after the suicide attempt for secondary prevention of suicide attempts. According to a previous study of subjects who attempted suicide, approximately 49% of subjects required urgent psychiatric care during the follow-up period ( 42 ). Indeed, even among subjects who attempted suicide with no mental illness, immediate and brief intervention after suicide attempts resulted in lowering the subsequent suicide rate ( 43 ).…”

Section: Discussionmentioning

confidence: 99%

Early psychiatric referral after attempted suicide helps prevent suicide reattempts: A longitudinal national cohort study in South Korea

Kim

Kim²,

Shin³

et al. 2022

Front. Psychiatry

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IntroductionAlthough people who attempted suicide tend to repeat suicide attempts, there is a lack of evidence on the association between psychiatric service factors and suicide reattempt among them.MethodsWe used a nationwide, population-based medical record database of South Korea to investigate the use of psychiatric services before and after the index suicide attempt and the association between psychiatric service factors after the index suicide attempt with the risk of suicide reattempt.ResultsAmong 5,874 people who had attempted suicide, the all-cause mortality within 3 months after the suicide attempt was 11.6%. Among all subjects who attempted suicide, 30.6% of them had used psychiatric services within 6 months before the suicide attempt; 43.7% of them had used psychiatric services within 3 months after the suicide attempt. Among individuals who had visited clinics following attempted suicide, the cumulative incidence of suicide reattempt over a mean follow-up period of 5.1 years was 3.4%. About half of suicide reattempts occurred within 1 year after the index suicide attempt. Referral to psychiatric services within 7 days was associated with a decreased risk of suicide reattempt (adjusted hazard ratio, 0.51; 95% confidence intervals, 0.29–0.89).ConclusionAn early psychiatric referral within 1 week after a suicide attempt was associated with a decreased risk of suicide reattempt.

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Section: Discussionmentioning

confidence: 99%

Early psychiatric referral after attempted suicide helps prevent suicide reattempts: A longitudinal national cohort study in South Korea

Kim

Kim²,

Shin³

et al. 2022

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…However, the joint study of the interaction of all these factors is challenging; thus, so too is the prediction of who will commit suicidal behavior and when. Therefore, there is still the need for a greater understanding of these associations to unravel these joint interactions, which would facilitate better interpretation of suicide risk with a more careful assessment of suicide risk stratification and planning of clinical and treatment interventions [6,7].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up

Alvarez-Subiela

Castellano-Tejedor

Verge-Muñoz³

et al. 2022

IJERPH

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Background: This study aims to identify the main predictive factors that allow for the recognition of adolescents with a higher risk of re-attempting suicide. Method: A longitudinal 12-month follow-up design was carried out in a sample of 533 Spanish adolescents between 12 and 17 years old. The data collection period comprised September 2013 to November 2016, including a one-year follow-up after hospital discharge. Results: A statistically significant regression model was obtained to predict suicide re-attempt at 12-months’ follow-up (χ2 = 34.843; p < 0.001; Nagelkerke R2 = 0.105), including personal history of self-injury (OR = 2.721, p < 0.001, 95% CI [1.706, 4.340]) and age (OR = 0.541, p = 0.009, 95% CI [0.340, 0.860]), correctly classifying 82.6% of the sample. Our results show that having a personal history of self-injury and being younger than 14 years old were predictors of suicide re-attempt during the first year after an adolescent’s first admission to emergency services. Conclusions: Considering these factors could contribute to the design of more tailored and effective interventions to prevent suicidal behavior in adolescents at high risk of re-attempting suicide.

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Suicidal behaviour recurrence in psychiatric emergency departments of patients without a prior suicide attempt, index and reattempters: A prospective study

Cited by 2 publications

References 30 publications

Early psychiatric referral after attempted suicide helps prevent suicide reattempts: A longitudinal national cohort study in South Korea

Early psychiatric referral after attempted suicide helps prevent suicide reattempts: A longitudinal national cohort study in South Korea

Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up

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