The Repetition of Parasuicide: A Comparison of Three Cohorts

Buglass, Dorothy; Horton, John

doi:10.1192/bjp.125.2.168

Cited by 71 publications

(34 citation statements)

References 10 publications

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“…Moreover, it did not support the conclusions of McIntire et al (1973) (quoted by El-Islam, 1974) that counterattacking aggressive attitudes towards those attempting suicide favoured recidivism in parasuicidal adolescents. Table 3 Social Readjustment Scores for Repeaters and Non-repeaters The preponderance of family problems as a major precipitating factor of the index parasuicide in a greater number of repeaters than non-repeaters in this investigation tallies with findings of studies elsewhere (Buglass et al 1974;Myers, 1982). The repeaters of parasuicide in this series were fairly similar with respect to positive past history of suicidal behaviour prior to the index, and history of dependence, to those reported by Buglass et al (1974) in whom a diagnosis of sociopathy, problems in the use of alcohol and previous parasuicide significantly discriminated repeaters from non-repeaters.…”

Section: Discussionsupporting

confidence: 74%

The Profile of Parasuicide Repeaters in Kuwait

Suleiman

Moussa²,

El‐Islam³

1989

Int J Soc Psychiatry

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A one-year cohort of 92 parasuicides was followed up at 6 monthly intervals for a period of 2 years since their index parasuicide to study the outcome and evaluate the level of social readjustment. One male patient died of suicide (1.1%) and 18 (19.6%) individuals repeated parasuicide using self-poisoning. The rate of repeated parasuicidal behaviour in this investigation was considerably higher than that reported in comparable studies from developing countries but similar to that from a number of western European cities. The data indicated that the probability of further episodes of parasuicidal behaviour increased in the few months after the index episode. Although the repeaters and non-repeaters were essentially similar in most of their sociodemographic characteristics, the former were a distinctive group in many respects. The factors found to be significantly associated with subsequent parasuicide included self-poisoning by prescribed drugs at the index parasuicide, previous parasuicidal behaviour prior to the index, occupational status of a housewife, past history of depression and/or dependence and precipitating life events in the family environment. Contrary to our hypothesized theory, none of the types of attitudes received by the patients from their family members at the index parasuicide related to outcome. The global level of social readjustment of non-repeaters was about three times higher than that of repeaters of parasuicide. The implications of these findings for future policy making were discussed with respect to prevention of parasuicide.

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Section: Discussionsupporting

confidence: 74%

The Profile of Parasuicide Repeaters in Kuwait

Suleiman

Moussa²,

El‐Islam³

1989

Int J Soc Psychiatry

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“…The proportion of people mvolved in one or more attempts was lower than the 14-17% found by Buglass & Horton (1974) and the 18% found by Baneroft & Marsaek (1977) The bming of repetibons, however, was m aeeordanee with the latter study…”

Section: Discussioncontrasting

confidence: 56%

Repetition of overdose: a retrospective 5‐year study*

Boyes

1994

Journal of Advanced Nursing

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This study investigated the number, timing and disposal (admission or discharge) of patients repeating an overdose who attended the accident and emergency department of a district general hospital during a 5-year period. There was a total of 1958 overdoses by 1597 individuals over the 5-year period. Overdoses were repeated by 12% (n = 191) of patients and accounted for 552 of the total overdoses (representing 361 repeats). First repeats were found to occur more frequently in the 3 months following the original overdose for 43% of patients, 70% of repetitions occurring within a year. The distribution of first repeats showed a similar pattern for males and females. During the 5-year period 49% of all repetitions occurred within 3 months. Almost one-fifth of repeaters were discharged, irrespective of whether it was the patient's 'index' (first overdose within the study period) or a repeat overdose. Within the repeater population, 31% of overdoses occurred on a Friday, Saturday and on, or immediately prior to, a Bank Holiday. Since there was no on-site psychiatric service available at such times, those patients had to wait until the next working day for assessment. The study recommends that all overdose patients should receive psychiatric assessment, and therefore on-site psychiatric services should be available for accident and emergency patients.

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“…It is well known that a significant proportion of patients -around 15-20% -admitted for parasuicide have repeated episodes of this behaviour (Buglass & Horton, 1974b;Bancroft eat al. 1975).…”

Section: Introductionmentioning

confidence: 99%

Prediction of Repetition of Parasuicide: With Special Reference to Unemployment

Morton¹

1993

Int J Soc Psychiatry

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Economically active male parasuicides admitted to the Regional Poisoning Treatment Centre, Edinburgh in 1984 were divided into two groups--those with a previous history of parasuicide and those without. The two groups were compared on a number of psychosocial and clinical characteristics to examine which were related to repetition. A further analysis (of economically active male admissions in 1985 and 1986) tested the predictive value of these discriminating characteristics. By stratification of the population, the interaction of unemployment (a discriminator and a predictor of repetition) with certain other variables was examined. A final analysis examined the risk of repetition by duration of unemployment. Unemployment discriminated those with a past history of repetition from those with no past history and also predicted repetition within a calendar year of the initial episode. The 35-64 age group were particularly vulnerable to repetition if unemployed as were those in social classes I-III and those with a past psychiatric history (inpatient or outpatient). The relationship between unemployment and parasuicide was no longer significant when the population was stratified by presence or absence of personality disorder and history of previous parasuicide, suggesting that these might be confounding variables in the relationship. The particular vulnerability of the long-term unemployed (greater than one year) to repetition was confirmed.

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The Repetition of Parasuicide: A Comparison of Three Cohorts

Cited by 71 publications

References 10 publications

The Profile of Parasuicide Repeaters in Kuwait

The Profile of Parasuicide Repeaters in Kuwait

Repetition of overdose: a retrospective 5‐year study*

Prediction of Repetition of Parasuicide: With Special Reference to Unemployment

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