Prime

Type your tag names separated by a space and hit enter

Violent and serious suicide attempters: one step closer to suicide?

Abstract

BACKGROUND

The use of violence in a suicide attempt and its medical consequences can be used to characterize specific subpopulations of suicide attempters that could be at higher risk of ever completing suicide.

METHOD

A population of 1,148 suicide attempters was consecutively recruited from 2001 to 2010. Violent suicide attempts were classified using Asberg's criteria. An overdose requiring hospitalization in an intensive care unit was considered a serious suicide attempt. In this exploratory study, we retrospectively compared 183 subjects who made a serious suicide attempt, 226 that made a violent suicide attempt, and 739 without any history of serious or violent suicide attempts with regard to demographic, clinical, and psychological characteristics and features of the suicide attempts using univariate and multivariate analyses.

RESULTS

In comparison with subjects whose attempts were neither violent nor serious, violent attempters and serious attempters were more likely to make repeated suicide attempts (OR = 3.27 [95% CI, 1.39-7.70] and OR = 2.66 [95% CI, 1.29-5.50], respectively), with higher medical lethality (OR = 6.66 [95% CI, 4.74-9.38] and OR = 3.91 [95% CI, 2.89-5.29], respectively). Additionally, violent attempts were associated with male gender (OR = 6.79; 95% CI, 3.59-12.82) and family history of suicidal behavior (particularly if serious or violent: OR = 6.96; 95% CI, 2.82-17.20), and serious attempters were more likely to be older (OR = 1.49, 95% CI, 1.12-1.99).

CONCLUSIONS

One of every 3 attempters in our sample had made violent or serious suicide attempts in their lifetime. Violent attempters and serious attempters presented differential characteristics, closer to those of suicide completers, compared to the rest of the sample.

Links

  • Publisher Full Text
  • Authors

    , , , , , , ,

    Source

    The Journal of clinical psychiatry 75:3 2014 Mar pg e191-7

    MeSH

    Adolescent
    Adult
    Age Factors
    Aged
    Aged, 80 and over
    Female
    France
    Humans
    Male
    Middle Aged
    Psychiatric Status Rating Scales
    Recurrence
    Retrospective Studies
    Risk Factors
    Self-Injurious Behavior
    Severity of Illness Index
    Sex Factors
    Suicide, Attempted
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    24717390

    Citation

    TY - JOUR T1 - Violent and serious suicide attempters: one step closer to suicide? AU - Giner,Lucas, AU - Jaussent,Isabelle, AU - Olié,Emilie, AU - Béziat,Séverine, AU - Guillaume,Sébastien, AU - Baca-Garcia,Enrique, AU - Lopez-Castroman,Jorge, AU - Courtet,Philippe, PY - 2013/4/12/received PY - 2013/10/30/accepted PY - 2014/4/11/entrez PY - 2014/4/11/pubmed PY - 2014/6/11/medline SP - e191 EP - 7 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 75 IS - 3 N2 - BACKGROUND: The use of violence in a suicide attempt and its medical consequences can be used to characterize specific subpopulations of suicide attempters that could be at higher risk of ever completing suicide. METHOD: A population of 1,148 suicide attempters was consecutively recruited from 2001 to 2010. Violent suicide attempts were classified using Asberg's criteria. An overdose requiring hospitalization in an intensive care unit was considered a serious suicide attempt. In this exploratory study, we retrospectively compared 183 subjects who made a serious suicide attempt, 226 that made a violent suicide attempt, and 739 without any history of serious or violent suicide attempts with regard to demographic, clinical, and psychological characteristics and features of the suicide attempts using univariate and multivariate analyses. RESULTS: In comparison with subjects whose attempts were neither violent nor serious, violent attempters and serious attempters were more likely to make repeated suicide attempts (OR = 3.27 [95% CI, 1.39-7.70] and OR = 2.66 [95% CI, 1.29-5.50], respectively), with higher medical lethality (OR = 6.66 [95% CI, 4.74-9.38] and OR = 3.91 [95% CI, 2.89-5.29], respectively). Additionally, violent attempts were associated with male gender (OR = 6.79; 95% CI, 3.59-12.82) and family history of suicidal behavior (particularly if serious or violent: OR = 6.96; 95% CI, 2.82-17.20), and serious attempters were more likely to be older (OR = 1.49, 95% CI, 1.12-1.99). CONCLUSIONS: One of every 3 attempters in our sample had made violent or serious suicide attempts in their lifetime. Violent attempters and serious attempters presented differential characteristics, closer to those of suicide completers, compared to the rest of the sample. SN - 1555-2101 UR - https://www.unboundmedicine.com/medline/citation/24717390/Violent_and_serious_suicide_attempters:_one_step_closer_to_suicide L2 - http://article.psychiatrist.com/?ContentType=START&ID=10008590 ER -