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Are predictors of future suicide attempts and the transition from suicidal ideation to suicide attempts shared or distinct: a 12-month prospective study among patients with depressive disorders.
Psychiatry Res. 2014 Dec 30; 220(3):867-73.PR

Abstract

Our study aimed to examine the interplay between clinical and social predictors of future suicide attempt and the transition from suicidal ideation to suicide attempt in depressive disorders. Sixty-six Malaysian inpatients with a depressive disorder were assessed at index admission and within 1 year for suicide attempt, suicidal ideation, depression severity, life event changes, treatment history and relevant clinical and socio-demographic factors. One-fifth of suicidal ideators transitioned to a future suicide attempt. All future attempters (12/66) had prior ideation and 83% of attempters had a prior attempt. The highest risk for transitioning from ideation to attempt was 5 months post-discharge. Single predictor models showed that previous psychiatric hospitalization and ideation severity were shared predictors of future attempt and ideation to attempt transition. Substance use disorders (especially alcohol) predicted future attempt and approached significance for the transition process. Low socio-economic status predicted the transition process while major personal injury/illness predicted future suicide attempt. Past suicide attempt, subjective depression severity and medication compliance predicted only future suicide attempt. The absence of prior suicide attempt did not eliminate the risk of future attempt. Given the limited sample, future larger studies on mechanisms underlying the interactions of such predictors are needed.

Authors+Show Affiliations

Department of Psychiatry, National University of Malaysia Medical Centre (UKMMC), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia. Electronic address: laifchan@gmail.com.Department of Community Medicine, National University of Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia.Department of Psychiatry, National University of Malaysia Medical Centre (UKMMC), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.

Pub Type(s)

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

Language

eng

PubMed ID

25240940

Citation

Chan, Lai Fong, et al. "Are Predictors of Future Suicide Attempts and the Transition From Suicidal Ideation to Suicide Attempts Shared or Distinct: a 12-month Prospective Study Among Patients With Depressive Disorders." Psychiatry Research, vol. 220, no. 3, 2014, pp. 867-73.
Chan LF, Shamsul AS, Maniam T. Are predictors of future suicide attempts and the transition from suicidal ideation to suicide attempts shared or distinct: a 12-month prospective study among patients with depressive disorders. Psychiatry Res. 2014;220(3):867-73.
Chan, L. F., Shamsul, A. S., & Maniam, T. (2014). Are predictors of future suicide attempts and the transition from suicidal ideation to suicide attempts shared or distinct: a 12-month prospective study among patients with depressive disorders. Psychiatry Research, 220(3), 867-73. https://doi.org/10.1016/j.psychres.2014.08.055
Chan LF, Shamsul AS, Maniam T. Are Predictors of Future Suicide Attempts and the Transition From Suicidal Ideation to Suicide Attempts Shared or Distinct: a 12-month Prospective Study Among Patients With Depressive Disorders. Psychiatry Res. 2014 Dec 30;220(3):867-73. PubMed PMID: 25240940.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are predictors of future suicide attempts and the transition from suicidal ideation to suicide attempts shared or distinct: a 12-month prospective study among patients with depressive disorders. AU - Chan,Lai Fong, AU - Shamsul,Azhar Shah, AU - Maniam,Thambu, Y1 - 2014/09/06/ PY - 2014/05/12/received PY - 2014/08/13/revised PY - 2014/08/26/accepted PY - 2014/9/22/entrez PY - 2014/9/23/pubmed PY - 2015/6/30/medline KW - Clinical and social predictors KW - Future suicide attempt KW - Transition ideation to attempt SP - 867 EP - 73 JF - Psychiatry research JO - Psychiatry Res VL - 220 IS - 3 N2 - Our study aimed to examine the interplay between clinical and social predictors of future suicide attempt and the transition from suicidal ideation to suicide attempt in depressive disorders. Sixty-six Malaysian inpatients with a depressive disorder were assessed at index admission and within 1 year for suicide attempt, suicidal ideation, depression severity, life event changes, treatment history and relevant clinical and socio-demographic factors. One-fifth of suicidal ideators transitioned to a future suicide attempt. All future attempters (12/66) had prior ideation and 83% of attempters had a prior attempt. The highest risk for transitioning from ideation to attempt was 5 months post-discharge. Single predictor models showed that previous psychiatric hospitalization and ideation severity were shared predictors of future attempt and ideation to attempt transition. Substance use disorders (especially alcohol) predicted future attempt and approached significance for the transition process. Low socio-economic status predicted the transition process while major personal injury/illness predicted future suicide attempt. Past suicide attempt, subjective depression severity and medication compliance predicted only future suicide attempt. The absence of prior suicide attempt did not eliminate the risk of future attempt. Given the limited sample, future larger studies on mechanisms underlying the interactions of such predictors are needed. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/25240940/Are_predictors_of_future_suicide_attempts_and_the_transition_from_suicidal_ideation_to_suicide_attempts_shared_or_distinct:_a_12_month_prospective_study_among_patients_with_depressive_disorders_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(14)00752-5 DB - PRIME DP - Unbound Medicine ER -