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Cited by 37Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbusePsychiatric care and mental health services

Predictive value of psychological characteristics and suicide history on medical lethality of suicide attempts: A follow-up study of hospitalized patients

Trakhtenbrot, Ruth, Gvion, Yari, Levi-Belz, Yossi, Horesh, Netta, Fischel, Tsvi, Weiser, Mark, Treves, Ilan, Apter, Alan·2016·Journal of Affective Disorders
DOI 10.1016/j.jad.2016.03.054
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Abstract

Background This study examined the role of mental pain, communication difficulties, and suicide history in predicting the medical severity of follow-up suicide attempts.Methods The cohort included 153 consecutive psychiatric in-patients who participated in earlier studies 1-9 years previously. Fifty-three had a history of a medically serious suicide attempt (MSSA), 64 had a history of a medically non-serious suicide attempt (MNSSA), and 36 had no history of suicide. A MSSA was defined as a suicide attempt that warranted hospitalization for at least 24h and extensive medical treatment. Participants completed a battery of instruments measuring mental pain and communication difficulties. Findings were analyzed in relation to follow-up suicide attempts and their severity.Results Fifty-three patients (35.5%) had attempted suicide: 15 (9.9%) a MSSA (including 5 fatalities) and 38 (25%) a MNSSA. The medical severity of the index attempt and level of hopelessness at the index attempt were significantly correlated with medical severity of the follow-up attempt. In younger patients, high levels of depression and self-disclosure predicted the medical severity of the follow-up attempt. In patients with relatively low hopelessness, the medical severity of the attempt increased with the level of self-disclosure.Limitations (i) Possibly incomplete patient information, as some of the patients who participated in the index studies could not be located. (ii) Relatively small group of patients with an index MSSA.Conclusions Patients who have made a suicide attempt should be assessed for medical severity of the attempt, hopelessness, and communication difficulties, which are important factors in follow-up attempts.

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  • Studies conducted in Israel or worldwide found that loneliness was not a significant predictor of SIB, while a significant association between loneliness and later suicidal ideation was identified in the Australian study.

    “Of the remaining studies, those conducted in Israel (Stein et al., 2017; Trakhtenbrot et al., 2016) or worldwide (Kleiman et al., 2017 Study 1) found that loneliness was not a significant predictor of SIB, while a significant association between loneliness and later suicidal ideation was identified in the Australian study (McGraw et al., 2008).”

    From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Trakhtenbrot et al., 2016

  • Neither of the studies from Israel or from a Norwegian hospital found a significant loneliness-SIB association, while all studies which recruited from the general population in other countries did.

    “Neither of the studies from Israel (based on psychiatric inpatient or veteran ex-prisoner of war populations), or from a Norwegian hospital (Groholt et al., 2006) found a significant loneliness-SIB association, while all studies which recruited from the general population in other countries did.”

    From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Trakhtenbrot et al., 2016

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Authors
Trakhtenbrot, R., Gvion, Y., Levi-Belz, Y., Horesh, N., Fischel, T., Weiser, M., Treves, I., & Apter, A.
Affiliations
  • Bar-Ilan University (IL)
  • Tel Aviv University (IL)
  • Sheba Medical Center (IL)
  • Shalvata Mental Health Center (IL)
Corresponding author
Trakhtenbrot, Ruth
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2016-07
Volume
199
Pages
73-80
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2016.03.054
OpenAlex
W2333471107
Cited by
37
References
75
Citations by year
2024: 4 · 2023: 1 · 2022: 6 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 3
FWCI
8.92
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
suicide attempts, suicide history, hopelessness, psychological suffering, communication difficulties, depression, self-disclosure, psychiatric inpatients, suicide risk prediction
MeSH terms
Adult, Affective Symptoms, Aged, Depression, Female, Follow-Up Studies, Hospitalization, Humans, Loneliness, Male, Mental Health, Middle Aged, Risk Factors, Self Disclosure, Severity of Illness Index, Suicide, Attempted, Cohort Studies

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