Completed Versus Attempted Suicide in Psychiatric Patients: a Psychological Autopsy Study
Abstract
The aims of this study were to identify specific risk factors associated with completed suicide in a sample of suicide victims diagnosed with mental illness and to discriminate completed suicides from attempted suicide in individuals who did not kill themselves for at least the next 2 years after the index attempt. Ninety-four adults (34 women; 60 men; mean age = 50.81 [SD = 18.08]) admitted to the Division of Psychiatry of the Department of Neurosciences of the University of Parma who died by suicide between 1994-2004 were matched for sex and age (+/- 2 years) with 94 outpatients (mean age = 50.70 [SD = 18.08]) who made at least one suicide attempt during the years of the study. Data were gathered by proxy-based interviews with referring psychiatrists and general practitioners and from examination of medical records. Suicide victims were more likely to be not married, have poor social support (OR = 5.28), and have more voluntary and compulsory admissions to hospitals (1 admission: OR = 5.44; > 1 admissions: OR= 8.84) than suicide attempters. Suicide victims were also less likely to have had stressful life events during their childhood and adolescence (OR = 0.09) and to be divorced or widowed than were the attempters.
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Financial- and employment-related stress may be most relevant for predicting suicide in middle adulthood, while health-related events and difficulties may play a more central role in suicide for older adults.
“In contrast, financial- and employment-related stress may be most relevant for predicting suicide in middle adulthood (DeJong et al. 2010; Innamorati et al. 2008), while health-related events and difficulties may play a more central role in suicide for older adults, particularly through their effects on cognitive-affective states like perceived burdensomeness (e.g., Cukrowicz et al. 2011).”
From Life stress and suicide in adolescents (2019) · cites this paper as Innamorati et al. 2008
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- Authors
- INNAMORATI, M., POMPILI, M., MASOTTI, V., PEARSONÉI, F., LESTER, D., TATARELLI, R., GIRARDI, P., & AMORE, M.
- Affiliations
- Pomona College (US)
- University of Parma (IT)
- Venue
- Journal of Psychiatric Practice
- Published
- 2008-07
- Volume
- 14
- Issue
- 4
- Pages
- 216-224
- ISSN
- 1527-4160 (ISSN-L)
- 1538-1145
- OpenAlex
- W2083716472
- Cited by
- 34
- References
- 53
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 3 · 2021: 6 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 5 · 2012: 2
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric Practice (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- 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 › Grief, Bereavement, and Mental Health
- Keywords
- suicide mortality, suicide attempts, suicide risk factors, psychological autopsy, mental illness, social support, marital status, hospitalization
- MeSH terms
- Adolescent, Mental Disorders, Child, Female, Hospitalization, Humans, Life Change Events, Male, Middle Aged, Social Support, Suicide, Attempted, Marital Status, Age of Onset, Diagnostic and Statistical Manual of Mental Disorders
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