The prevalence of aborted suicide attempts among psychiatric in‐patients
Open accessAbstract
We report the prevalence of aborted suicide attempts in which the essential characteristics are (i) intent to kill oneself, (ii) a change of mind before making an actual suicide attempt and (iii) the absence of physical injury. The lifetime history of aborted suicide attempts was assessed by semi‐structured interview of 733 patients, aged 18–59 years, who were consecutively admitted to a psychiatric hospital. In the study group, 46% of subjects had made a suicide attempt and 29% had made at least one aborted attempt during their lifetime. Subjects who had made aborted attempts were more likely to have made actual attempts. Approximately 11% of the subjects in the study group had a history of aborted attempts of potential high lethality, such as going to a height in order to jump, or holding a gun to the head. There were no major demographic differences between those with and without a history of aborted attempts. However, among those with no prior history of actual attempts, subjects with depression and a family history of suicide were more than twice as likely as those without such a history to have made an aborted attempt. Aborted suicide attempts are a common suicidal behaviour among psychiatric in‐patients. Whether they predict actual attempts or suicide warrants prospective investigation.
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Individuals who engage in preparatory behavior are more likely to commit suicide than those who do not report such behavior.
“Preparatory activity was included in the assessments because analyses suggest that individuals who engage in preparatory behavior are more likely to commit suicide than those who do not report such behavior (7, 23, 24).”
From The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults (2011) · cites this paper as [23]
The Discussion says aborted attempts may predict completed suicide and that greater planning has been associated with increased suicide risk. But it presents the predictive link as a possibility; it does not show that people reporting preparatory behavior were more likely to die by suicide than those who did not report it. Its numerical comparisons concern actual suicide attempts, not preparatory behavior. (LLM, conf=0.85)
Experimental — accuracy not yet measuredAborted attempts are associated with actual attempt behavior.
“and aborted attempts, because they are associated with actual attempt behavior (23).”
From The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults (2011) · cites this paper as [23]
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Cites
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Low serum cholesterol level and attempted suicide
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Cited by
Sorted by citations
Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., et al. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.10111704 · Cited by 5,157 · see citing works
“Preparatory activity was included in the assessments because analyses suggest that individuals who engage in preparatory behavior are more likely to commit suicide than those who do not report such behavior (7, 23, 24).”
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The internal suicide debate hypothesis: exploring the life versus death struggle
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Rogers, M. L., Hom, M. A., Dougherty, S. P., Gallyer, A. J., & Joiner, T. E. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2018.1522283 · Cited by 31 · see citing works
- Authors
- Marzuk, P. M., Tardiff, K., Leon, A. C., Portera, L., & Weiner, C.
- Affiliations
- Cornell University (US)
- Corresponding author
- Marzuk, P. M.
- ORCID
- Leon, A. C.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 1997-12
- Volume
- 96
- Issue
- 6
- Pages
- 492-496
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2070494304
- Cited by
- 37
- References
- 8
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2021: 2 · 2020: 2 · 2018: 2 · 2017: 2 · 2016: 2 · 2014: 5 · 2013: 2
- FWCI
- 0.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Psychiatrica Scandinavica (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, psychiatric inpatients, prevalence, depression, family history of suicide, suicide risk, lethality, suicide prevention
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Mental Disorders, Family, Female, Hospitalization, Hospitals, Psychiatric, Humans, Male, Middle Aged, New York City, Psychiatric Status Rating Scales, Risk Factors, Suicide, Suicide, Attempted, Prevalence
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