Risk of re-attempts and suicide death after a suicide attempt: a survival analysis
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BACKGROUND: Suicide is the primary cause of unnatural death in Spain, and suicide re-attempts a major economic burden worldwide. The risk factors for re-attempt and suicide after an index suicide attempt are different. This study aims to investigate risk factors for re-attempt and suicide after an index suicide attempt. METHODS: This observational study is part of a one-year telephone management program. We included all first-time suicide attempters evaluated in the emergency department at Parc Taulí-University Hospital (n = 1241) recruited over a five-year period (January 2008 to December 2012). Suicide attempters were evaluated at baseline using standardized instruments. Bivariate logistic regression models were used to identify risk factors. Kaplan-Meier curves were used to compare the time to re-attempt between categorical variables. Comparisons were performed using Log-Rank and Wilcoxon tests. Variables with a p-value lower than 0.2 were included in a multivariate Cox regression model. Bivariate logistic regression models were considered to identify risk factors for suicide. The significance level was set to 0.05. RESULTS: Suicide re-attempters were more likely diagnosed with cluster B personality disorders (36.8% vs. 16.6%; p < 0.001), and alcohol use disorders (19.8 vs. 13.9; p = 0.02). Several [1.2% (15/1241)] of them died by suicide. Attempters who suicide were more likely alcohol users (33.3% vs. 17.2%; p = 0.047), and older (50.9 ± 11.9 vs. 40.7 ± 16.0; p = 0.004). CONCLUSIONS: Alcohol use, personality disorders and younger age are risk factors for re-attempting. Older age is a risk factor for suicide among suicide attempters. Current prevention programs of suicidal behaviour should be tailored to the specific profile of each group.
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In similar high-risk populations with last-year suicidal ideation or attempt, the estimated 1-year prevalence of suicide attempts is between 13 and 20%, with the risk being higher for those with recent attempt history.
“In comparison, in similar high-risk populations (with last-year suicidal ideation or attempt) the estimated 1-year prevalence of suicide attempts is between 13 and 20% (98, 99), with the risk being higher for those with recent attempt history (99).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [99]
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Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research
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- Authors
- Parra-Uribe, I., Blasco-Fontecilla, H., Garcia-Parés, G., Martínez-Naval, L., Valero-Coppin, O., Cebrià-Meca, A., Oquendo, M. A., & Palao-Vidal, D.
- Affiliations
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- Corresponding author
- Blasco-Fontecilla, Hilario
- Venue
- BMC Psychiatry
- Published
- 2017-05-04
- Volume
- 17
- Issue
- 1
- Pages
- 163-163
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC5415954
- OpenAlex
- W2611543256
- Cited by
- 195
- References
- 51
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 17 · 2023: 23 · 2022: 31 · 2021: 55 · 2020: 24 · 2019: 16 · 2018: 5 · 2017: 1
- FWCI
- 15.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- suicide attempts, suicide mortality, risk factors, cluster B personality disorders, alcoholism, age, suicide prevention, emergency department patients
- MeSH terms
- Suicide Prevention, Adult, Age Factors, Alcoholism, Female, Humans, Male, Middle Aged, Risk Factors, Spain, Suicide, Suicide, Attempted, Logistic Models, Survival Analysis, Young Adult, Suicidal Ideation
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