Cited by 208Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseOpioid Use Disorder Treatment

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Risk factors for fatal and nonfatal repetition of suicide attempts: a literature review

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Cornaggia, Cesare, Beghi, Rosenbaum, Cerri·2013·Neuropsychiatric Disease and Treatment

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Abstract

OBJECTIVES: This review aimed to identify the evidence for predictors of repetition of suicide attempts, and more specifically for subsequent completed suicide. METHODS: We conducted a literature search of PubMed and Embase between January 1, 1991 and December 31, 2009, and we excluded studies investigating only special populations (eg, male and female only, children and adolescents, elderly, a specific psychiatric disorder) and studies with sample size fewer than 50 patients. RESULTS: The strongest predictor of a repeated attempt is a previous attempt, followed by being a victim of sexual abuse, poor global functioning, having a psychiatric disorder, being on psychiatric treatment, depression, anxiety, and alcohol abuse or dependence. For other variables examined (Caucasian ethnicity, having a criminal record, having any mood disorders, bad family environment, and impulsivity) there are indications for a putative correlation as well. For completed suicide, the strongest predictors are older age, suicide ideation, and history of suicide attempt. Living alone, male sex, and alcohol abuse are weakly predictive with a positive correlation (but sustained by very scarce data) for poor impulsivity and a somatic diagnosis. CONCLUSION: It is difficult to find predictors for repetition of nonfatal suicide attempts, and even more difficult to identify predictors of completed suicide. Suicide ideation and alcohol or substance abuse/dependence, which are, along with depression, the most consistent predictors for initial nonfatal attempt and suicide, are not consistently reported to be very strong predictors for nonfatal repetition.

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Authors: Cornaggia, C., Beghi, Rosenbaum, & Cerri
Affiliations: University of Milano-Bicocca (IT)
Harvard University (US)
Venue: Neuropsychiatric Disease and Treatment
Publisher: Informa UK Limited
Published: 2013-11
Volume: 9
Pages: 1725
ISSN: 1176-6328 (ISSN-L)
DOI: 10.2147/ndt.s40213
PMC: PMC3825699
OpenAlex: W2138993798
Cited by: 208
References: 91
Citations by year: 2026: 8 · 2025: 9 · 2024: 15 · 2023: 9 · 2022: 13 · 2021: 11 · 2020: 23 · 2019: 27 · 2018: 26 · 2017: 11 · 2016: 18 · 2015: 23 · 2014: 13 · 2013: 2
FWCI: 2.76
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/3.0/ (vor)
Locations: Neuropsychiatric Disease and Treatment (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
BOA (University of Milano-Bicocca) (submittedVersion, cc-by-nc)
Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
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, repeated suicide attempts, suicide mortality, risk factors, suicidal ideation, alcohol abuse, substance abuse, depression, anxiety, mental illness, sexual abuse, impulsivity, living alone

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Risk factors for fatal and nonfatal repetition of suicide attempts: a literature review

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