The DOI matches its Crossref record.
Method of Suicide Attempt and Reaction to Survival as Predictors of Repeat Suicide Attempts: A Longitudinal Analysis
Abstract
OBJECTIVE: To evaluate whether reaction to survival of a suicide attempt and method of the index attempt predicted repeat suicide attempts within 6 months. METHOD: Data came from the Suicide Assessment Form in Emergency Psychiatry (SAFE) Database Project, which contains information on all presentations to emergency psychiatric services at the 2 tertiary hospitals in Manitoba, Winnipeg, Canada (N = 7,007). During a 4-year period (2009-2012), 922 individuals presented with suicide attempts. Logistic regressions were used to examine whether a person's reaction to attempt survival and the method of attempt predicted repeat suicide attempt within 6 months. RESULTS: Of the 922 participants, 82 (8.8%) presented with another suicide attempt within 6 months. Ambivalence about attempt survival (adjusted odds ratio [OR] = 2.84; 95% CI, 1.45-5.54; P < .01) and wishing to be dead (adjusted OR = 2.68; 95% CI, 1.17-6.17; P < .05) predicted future attempts even when adjusted for age, sex, depression, substance abuse, and method of the initial attempt. Method of the index attempt did not predict future suicide attempts in adjusted models (adjusted OR = 0.66; 95% CI, 0.35-1.25; P > .05). CONCLUSIONS: Assessment of the patient's reaction to survival, regardless of method of attempt, is important to identify risk of repeat attempts.
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In the aftermath of a suicide attempt, 36% to 43% of suicide attempters report that they feel ambivalent about having survived, while 35% are glad to have survived and 14% to 22% regret having survived.
“In the aftermath of a suicide attempt, 36% to 43% of suicide attempters report that they feel ambivalent about having survived, while 35% are glad to have survived and 14% to 22% regret having survived (17, 74);”
From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [74]
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Cited by
Sorted by citations
Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017) · Psychological Bulletin · doi:10.1037/bul0000084 · Cited by 3,784
Liu, B.-P., Jia, C.-X., Qin, P., Zhang, Y., Yu, Y.-K., Luo, X., & Li, S. (2022) · EClinicalMedicine · doi:10.1016/j.eclinm.2022.101461 · Cited by 46
“Low risk Bhaskaran (2014) Canada 0.5 years (At least 0.5 years for all cases) SH 18 years or above 45.1 922 Sociodemographic factors: gender.”
BackgroundInfluentialSuicide risk around the world: a meta-analysis of longitudinal studies
Guzmán, E. M., Cha, C. B., Ribeiro, J. D., & Franklin, J. C. (2019) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-019-01759-x · Cited by 44
Suicidal ambivalence: a scoping review
Teismann, T., Siebert, A. M., & Forkmann, T. (2024) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.13092 · Cited by 34
A comparison of methods of self-harm without intent to die: Cutting versus self-poisoning
Chartrand, H., Kim, H., Sareen, J., Mahmoudi, M., & Bolton, J. M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.07.009 · Cited by 20
Self-citationRecurrence of suicidal thoughts and behaviors during one year of follow-up: An exploratory study.
Suárez‐Pinilla, P., Pérez-Herrera, M., Suárez‐Pinilla, M., Medina-Blanco, R., López-García, E., Artal, J., & de Santiago-Díaz, A. I. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112988 · Cited by 20
“, 2017) or prospective designs (Bhaskaran et al., 2014)(Murphy et al.”
BackgroundSchmutte, T. J., Olfson, M., Xie, M., & Marcus, S. C. (2019) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5109 · Cited by 14
Taron, M. C. R. C., Nunes, C., & Maia, T. (2020) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2019-0583 · Cited by 15
“…(including the SA that motivated the present emergency visit) and the method used in the most recent SA were classified according to the literature as drug over-dose, defenestration, hanging, suffocation, poisoning and phlebotomy, 12,23 after aggregation into the categories drug overdose and other.”
Jordan, J. T., & McNiel, D. E. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.07.040 · Cited by 11
Teismann, T., Britton, P. C., & Forkmann, T. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1449565 · Cited by 9
Promoting recovery from suicidal ideation through the development of protective factors
Surgenor, P. W. G. (2015) · Counselling and Psychotherapy Research · doi:10.1002/capr.12035 · Cited by 10
Steinmetz, L. C. L. (2019) · Ciencias Psicológicas · doi:10.22235/cp.v13i2.1872 · Cited by 10
“According to some data, methods in suicide attempts are fluctuating and unpredictable (Owens et al., 2015), and the first attempt method would not predict future attempts (Bhaskaran et al., 2014).”
ResultDeisenhammer, E., Kuen, D., Ing, C.-M., Kemmler, G., Defrancesco, M., von Gleissenthall, G., & Weiss, E. M. (2016) · Scientific Electronic library online (Sciences Carlos III Health Institute) · Cited by 7
Teismann, T., & Forkmann, T. (2024) · Verhaltenstherapie · doi:10.1159/000540043 · Cited by 7
Rezaei, Z., Mohammadi, S., Aghaei, A., Pouragha, H., Latifi, A., & Keshavarz-Mohammadi, N. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1180250 · Cited by 5
Bagge, C. L., Himes, K. P., Cohen, S. M., Barbour, E., Comtois, K. A., & Littlefield, A. K. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.06.022 · Cited by 1
Suizidale Ambivalenz, Protektivfaktoren und Suizidgedanken
Ehrlich, L. M., & Teismann, T. (2025) · Verhaltenstherapie · doi:10.1159/000548318
“…berichten, dass sie sich noch während der Umsetzung eines Suizidversuchs ambivalent fühlten [Kovacs und Beck, 1977; Gromatsky et al., 2022] und 36% bis 43% standen der Tatsache, dass sie einen Sui-zidversuch überlebt hatten, ambivalent gegenüber [Henriques et al., 2005; Bhaskaran et al., 2014].”
Metadata
- Authors
- Bhaskaran, J., Wang, Y., Roos, L., Sareen, J., Skakum, K., & Bolton, J. M.
- Affiliations
- University of Manitoba (CA)
- University of Oregon (US)
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2014-08-26
- Volume
- 75
- Issue
- 08
- Pages
- e802-e808
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W2090116998
- Cited by
- 17
- References
- 0
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2022: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2016: 3 · 2015: 1
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- suicide attempts, repeated suicide attempts, desire for death, suicide risk prediction, psychiatric emergency care
- MeSH terms
- Adult, Canada, Female, Humans, Longitudinal Studies, Male, Middle Aged, Recurrence, Risk Factors, Suicide, Attempted, Logistic Models, Databases, Factual, Survivors
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