Risk of re-attempts and suicide death after a suicide attempt : A survival analysis
Parra Uribe, Isabel (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Blasco-Fontecilla, Hilario (Universidad Autónoma de Madrid)
Garcia-Parés, Gemma (Hospital Nostra Senyora de Meritxell (Principat d'Andorra))
Martínez-Naval, Luis (Institut de Medicina Legal i Ciències Forenses de Catalunya)
Valero-Coppin, Oliver (Universitat Autònoma de Barcelona)
Cebrià, Annabel (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Oquendo, Maria A. (University of Pennsylvania)
Palao, Diego (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))

Fecha:	2017
Resumen:	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. 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. 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). 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.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Suicidal behaviour ; Alcohol use disorders ; Personality disorders
Publicado en:	BMC Psychiatry, Vol. 17 (may 2017) , ISSN 1471-244X

DOI: 10.1186/s12888-017-1317-z
PMID: 28472923

11 p, 952.0 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Instituto de Investigación e Innovación Parc Taulí (I3PT)
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