Higher Suicide Intent in Patients Attempting Suicide With Violent Methods Versus Self-Poisoning.

Autor: Persett PS; Department of Acute Medicine, Oslo University Hospital, Norway., Ekeberg Ø; Divisions of Mental Health and Addiction, Oslo University Hospital, Norway.; Department of Behavioral Sciences in Medicine, University of Oslo, Norway., Jacobsen D; Department of Acute Medicine, Oslo University Hospital, Norway.; Institute of Clinical Sciences, University of Oslo, Norway., Bjornaas MA; Department of Acute Medicine, Oslo University Hospital, Norway., Myhren H; Department of Acute Medicine, Oslo University Hospital, Norway.
Jazyk: angličtina
Zdroj: Crisis [Crisis] 2022 May; Vol. 43 (3), pp. 220-227. Date of Electronic Publication: 2021 Apr 23.
DOI: 10.1027/0227-5910/a000773
Abstrakt: Background: Suicidal intent for patients attempting suicide using violent methods (VMs) is assumed to be higher than for those using self-poisoning (SP), which may explain the higher mortality observed in follow-up studies. However, this has not been studied prospectively. Aims: We aimed to compare patients attempting suicide using VMs with those using SP regarding suicidal intent, suicidal ideation, depression, and hopelessness during hospital stay and after 1 year. Methods: Patients hospitalized after suicide attempt by VMs ( n = 80) or SP ( n = 81) completed the Beck scales for Suicide Intent, Suicide Ideation, Depression Inventory, and Hopelessness on admission and at the 12-month follow-up. Results: On admission, those using VMs had higher suicidal intent than those using SP ( M = 16.2 vs. 13.3, p < .001), but lower depression scores ( M = 22.2 vs. 26.8, p < .05). No significant differences were found in suicidal ideation ( M = 20.1 vs. 23.1) or hopelessness ( M = 10.1 vs. 11.9). At 12-month follow-up, depression scores decreased significantly for both groups, while hopelessness decreased only for the SP group. Limitations: The statistical power achieved was lower than intended. Conclusion: The higher levels of suicidal intent, but lower levels of depression, may indicate more impulsivity among people attempting suicide using VMs. Suicidal ideation was relatively stable.
Databáze: MEDLINE