Autor: |
Quesada-Franco M; Department of Psychiatry, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain., Pintor-Pérez L; Department of Psychiatry, Hospital Clinic, Instituto de Investigaciones Biomédicas Augusto Pi I Sunyer (IDIBAPS), Universitat de Barcelona, 08036 Barcelona, Spain., Daigre C; Department of Psychiatry, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.; Biomedical Network Research Centre on Mental Health (CIBERSAM), 08035 Barcelona, Spain., Baca-García E; Department of Psychiatry, Madrid Autonomous University, 28017 Madrid, Spain.; CIBERSAM (Centro de Investigacion en Salud Mental), Carlos III Institute of Health, 28040 Madrid, Spain.; Department of Psychiatry, Centre Hospitalier Universitaire de Nîmes, 30900 Nîmes, France.; Psychology Department, Universidad Católica de Maule, Talca 3605, Chile.; Department of Psychiatry, University Hospital Jimenez Diaz Foundation, 28020 Madrid, Spain., Ramos-Quiroga JA; Department of Psychiatry, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.; Biomedical Network Research Centre on Mental Health (CIBERSAM), 08035 Barcelona, Spain.; Psychiatry, Mental Health and Addictions Research Group, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain., Braquehais MD; Biomedical Network Research Centre on Mental Health (CIBERSAM), 08035 Barcelona, Spain.; Psychiatry, Mental Health and Addictions Research Group, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.; Integral Care Program for Sick Health Professionals, Galatea Clinic, 08017 Barcelona, Spain. |
Abstrakt: |
Medically serious suicide attempts (MSSA) represent a subgroup of clinically heterogeneous suicidal behaviors very close to suicides. Personality disorders (PD) are highly prevalent among them, together with affective and substance use disorders. However, few studies have specifically analyzed the role of PD in MSSA. These suicide attempts (SA) are usually followed by longer hospitalization periods and may result in severe physical and psychological consequences. The aim of this study is to compare the profile of MSSA patients with and without PD. MSSA were defined according to Beautrais 'criteria, but had to remain hospitalized ≥48 h. Overall, 168 patients from two public hospitals in Barcelona were evaluated during a three-year period. Mean hospital stay was 23.68 (standard deviation (SD) = 41.14) days. Patients with PD ( n = 69) were more likely to be younger, female, make the first and the most serious SA at a younger age, reported recent stressful life-events and more frequently had previous suicide attempts compared to those without PD. However, no differences were found with regards to comorbid diagnoses, current clinical status, features of the attempt, or their impulsivity and hopelessness scores. Therefore, focusing on the subjective, qualitative experiences related to MSSA among PD patients may increase understanding of the reasons contributing to these attempts in order to improve prevention strategies in the future. |