Symptom profile in suicide attempters during the COVID-19 pandemic: Relationships with suicide outcomes.

Autor:	Díaz-Carracedo P; Department of Legal Medicine, Psychiatry and Pathology. School of Medicine, Complutense University of Madrid, Madrid, Spain., Marín C; Department of Legal Medicine, Psychiatry and Pathology. School of Medicine, Complutense University of Madrid, Madrid, Spain., Diaz-Marsa M; Department of Legal Medicine, Psychiatry and Pathology. School of Medicine, Complutense University of Madrid, Madrid, Spain.; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain., Borges G; Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico., de la Torre-Luque A; Department of Legal Medicine, Psychiatry and Pathology. School of Medicine, Complutense University of Madrid, Madrid, Spain.; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain., Elices M; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; Hospital Clinic de Barcelona, Barcelona, Spain.; Virgen del Rocio University Hospital, Seville, Spain.; Parc Tauli Foundation - UAB University Institute, Barcelona, Spain.; La Paz University Hospital, Madrid, Spain., Toll A; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain., Grande I; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; Universitat de Barcelona, Barcelona, Spain., Roberto N; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain., Vázquez M; Hospital Clinic de Barcelona, Barcelona, Spain., González-Pinto A; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; Araba University Hospital, Araba, Spain., Ruiz-Veguilla M; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; Virgen del Rocio University Hospital, Seville, Spain., Canal-Rivero M; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain., Cebria AI; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; Parc Tauli Foundation - UAB University Institute, Barcelona, Spain., Palao D; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; Parc Tauli Foundation - UAB University Institute, Barcelona, Spain., Bobes-Bascaran T; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; University of Oviedo, Oviedo, Spain., Jimenez-Treviño L; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; University of Oviedo, Oviedo, Spain., Saiz P; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; University of Oviedo, Oviedo, Spain., Andreo-Jover J; La Paz University Hospital, Madrid, Spain., March K; La Paz University Hospital, Madrid, Spain., Palao-Tarrero A; Autonomous University of Madrid, Madrid, Spain., Perez V; Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Madrid, Spain.; Hospital del Mar Institute for Medical Research, Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	European psychiatry : the journal of the Association of European Psychiatrists [Eur Psychiatry] 2024 Oct 25; Vol. 67 (1), pp. e73. Date of Electronic Publication: 2024 Oct 25.
DOI:	10.1192/j.eurpsy.2024.1759
Abstrakt:	Background: Suicidal behavior constitutes a multi-cause phenomenon that may also be present in people without a mental disorder. This study aims to analyze suicidal behavior outcomes in a sample of attempters, from a symptom-based approach. Methods: The sample comprised 673 patients (72% female; M  = 40.9 years) who attended a hospital emergency department due to a suicide attempt. A wide range of clinical factors (e.g., psychopathology symptoms, psychiatric diagnoses, impulsivity, acquired capability), was administered within 15 days after the index attempt. Nine psychopathology domains were explored to identify the profile of symptoms, using latent profile analysis. The relationship between the profile membership and suicide outcome (i.e., intensity of suicidal ideation, number of suicide behaviors, and medical injury derived from index attempt) was also studied, using linear and logistic regression. Results: Three psychopathology profiles were identified: high-symptom profile (45.02% of participants), moderate-symptom profile (42.50%), and low-symptom profile (12.48%). High-symptom profile members were more likely to show higher risk of non-suicidal self-injury, acquired capability for suicide, and more severe suicide behavior and ideation. On the other hand, a more severe physical injury was associated with low-symptom profile membership in comparison to membership from the other profiles ( OR  < 0.45, p  < .05). Conclusions: A symptom-based approach may be useful to monitor patients and determine the risk of attempt repetition in the future and potential medical injury, and to optimize prevention and intervention strategies.
Databáze:	MEDLINE
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