Method of suicide attempt and reaction to survival as predictors of repeat suicide attempts: a longitudinal analysis
| Autor: | Joanna Bhaskaran, Yunqiao Wang, Jitender Sareen, James M. Bolton, Leslie E. Roos, Kurt Skakum |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Canada Databases Factual Poison control Suicide Attempted Logistic regression Suicide prevention Occupational safety and health Recurrence Risk Factors Injury prevention Medicine Humans Longitudinal Studies Survivors Psychiatry Suicide attempt business.industry Odds ratio Middle Aged Psychiatry and Mental health Logistic Models Emergency psychiatry Female business |
| Zdroj: | The Journal of clinical psychiatry. 75(8) |
| ISSN: | 1555-2101 |
| Popis: | To evaluate whether reaction to survival of a suicide attempt and method of the index attempt predicted repeat suicide attempts within 6 months.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.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).Assessment of the patient's reaction to survival, regardless of method of attempt, is important to identify risk of repeat attempts. |
| Databáze: | OpenAIRE |
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