Distinguishing the relevant features of frequent suicide attempters
Autor: | Lopez-castroman, J, Perez-rodriguez, Mde, Jaussent, I, Alegria, A, Artes-rodriguez, A, Freed, P, Guillaume, S, Jollant, F, Leiva-murillo, Jm, Malafosse, A, Oquendo, Ma, Nullm, nullDe Prado-cumplido, Saiz-ruiz, J, Baca-garcia, E, Courtet, P, Perroud, N, Saiz, P, Blasco-fontecilla, H, Sarchiapone, M, Carli, V, Malafosse, A. |
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Jazyk: | angličtina |
Rok vydání: | 2011 |
Předmět: |
Adult
Male medicine.medical_specialty Poison control Suicide Attempted Suicide prevention suicide attempters 03 medical and health sciences ddc:616.89 0302 clinical medicine Risk Factors Injury prevention Interview Psychological medicine Prevalence Humans ddc:576.5 Psychiatry Biological Psychiatry Probability Psychiatric Status Rating Scales Suicide attempt Suicide Attempted/psychology/statistics & numerical data risk factor mental health disorders Middle Aged medicine.disease 030227 psychiatry 3. Good health Substance abuse Psychiatry and Mental health ROC Curve Spain Anxiety Female France Age of onset medicine.symptom Psychology 030217 neurology & neurosurgery Anxiety disorder |
Zdroj: | Journal of Psychiatric Research, Vol. 45, No 5 (2011) pp. 619-25 |
ISSN: | 0022-3956 |
Popis: | Background: In spite of the high prevalence of suicide behaviours and the magnitude of the resultant burden, little is known about why individuals reattempt. We aim to investigate the relationships between clinical risk factors and the repetition of suicidal attempts. Methods: 1349 suicide attempters were consecutively recruited in the Emergency Room (ER) of two academic hospitals in France and Spain. Patients were extensively assessed and demographic and clinical data obtained. Data mining was used to determine the minimal number of variables that blinded the rest in relation to the number of suicide attempts. Using this set, a probabilistic graph ranking relationships with the target variable was constructed. Results: The most common diagnoses among suicide attempters were affective disorders, followed by anxiety disorders. Risk of frequent suicide attempt was highest among middle-aged subjects, and diminished progressively with advancing age of onset at first attempt. Anxiety disorders significantly increased the risk of presenting frequent suicide attempts. Pathway analysis also indicated that frequent suicide attempts were linked to greater odds for alcohol and substance abuse disorders and more intensive treatment. Conclusions: Novel statistical methods found several clinical features that were associated with a history of frequent suicide attempts. The identified pathways may promote new hypothesis-driven studies of suicide attempts and preventive strategies. |
Databáze: | OpenAIRE |
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