Examining the Impact of Suicide Attempt Function and Perceived Effectiveness in Predicting Reattempt for Emergency Medicine Patients
| Autor: | David C. Atkins, Katherine Anne Comtois, Stephen S. O'Connor, Amanda H. Kerbrat |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Population Poison control Suicide Attempted Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Risk Factors Injury prevention medicine Humans 0501 psychology and cognitive sciences Risk factor education Psychiatry education.field_of_study Suicide attempt 05 social sciences Human factors and ergonomics Professional-Patient Relations 030227 psychiatry Clinical Psychology Emergency Medicine Patient Compliance Female Psychology Attitude to Health Self-Injurious Behavior |
| Zdroj: | Behavior Therapy. 48:45-55 |
| ISSN: | 0005-7894 |
| DOI: | 10.1016/j.beth.2016.05.004 |
| Popis: | While previous studies have examined motivational aspects of self-directed violence, few studies have included specific motivations in predictive models for future suicide attempts. The current study utilized a sample of 160 individuals treated in an acute emergency setting following a suicide attempt who completed an interview battery that included an assessment of functional aspects of the index suicide attempt. A follow-up interview was conducted at 6 months to ascertain subsequent suicide attempts. The functional domains of suicide attempts were labeled as reduction-of-distress, communication, perceived better alternative to living, and self-loathing. Above and beyond other known risk factors, including history and highest lethality of previous self-injury, suicide attempts that served a communication function (OR = 0.18, p = .02, CI = 0.04, 0.73) and higher ratings of clinical dysfunction (OR = 3.41, p = .05, CI = 1.02, 11.36) were associated with a significant reduction in likelihood to engage in a suicide attempt during the 6-month follow-up window. Including the perceived effectiveness of the index suicide attempt in getting one's needs met strengthened the overall model predicting a suicide attempt in the follow-up window and was an independent risk factor above and beyond other variables in the model OR = 1.75, p = .04, CI = 1.02, 3.01). Assessment of functional aspects of suicide attempt is feasible and may improve formulation of risk in a population where typical risk factors for suicide are ubiquitous. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect