Risk of re-attempts and suicide death after a suicide attempt: A survival analysis

Autor: Isabel Parra-Uribe, Hilario Blasco-Fontecilla, Gemma Garcia-Parés, Luis Martínez-Naval, Oliver Valero-Coppin, Annabel Cebrià-Meca, Maria A. Oquendo, Diego Palao-Vidal
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Psychiatry, Vol 17, Iss 1, Pp 1-11 (2017)
Druh dokumentu: article
ISSN: 1471-244X
DOI: 10.1186/s12888-017-1317-z
Popis: Abstract Background Suicide is the primary cause of unnatural death in Spain, and suicide re-attempts a major economic burden worldwide. The risk factors for re-attempt and suicide after an index suicide attempt are different. This study aims to investigate risk factors for re-attempt and suicide after an index suicide attempt. Methods This observational study is part of a one-year telephone management program. We included all first-time suicide attempters evaluated in the emergency department at Parc Taulí-University Hospital (n = 1241) recruited over a five-year period (January 2008 to December 2012). Suicide attempters were evaluated at baseline using standardized instruments. Bivariate logistic regression models were used to identify risk factors. Kaplan-Meier curves were used to compare the time to re-attempt between categorical variables. Comparisons were performed using Log-Rank and Wilcoxon tests. Variables with a p-value lower than 0.2 were included in a multivariate Cox regression model. Bivariate logistic regression models were considered to identify risk factors for suicide. The significance level was set to 0.05. Results Suicide re-attempters were more likely diagnosed with cluster B personality disorders (36.8% vs. 16.6%; p
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