Clinical predictors and psychosocial risk factors of suicide attempt severity.

BACKGROUND: Suicide attempts are an important predictor of completed suicide and may differ in terms of severity of medical consequences or medical lethality. There is little evidence on serious suicide attempt (SSA) and very few studies have compared SSA with non-SSA. OBJECTIVE: The aim of this mul...

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Authors: Gonzalez-Ortega, Itxaso; Diaz-Marsa, Marina; Lopez-Pena, Purificacion; Fernandez-Sevillano, Jessica; Andreo-Jover, Jorge; Bobes, Julio; Bravo-Ortiz, Maria Fe; Cebria, Ana Isabel; Crespo-Facorro, Benedicto; de la Torre-Luque, Alejandro; Elices, Matilde; Fernandez-Rodrigues, Veronica; Garrido-Torres, Nathalia; Grande, Iria; Palao-Tarrero, Angela; Pemau, Andres; Roberto, Natalia; Ruiz-Veguilla, Miguel; Seijo-Zazo, Elisa; Alberich, Susana; Gonzalez-Pinto, Ana; Perez, Victor
Format: Article
Status:Published version
Publication date:2023
Country:España
Institution:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repository:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p4797
Online Access:https://i3pt.portalinvestigacion.com/publicaciones/4797
Access Level:Open access
Keyword:Suicide attempt
Medical severity
Predictors
Childhood trauma
Summary:BACKGROUND: Suicide attempts are an important predictor of completed suicide and may differ in terms of severity of medical consequences or medical lethality. There is little evidence on serious suicide attempt (SSA) and very few studies have compared SSA with non-SSA. OBJECTIVE: The aim of this multisite, coordinated, cohort study was to analyze the role of clinical variables and the sociodemographic and psychological risk factors of SSA. METHOD: In this multisite, coordinated, cohort study, 684 participants (222 for the mild suicide attempt group, 371 for the moderate suicide attempt group and 91 for the SSA group) were included in the study. Ordinal regression models were performed to analyze the predictor variables of SSA. RESULTS: Early physical abuse (OR=1.231) and impulsivity (OR=1.036) were predictors of SSA, while depressive symptoms were associated with a lower risk of SSA. CONCLUSION: Environmental and psychological factors as physical abuse and impulsivity are related with severe suicide severity. These findings will help to develop strategies to prevent suicide and may be considered for the treatment and management of suicide.

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