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Psychopathology 8 1/2 years post parasuicide.

S Curran1, M Fitzgerald, V T Greene

  • 1Drug Treatment Centre Board, Dublin, Ireland.

Crisis
|December 20, 1999
PubMed
Summary

Long-term follow-up of parasuicide revealed poor outcomes, with psychiatric morbidity and parental overprotection being significant factors. Repeated instances of parasuicide were linked to worse long-term prognosis.

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Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • Limited long-term follow-up studies exist for parasuicide cases.
  • No prior research has assessed psychiatric morbidity using diagnostic scales or parental bonding in this population over the long term.

Purpose of the Study:

  • To prospectively evaluate long-term outcomes of parasuicide.
  • To assess psychiatric morbidity, social functioning, and parental bonding in parasuicide survivors.
  • To identify factors associated with long-term prognosis after parasuicide.

Main Methods:

  • Prospective follow-up of 85 parasuicide cases after an average of 8.5 years.
  • Utilized the Clinical Interview Schedule, Social Maladjustment Scale, and Parental Bonding Instrument for assessments.
  • Interviewed 39 participants, assessing psychiatric morbidity, social functioning, and parenting recollections.

Main Results:

  • Thirty-nine participants were interviewed; 19 were well, and 20 had psychiatric morbidity.
  • Five participants died during follow-up, including 3 suicides.
  • Childhood parental overprotection was associated with parasuicide; long-term outcomes were poor, particularly for repeated parasuicides.

Conclusions:

  • Parasuicide is associated with adverse long-term psychiatric outcomes and parental overprotection.
  • Repeated parasuicidal behavior indicates a particularly poor long-term prognosis.
  • Challenges in long-term follow-up include migration, refusals, and untraceability.

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