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The repetition of suicidal behavior: a multicenter cohort study
Navneet Kapur1, Jayne Cooper, Sarah King-Hele
1Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, University of Manchester, Manchester, United Kingdom. nav.kapur@manchester.ac.uk
The Journal of Clinical Psychiatry
|November 17, 2006
Summary
Repetition of suicidal behavior is common, with 13.6% of individuals repeating acts within 12 months. Key risk factors include prior suicidal behavior and psychiatric treatment, highlighting the need for targeted prevention strategies.
Area of Science:
- Public Health
- Psychiatry
- Epidemiology
Background:
- Suicidal behavior repetition poses a significant public health challenge.
- Understanding the patterns and risk factors of repetition is crucial for effective intervention.
Purpose of the Study:
- To determine the incidence and timing of nonfatal suicidal behavior repetition within 12 months.
- To identify risk factors associated with repetition and their population impact.
Main Methods:
- Prospective cohort study of 9213 individuals aged 15+ presenting with self-harm in North West England (1997-2002).
- Data collected via standard assessment forms including demographic and clinical details.
Main Results:
- 13.6% of individuals repeated suicidal behavior within 12 months; median time to repetition was 73.5 days.
- One in 10 repeated within 5 days.
- Identified risk factors: previous suicidal behavior, psychiatric treatment, unemployment, self-injury, alcohol misuse, suicidal plans, and hallucinations. Population attributable fraction was 65%.
Conclusions:
- Suicidal behavior repetition is frequent and rapid.
- Primary prevention, addressing psychiatric illness, and social factors like unemployment are key population-level strategies.
- Individualized interventions may be necessary for specific subgroups.
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