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Repeated suicide attempts: a follow-up study.

Leire Azcárate-Jiménez1, José Javier López-Goñi2, Adriana Goñi-Sarriés1

  • 1Red de Salud Mental de Navarra. Servicio Navarro de Salud-Osasunbidea (Pamplona).

Actas Espanolas De Psiquiatria
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Suicide re-attempts are common, with 14% of patients re-attempting within six months. Prior mental health treatment is a key predictor of repeated suicide attempts, highlighting the need for improved interventions.

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Area of Science:

  • Psychiatry
  • Public Health
  • Emergency Medicine

Background:

  • Suicide re-attempts are strongly linked to completed suicides, necessitating robust follow-up care.
  • Understanding patient profiles is crucial for effective suicide prevention strategies.

Purpose of the Study:

  • Investigate sociodemographic and clinical profiles of psychiatric emergency patients after suicide attempts.
  • Determine the prevalence of suicide re-attempts within six months.
  • Identify predictors of repeated suicide attempts.

Main Methods:

  • Interviewed 207 psychiatric emergency patients (122 women, 85 men) admitted for suicide attempts.
  • Reviewed clinical histories at a six-month follow-up.
  • Utilized multivariate analysis to identify predictive variables.

Main Results:

  • 14% of patients (n=29) re-attempted suicide within six months; 2 died by suicide.
  • Patients admitted to the Psychiatric Hospitalization Unit showed higher re-attempt rates.
  • Prior mental health treatment was significantly associated with repeated suicide attempts (OR=3.504, p=0.009).

Conclusions:

  • The risk of suicide re-attempt following psychiatric emergency treatment is substantial.
  • Enhanced prevention and intervention programs are critical to reduce suicide recurrence.
  • Increased mental health treatment engagement was observed post-follow-up.