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Five-year mortality after hospitalisation for suicide attempt with a violent method
France Hirot1, Aminata Ali1, Philippe Azouvi2
1INSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Université Paris-Saclay. Villejuif, France; Fondation Santé des Etudiants de France (FSEF), Service hospitalo-universitaire de Santé Mentale de l'Adolescent et du Jeune Adulte (SMAJA), Paris, France.
Journal of Psychosomatic Research
|June 6, 2022
Summary
Individuals who attempt suicide using violent means face significantly higher long-term mortality. This highlights the critical need for ongoing psychiatric and somatic care post-discharge to prevent future suicide risk.
Area of Science:
- Psychiatry and Rehabilitation Medicine
Background:
- Transdisciplinary units offer combined psychiatric and somatic rehabilitation.
- Suicide attempts, particularly those using violent means, are associated with significant long-term mortality risks.
Purpose of the Study:
- To estimate the 5-year mortality rate among individuals admitted to a transdisciplinary unit for combined psychiatric and somatic rehabilitation after a suicide attempt.
- To identify factors associated with mortality in this high-risk population.
Main Methods:
- Retrospective analysis of clinical records for 215 individuals admitted between 2011 and 2017 after a violent suicide attempt.
- Ascertainment of vital status, calculation of standardized mortality ratio (SMR), and use of Log-rank tests.
Main Results:
- The crude mortality rate was 5.12%, with a standardized mortality ratio (SMR) of 15.45, indicating a mortality 15 times higher than the general young adult population.
- Factors associated with increased mortality included older age, longer acute care stays, and shorter stays in the transdisciplinary unit.
Conclusions:
- Suicide attempts by violent means are linked to substantial excess long-term mortality.
- Enhanced outpatient facilities are crucial for providing continuous, coordinated psychiatric, somatic, and psychosocial rehabilitation to mitigate suicide risk in this population.
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