Repeated suicide attempts: a follow-up study

Actas Esp Psiquiatr. 2019 Jul;47(4):127-36. Epub 2019 Jul 1.

Abstract

Introduction: There is a strong association between those who re-attempt a suicide attempt and those who complete it. Therefore, follow-up on the interventions carried out for suicidal patients is essential. This study investigated the sociodemographic and clinical profiles of individuals admitted as psychiatric emergencies after a suicide attempt according to sex, determined the prevalence of re-attempts in a period of six months, compared the profiles of patients who engaged in repeated suicide attempts to those who did not, and evaluated predictive variables for repeated suicide attempts.

Methodology: A total of 207 patients (122 women and 85 men) who went to the psychiatric emergency room for a suicide attempt (January-October 2015) were interviewed, and their clinical histories were reviewed at 6 months.

Results: Lethal suicidal behaviour was lower in women. Fourteen percent of the sample (n=29) repeated a suicide attempt in the following 6 months, and 2 people died by suicide; 3 died from other causes. The patients admitted to the Psychiatric Hospitalization Unit presented with more re-attempts (X2=4.1; d.f.=1; p=0.043). In the multivariate analysis, of all the variables analysed, the only one associated with repeated suicide attempts was having been in mental health treatment upon inclusion into the study (OR=3.504, p=0.009, CI95%: 1.361-9.018). In the follow-up period, the percentage of patients who engaged in mental health treatment increased 21.7%.

Conclusions: The risk of recurrence after being treated for a suicide attempt psychiatric emergency is high in the months following an attempt, and it is necessary to improve prevention and intervention programmes aimed at improving these figures.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Emergency Services, Psychiatric / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • Humans
  • Logistic Models
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology*
  • Middle Aged
  • Multivariate Analysis
  • Recurrence
  • Risk Factors
  • Sex Distribution
  • Socioeconomic Factors
  • Spain
  • Suicide, Attempted / prevention & control*
  • Suicide, Attempted / statistics & numerical data