Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and Relationship with a Nurse-Led Suicide Prevention Programme

Int J Environ Res Public Health. 2020 Nov 25;17(23):8765. doi: 10.3390/ijerph17238765.

Abstract

Suicidal behaviour is a major public health problem that needs to be tackled by all health agents including mental health nurses.

Aims: The purpose of this study was to analyse the relationship between demographic and clinical characteristics and different kinds of suicidal behaviour with a nurse-led suicide prevention programme.

Methods: The design was a cross-sectional study, performed in the region of Osona (Catalonia) in the five-year period 2013-2017. Suicidal behaviour was classified as suicidal ideation, interrupted self-directed violence, suicide attempt or completed suicide.

Results: The sample included 753 patients (of whom 53 completed suicide) who experienced 931 suicidal behaviour episodes. Men represented only 38.4% of the sample but 81.1% of completed suicides. Mental disorders were associated with suicidal behaviour in 75.4% of the sample. Two thirds (66.4%) of the individuals (0.8% (n = 4) of whom completed suicide) were participants in a nurse-led suicidal behaviour case management programme.

Conclusion: The main risk factors were being a woman for suicidal behaviour and being a man and being older for completed suicide. Mental disorders, widowhood and retirement were also associated with completed suicide. The completed suicide rate was lower among participants in the nurse-led programme.

Keywords: attempted; completed; preventive health services; psychiatric nursing; risk factors; suicidal ideation; suicide.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Community Health Nursing* / statistics & numerical data
  • Cross-Sectional Studies
  • Demography
  • Female
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Nurses
  • Preventive Health Services* / statistics & numerical data
  • Risk Factors
  • Suicidal Ideation
  • Suicide, Attempted* / prevention & control
  • Suicide, Attempted* / psychology
  • Suicide, Attempted* / statistics & numerical data