OBJECTIVE: This was a prospective follow-up study of suicidal patients to assess the influence over time of different risk factors, whether on completed suicides or reattempts. Survival analysis makes it possible to weigh the influence of variables that increase or decrease a patient's life span or that make reattempts less likely. METHOD: A cohort of 150 patients admitted to a psychiatric department after a suicide attempt was followed up over 10 years. The study protocol used standardized criteria, and periodic controls were carried out in all patients. RESULTS: In total, 12% of patients completed suicide, 10% died from natural causes, 75% were still alive and 25% reattempted. In the survival analysis the risk for completed suicide or reattempting was highest during the first 2 years after the index attempt admission. Global Assessment of Functioning (GAF) was the factor that most increased survival time. The number of previous attempts decreased survival time and increased the risk of reattempts. CONCLUSION: Since suicidal risk varied over time, intensifying contact with patients during periods of psychopathological change or life events could prolong their survival.
OBJECTIVE: This was a prospective follow-up study of suicidal patients to assess the influence over time of different risk factors, whether on completed suicides or reattempts. Survival analysis makes it possible to weigh the influence of variables that increase or decrease a patient's life span or that make reattempts less likely. METHOD: A cohort of 150 patients admitted to a psychiatric department after a suicide attempt was followed up over 10 years. The study protocol used standardized criteria, and periodic controls were carried out in all patients. RESULTS: In total, 12% of patients completed suicide, 10% died from natural causes, 75% were still alive and 25% reattempted. In the survival analysis the risk for completed suicide or reattempting was highest during the first 2 years after the index attempt admission. Global Assessment of Functioning (GAF) was the factor that most increased survival time. The number of previous attempts decreased survival time and increased the risk of reattempts. CONCLUSION: Since suicidal risk varied over time, intensifying contact with patients during periods of psychopathological change or life events could prolong their survival.
Authors: Hilario Blasco-Fontecilla; Isabelle Jaussent; Emilie Olié; Severine Béziat; Sebastien Guillaume; Paula Artieda-Urrutia; Enrique Baca-Garcia; Jose de Leon; Philippe Courtet Journal: Prim Care Companion CNS Disord Date: 2014-08-07
Authors: Richard Crevenna; Michael Klintschar; Martin Weger; Wolfgang Weger; Michael Quittan; Veronika Fialka-Moser; Carl N Homann Journal: Wien Med Wochenschr Date: 2003
Authors: Daniel Thomas Chung; Christopher James Ryan; Dusan Hadzi-Pavlovic; Swaran Preet Singh; Clive Stanton; Matthew Michael Large Journal: JAMA Psychiatry Date: 2017-07-01 Impact factor: 21.596
Authors: E Antretter; D Dunkel; C Haring; P Corcoran; D De Leo; S Fekete; K Hawton; A J F M Kerkhof; J Lönnqvist; E Salander Renberg; A Schmidtke; K Van Heeringen; D Wasserman Journal: Int J Methods Psychiatr Res Date: 2008 Impact factor: 4.035
Authors: Troy E Madsen; Anne Bennett; Steven Groke; Anne Zink; Christy McCowan; Alex Hernandez; Stuart Knapp; Deepthi Byreddy; Scott Mattsson; Nichole Quick Journal: West J Emerg Med Date: 2009-11