Yossi Levi1, Netta Horesh, Tzvi Fischel, Ilan Treves, Evgenia Or, Alan Apter. 1. The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tikva, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Josef.Levi@gmail.com
Abstract
BACKGROUND: The study of near-fatal suicide attempters may provide insight into the minds of suicidal subjects. Our aim is to test the hypothesis that mental pain is a general risk factor for suicidal behavior and communication difficulties are a particular risk factor for medically serious suicidal behavior. METHODS: Thirty five subjects who made medically serious suicide attempts were compared with 67 medically not serious suicide attempters and 71 healthy controls. All were interviewed with the SCID-I and completed questionnaires covering mental pain, communication difficulties and seriousness of suicide attempt. RESULT: Variables from the mental pain domain (e.g. depression) predicted the presence of suicidal behavior, and variables from the communication difficulties domain (e.g., self-disclosure) predicted the lethality and seriousness of the suicide attempts. LIMITATIONS: Relatively small number of patients with medically serious suicide attempt and the relatively large number of questionnaires which may to some extent have diminished informant reliability. CONCLUSIONS: Problems with sharing of feelings with others are an important risk factor for near-lethal suicide, over and above the contribution of psychiatric illness and mental pain, including depression and hopelessness.
BACKGROUND: The study of near-fatal suicide attempters may provide insight into the minds of suicidal subjects. Our aim is to test the hypothesis that mental pain is a general risk factor for suicidal behavior and communication difficulties are a particular risk factor for medically serious suicidal behavior. METHODS: Thirty five subjects who made medically serious suicide attempts were compared with 67 medically not serious suicide attempters and 71 healthy controls. All were interviewed with the SCID-I and completed questionnaires covering mental pain, communication difficulties and seriousness of suicide attempt. RESULT: Variables from the mental pain domain (e.g. depression) predicted the presence of suicidal behavior, and variables from the communication difficulties domain (e.g., self-disclosure) predicted the lethality and seriousness of the suicide attempts. LIMITATIONS: Relatively small number of patients with medically serious suicide attempt and the relatively large number of questionnaires which may to some extent have diminished informant reliability. CONCLUSIONS: Problems with sharing of feelings with others are an important risk factor for near-lethal suicide, over and above the contribution of psychiatric illness and mental pain, including depression and hopelessness.
Authors: Kimberly A Van Orden; Stefan Wiktorsson; Paul Duberstein; Anne Ingeborg Berg; Madeleine Mellqvist Fässberg; Margda Waern Journal: Am J Geriatr Psychiatry Date: 2014-07-23 Impact factor: 4.105
Authors: Stefan Wiktorsson; Anne I Berg; Katarina Wilhelmson; Madeleine Mellqvist Fässberg; Kimberly Van Orden; Paul Duberstein; Margda Waern Journal: Int J Geriatr Psychiatry Date: 2015-11-11 Impact factor: 3.485
Authors: Maria Cristina Verrocchio; Danilo Carrozzino; Daniela Marchetti; Kate Andreasson; Mario Fulcheri; Per Bech Journal: Front Psychiatry Date: 2016-06-20 Impact factor: 4.157