Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-25T01:00:37.735Z Has data issue: false hasContentIssue false

Prediction of repeated parasuicide after 1–12 months

Published online by Cambridge University Press:  16 April 2020

A. Öjehagen
Affiliation:
Department of Clinical Neuroscience Division of Psychiatry, Lund University Hospital, SE-221 85Lund, Sweden
Get access

Abstract

Background

To investigate predictors for repetition of suicide attempts 1–12 months after a suicide attempt.

Methods

Two hundred and sixteen patients who had made a suicide attempt were investigated after 1 month, and 178 were followed up again after 12 months.

Results

During 1–12 months after the suicide attempt, 30 patients reattempted suicide (repeaters). During 0–1 month 13 patients had reattempted suicide (early repeaters), and nine of them also repeated between 1 and 12 months. Repeaters had more often made three or more attempts before index attempt, they more often were in treatment at the index attempt and at 1 month they had lower global functioning and higher suicide ideation. In a Cox Regression analysis two predictors for repetition between 1 and 12 months remained significant; early repetition (OR 6.7, 95% CI, 3.0–14.9) and having GAF-scores below 49 (median cut-off) (OR 3.4 (95% CI, 1.5–7.5).

Conclusions

Our findings suggest that repetitive behaviour in itself is a strong predictor of future attempts. Strategies focusing on the repetitive behaviour are warranted.

Type
Original article
Copyright
Copyright © Elsevier SAS 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allard, R, Marshall, M, Plante, CIntensive follow-up does not decrease the risk of repeat suicide attempts. Suicide Life Threat. Behav. 1992;22:303314.Google Scholar
American Psychiatric Association Diagnostic and statistical manual of mental disorders. 3rd ed, revised. Washington DC: APA Press; 1987Google Scholar
Appleby, L, Shaw, J, Amos, T, McDonnell, R, Harris, C, McCann, Ket al.Suicide within 12 months of contact with mental health services: national clinical survey. BMJ 1999;318:12351239.CrossRefGoogle ScholarPubMed
Bancroft, J, Skrimshire, A, Reynolds, F, Simkin, S, Smith, JSelf-poisoning and self-injury in the Oxford area. Epidemiological aspects 1969–73. Br. J. Prev. Soc. Med. 1975;29:170177.Google ScholarPubMed
Bancroft, J, Marsack, PThe repetitiveness of self-poisoning and self-injury. Br. J. Psychiatry 1977;131:394399.CrossRefGoogle ScholarPubMed
Beck, A, Herman, I, Schuyler, DDevelopment of suicidal intent scales. Beck, AResnik, HLettieri, DThe prediction of suicide. Bowie (MD). Charles Press; 1974.4546.Google Scholar
Beck, A, Kovacs, M, Weissman, AThe Scale for Suicide Ideation. J. Consult. Clin. Psychol. 1979;47:343352.CrossRefGoogle ScholarPubMed
Carter, G, Whyte, I, Ball, K, Carter, T, Dawson, H, Carr, Jet al.Repetition of deliberate self-poisoning in an Australian hospital-treated population. Med. J. Aust. 1999;170:307311.CrossRefGoogle Scholar
Cedereke, M, Monti, K, Öjehagen, ATelephone contact with patients in the year after a suicide attempt: does it affect treatment attendance and outcome? A randomised controlled study. Eur. Psychiatry 2002;17:8291.CrossRefGoogle ScholarPubMed
Cedereke, M, Ojehagen, APatients’ needs during the year after a suicide attempt. A secondary analysis of a randomised controlled intervention study. Soc. Psychiatry Psychiatr. Epidemiol. 2002;37:357363.CrossRefGoogle ScholarPubMed
Concoran, P, Kelleher, M, Keeley, H, Byrne, S, Burke, U, Williamson, EA statistical model for identifying repeaters of parasuicide. Arch. Suicide Res. 1997 6574.CrossRefGoogle Scholar
Derogatis, LSCL-90: administration, scoring and procedure manual for the revised version of the SCL-90. Baltimore: The Hohn Hopkins University School of Medicines; 1979Google Scholar
Foster, T, Gillespie, K, McClelland, RMental disorders and suicide in Northern Ireland. Br. J. Psychiatry 1997;170:447452.CrossRefGoogle ScholarPubMed
Gilbody, S, House, A, Owens, DThe early repetition of deliberate self harm. J. R. Coll. Physicians Lond. 1997;31:171172.Google ScholarPubMed
Hassanyeh, F, O’Brien, G, Holton, A, Hurren, K, Watt, LRepeat self-harm: an 18-month follow-up. Acta Psychiatr. Scand. 1989;79:265267.CrossRefGoogle Scholar
Hawton, KAssessment of suicide risk. Br. J. Psychiatry 1987;150:145153.CrossRefGoogle ScholarPubMed
Hawton, K, Arensman, E, Townsend, E, Bremner, S, Feldman, E, Goldney, Ret al.Deliberate self harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. BMJ 1998;317:441447.CrossRefGoogle ScholarPubMed
Hawton, KGeneral hospital management of suicidal behaviour. Hawton, KVan Heeringen, KThe international handbook of suicide and attempted suicide. Chichester: John Wiley & Sons Ltd; 2000[Chapter. 29]CrossRefGoogle Scholar
Hawton, K, McKeown, S, Day, A, Martin, P, O’Connor, M, Yule, JEvaluation of out-patient counselling compared with general practitioner care following overdoses. Psychol. Med. 1987;17:751761.CrossRefGoogle ScholarPubMed
Hultén, A, Jiang, G, Wasserman, D, Hawton, K, Hjelmeland, H, De Leo, Det al.Repetition of attempted suicide among teenagers in Europe: frequency, timing and risk factors. Eur. Child. Adolesc. Psychiatry 2001;10:161169.Google Scholar
Kerkhof, J, Arensman, E, Bille-Brahe, U, Crepet, P, De Leo, D, Hjelmeland, Het al.Repetition of attempted suicide: results from the WHO/EU Multicentre Study on Parasuicide, repetition-prediction part. Seventh European Symposium on Suicide and Suicidal Behaviour. Gent: University Press; 1998Google Scholar
Kreitman, N, Philip, AReflections on the management of parasuicide. Br. J. Psychiatry 1979;115:746747.CrossRefGoogle Scholar
Lambert, M, Hill, CAssessing psychotherapy outcomes and processes. Bergin, EGarfield, SHandbook of psychotherapy and behavior change. New York: John Wiley & Sons, Inc; 1994 72113.Google Scholar
Linehan, M, Armstrong, H, Suarez, A, Allmon, D, Heard, HCognitive-behavioral treatment of chronically parasuicidal borderline patients. Arch. Gen. Psychiatry 1991;48:10601064.CrossRefGoogle ScholarPubMed
Morgan, H, Barton, J, Pottle, S, Pocock, H, Burns-Cox, CDeliberate self-harm: a follow-up study of 279 patients. Br. J. Psychiatry 1976;128:361368.CrossRefGoogle ScholarPubMed
Möller, JEfficiency of different strategies in after-care for patients who have attempted suicide. J. R. Soc. Med. 1989;82:643647.CrossRefGoogle Scholar
Nielsen, B, Wang, A, Bille-Brahe, UAttempted suicide in Denmark. IV. A five-year follow-up. Acta Psychiatr. Scand. 1990;81:250254.CrossRefGoogle ScholarPubMed
Norusis, MSPSS for Windows 10.0. Chicago: Spss Inc; 1999Google Scholar
Öjehagen, A, Danielsson, M, Träskman-Bendz, LDeliberate self-poisoning: treatment follow-up of repeaters and nonrepeaters. Acta Psychiatr. Scand. 1992;85:370375.CrossRefGoogle ScholarPubMed
Owens, D, Dennis, M, Read, S, Davis, NOutcome of deliberate self-poisoning. An examination of risk factors for repetition. Br. J. Psychiatry 1994;165:797801.CrossRefGoogle ScholarPubMed
Phelan, M, Slade, M, Dunn, G, Holloway, F, Strathdee, G, Thornicroft, Get al.Camberwell Assessment of Need London: London Institute of Psychiatry; 1993(PRiSM)Google Scholar
bRygnestad, TA 15-year follow-up study after deliberate self-poisoning. Tidsskr. Nor. Laegeforen. 1997; 117:30653069.Google ScholarPubMed
Rygnestad, TA prospective 5-year follow-up study of self-poisoned patients. Acta Psychiatr. Scand. 1988; 77:328331.CrossRefGoogle ScholarPubMed
Sakinofsky, IRepetition of suicidal behaviour. Hawton, KVan Heeringen, KThe international handbook of suicide and attempted suicide Chichester: John Wiley & Sons Ltd; 2000[Chapter 21]Google Scholar
Sakinofsky, I, Roberts, R, Brown, Y, Cumming, C, James, PProblem resolution and repetition of parasuicide. A prospective study. Br. J. Psychiatry 1990; 156:395399.CrossRefGoogle ScholarPubMed
Schmidtke, A, Bille-Brahe, U, De Leo, D, Kerkhof, A, Bjerke, T, Crepet, Pet al.Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr. Scand. 1996; 93:327338.CrossRefGoogle ScholarPubMed
Scott, J, House, R, Yates, M, Harrington, JIndividual risk factors for early repetition of deliberate self-harm. Br. J. Med. Psychol. 1997; 70:387393.CrossRefGoogle ScholarPubMed
Slade, M, Phelan, M, Thornicroft, GA comparison of needs assessed by staff and by an epidemiologically representative sample of patients with psychosis. Psychol. Med. 1998; 28:543550.CrossRefGoogle ScholarPubMed
Spirito, A, Plummer, B, Gispert, M, Levy, S, Kurkjian, J, Lewander, Wet al.Adolescent suicide attempts: outcomes at follow-up. Am. J. Orthopsychiatry 1992; 62:464468.CrossRefGoogle Scholar
Wang, A, Nielsen, B, Bille-Brahe, U, Hansen, W, Kolmos, LAttempted suicide in Denmark. III. Assessment of repeated suicidal behaviour. Acta Psychiatr. Scand. 1985; 72:389394.CrossRefGoogle ScholarPubMed
Waterhouse, J, Platt, SGeneral hospital admission in the management of parasuicide. A randomised controlled trial. Br. J. Psychiatry 1990; 156:236242.CrossRefGoogle ScholarPubMed
Wiersma, D, Nienhuis, F, Giel, R, Slooff, CStability and change in needs of patients with schizophrenic disorders: a 15- and 17-year follow-up from first onset of psychosis, and a comparison between ‘objective’ and ‘subjective’ assessments of needs for care. Soc. Psychiatry Psychiatr. Epidemiol. 1998; 33:4956.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.