Suicide Attempts Among Depressed Inpatients with Depressive Disorder in a Malaysian Sample

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 283-287 ◽  
Author(s):  
L. F. Chan ◽  
T. Maniam ◽  
A. S. Shamsul
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Depressive Disorder ◽  
Suicide Attempts ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Life Event ◽  
Axis I ◽  
A Current

Background: Depressed inpatients constitute a high-risk population for suicide attempts. Aims: To describe the interactions of clinical and psychosocial risk factors influencing suicide attempts among a Malaysian sample of depressed inpatients. Methods: Seventy-five subjects were diagnosed with a depressive disorder according to the Structured Clinical Interview for DSM-IV Axis I Disorders-Clinical Version (SCID-CV). Data on suicide attempts, suicidal ideation (Scale for Suicidal Ideation, SSI), depression severity (Beck’s Depression Inventory, BDI), recent life-event changes (Social Readjustment Rating Scale, SRRS), sociodemographic and other relevant clinical factors were collected. Results: A third of the subjects presented after a current suicide attempt. Significant factors for a current suicide attempt were race, religion, recent life-event changes, suicidal ideation, and alcohol use disorder. Independent predictive risk factors for a current suicide attempt were Chinese race, recent marital separation, major mortgage or loans, and being newly diagnosed with depression. Any recent change in personal habits was shown to be a protective factor against current suicide attempt. Age and gender were nonsignificant factors. Conclusions: The findings are generally consistent with existing studies and highlight the role of psychosocial risk factors.

Attachment Organization in Suicide Prevention Research

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Critical Role ◽  
Self Report ◽  
Future Research ◽  
Self Harm

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.

Suicidal Children Grow Up: Rates and Psychosocial Risk Factors for Suicide Attempts during Follow-up

1993 ◽  
Vol 32 (1) ◽  
pp. 106-113 ◽  
Author(s):  
CYNTHIA R. PFEFFER ◽  
GERALD L. KLERMAN ◽  
STEPHEN W. HURT ◽  
TATSUYUKI KAKUMA ◽  
JOAN R. PESKIN ◽  
...  
Keyword(s):  
Risk Factors ◽  
Suicide Attempts ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Risk Factors For Suicide

scholarly journals Psychosocial risk factors and outcomes associated with suicide attempts in childhood: A retrospective study

2020 ◽  
Vol 125 ◽  
pp. 129-135 ◽  
Author(s):  
Liat Itzhaky ◽  
Ilana Gratch ◽  
Hanga Galfalvy ◽  
John G. Keilp ◽  
Ainsley K. Burke ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Suicide Attempts ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk

Who are the suicide reattempters?

2016 ◽  
Vol 33 (S1) ◽  
pp. S600-S600
Author(s):  
E. Gattoni ◽  
C. Gramaglia ◽  
C. Delicato ◽  
S. Di Marco ◽  
I. Coppola ◽  
...  
Keyword(s):  
Risk Factors ◽  
Personality Disorder ◽  
Suicide Attempt ◽  
Emergency Room ◽  
Suicide Attempts ◽  
Somatoform Disorder ◽  
Psychiatric Disease ◽  
Psychiatric Evaluation ◽  
Axis I ◽  
Competing Interest

BackgroundHistory of previous suicide attempts is one of the most important risk factors for a subsequent completed suicide. Suicide reattempters (SR) has been long associated with demographic and clinical risk factors for suicide, such as unemployment and psychiatric disorders, however a recent review of the literature has not supported a specific age and gender profile of SR, but rather underscored that, as far as diagnosis is concerned, SR were more likely to have a personality disorder. According to literature, 16%–34% of the subjects repeat a suicide attempt within the first 2 years after the previous one.AimThe purpose of our study was evaluating clinical and socio-demographic characteristics and the outcome of psychiatric consultation among subjects referring to an emergency room for recommitting a suicide attempt.MethodsWe considered a sample of SR aged > 16 years. We extracted data from the database including all patients requiring psychiatric evaluation in the emergency room, and eventually compared the features of SR and patients with a single suicide attempt. For each patient, we gathered socio-demographic features, psychiatric history and current clinical issues, suicidal intent and suicidal behaviors.ResultsData collection and statistical analyses are still ongoing. Preliminary results show that, compared to patients with a single suicide attempt, SR were more frequent female, unmarried, employed, with a low level of instruction; they had a psychiatric disease (axis I – anxiety disorder, somatoform disorder; axis II – histrionic personality disorder); they are under the care of mental health services and under psychopharmacological treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician

2009 ◽  
Vol 31 (3) ◽  
pp. 271-280 ◽  
Author(s):  
Lena Nabuco de Abreu ◽  
Beny Lafer ◽  
Enrique Baca-Garcia ◽  
Maria A. Oquendo
Keyword(s):  
Risk Factors ◽  
Bipolar Disorder ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Clinical Samples ◽  
Type I ◽  
History Of ◽  
Axis I

OBJECTIVE: This article reviews the evidence for the major risk factors associated with suicidal behavior in bipolar disorder. METHOD: Review of the literature studies on bipolar disorder, suicidal behavior and suicidal ideation. RESULTS: Bipolar disorder is strongly associated with suicide ideation and suicide attempts. In clinical samples between 14-59% of the patients have suicide ideation and 25-56% present at least one suicide attempt during lifetime. Approximately 15% to 19% of patients with bipolar disorder die from suicide. The causes of suicidal behavior are multiple and complex. Some strong predictors of suicidal behavior have emerged in the literature such as current mood state, severity of depression, anxiety, aggressiveness, hostility, hopelessness, comorbidity with others Axis I and Axis II disorders, lifetime history of mixed states, and history of physical or sexual abuse. CONCLUSION: Bipolar disorder is the psychiatric condition associated with highest lifetime risk for suicide attempts and suicide completion. Thus it is important to clinicians to understand the major risk factors for suicidal behavior in order to choose better strategies to deal with this complex behavior.

Suicidal ideation in the elderly: Psychosocial risk factors and precipitants

2019 ◽  
Vol 37 (9) ◽  
pp. 1798-1799
Author(s):  
Lindsey Ouellette ◽  
Allison Cook ◽  
Keegan Michel ◽  
Leah Harvey ◽  
Chad Sutliffe ◽  
...  
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
The Elderly ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk

scholarly journals Evaluation of Sociodemographic Characteristics and Depression Diagnosis of Adolescents who Had Suicide Attempt

2021 ◽  
Author(s):  
Ayşe Nihal Eraslan ◽  
Rezzan Aydın Görücü ◽  
Mehmet Öztürk ◽  
Arzu Yılmaz ◽  
Medine Aysin Taşar
Keyword(s):  
Risk Factors ◽  
Major Depressive Disorder ◽  
Suicide Attempt ◽  
Depressive Disorder ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Evaluation ◽  
Major Depressive ◽  
Problem Solving Skills ◽  
Dsm 5

Objective: Suicide attempts of adolescents have become one of the most common reasons among the admission to emergency departments for psychiatric reasons. The aim of this study is to identify sociodemographic and clinical characteristics, the diagnosis of depressive disorder and to assess the risk factors of adolescents who attempted suiside. Method: For this study, the patients that were admitted to Ankara Research and Training Hospital Emergency Department and were referred to Child and Adolescent Psychiatry outpatient clinic due to suicide attempt between April 2018 and December 2018 were included. “Child Depression Inventory”, “Beck Depression Inventory “ and “Sociodemographic Data Form” were used for the study. It was also evaluated whether the patients were diagnosed with “Major Depressive Disorder” according to DSM-5 as a result of psychiatric examination. SPSS 24.0 was used in the analyzes. T-test, Kruskal-Wallis test, Chi-square and Fisher’s exact test were used where appropriate. Results: Out of 38 patients who attempted suicide, 92,1% (n=35) were female. It was found that 92.1% (n=35) of the cases attempted suicide by overdose drug intake. Approximately half of the cases (44.7% n=17) reported the reason for suicide as “familial stressors”. As a result of the psychiatric evaluation, 42.1% (n=16) of the cases were diagnosed with “Major Depressive Disorder” according to DSM-5. Conclusion: Comprehensive evaluation of individual and environmental factors in adolescents who attempted suicide is considered important to identify the risk factors. Moreover strengthening the professional psychosocial support systems about increasing coping skills, gaining problem-solving skills of adolescents and informing families about approach to adolescents are thought that may contribute to protective measures.

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