Can Postdischarge Follow-Up Contacts Prevent Suicide and Suicidal Behavior?

Crisis ◽  
2013 ◽  
Vol 34 (1) ◽  
pp. 32-41 ◽  
Author(s):  
David D. Luxton ◽  
Jennifer D. June ◽  
Katherine Anne Comtois
Keyword(s):  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Empirical Studies ◽  
Secondary Analysis ◽  
Inpatient Psychiatry ◽  
Time Period ◽  
Prevention Interventions ◽  
Specific Factors ◽  
E Mail

Background: The time period following discharge from inpatient psychiatry and emergency department (ED) treatment is one of heightened risk for repeat suicide attempts for patients. Evidence reported in the literature shows that follow-up contacts might reduce suicide risk, although there has not been a comprehensive and critical review of the evidence to date. Aims: To evaluate evidence for the effectiveness of suicide prevention interventions that involve follow-up contacts with patients. Methods: Published empirical studies of follow-up interventions with suicidal behaviors (suicide, attempts, and ideation) as outcomes were searched. Study populations were inpatient psychiatric or ED patients being discharged to home. Contact modalities included phone, postal letter, postcards, in-person, and technology-based methods (e-mail and texting). Results: Eight original studies, two follow-up studies, and one secondary analysis study met inclusion criteria. Five studies showed a statistically significant reduction in suicidal behavior. Four studies showed mixed results with trends toward a preventative effect and two studies did not show a preventative effect. Conclusions: Repeated follow-up contacts appear to reduce suicidal behavior. More research is needed, however, especially randomized controlled trials, to determine what specific factors might make follow-up contact modalities or methods more effective than others.

“To live”: An experimental brief therapy for patients who attempt suicide

2017 ◽  
Vol 41 (S1) ◽  
pp. S184-S184
Author(s):  
D. Silva ◽  
A. coutinho ◽  
A. Marques ◽  
R. Silva
Keyword(s):  
Suicidal Behavior ◽  
Intervention Program ◽  
Suicide Attempts ◽  
Experimental Treatment ◽  
Experimental Program ◽  
Control Group ◽  
Structured Interviews ◽  
Novel Therapy ◽  
Usual Treatment

Background/introductionIt is widely known that attempted suicide is the main risk factor for suicide and repeated suicide attempts. However, there is a lack of evidence for follow-up interventions/treatments reducing suicidal behavior in this population. The aim of the present study was to describe a novel-therapy as a potential treatment with effectiveness in reducing suicidal behavior. On of the main objectives of this project is to potentiate the benefits of the usual treatment in patients with history of suicidal attempt.Description and method “To live” is a proposal of short psychotherapeutic intervention program for patients with recent suicide attempts. The participants were randomly allocated in two groups, one worked as our control group (n = 8), which had the usual treatment (individual outpatient care), and the other group (n = 8) underwent the usual treatment plus the experimental treatment. This treatment consists of a well structured program, in which participants receive eight group sessions followed by regular contact through telefonic calls over 12 months. In order to evaluate its impact and measure results, a set of structured interviews and clinical questionnaires have been applied in different times: time zero (before admission), time one (in the end of the intervention), time 2 (1month after intervention), then at each every 3 months over a 12 month follow up period.Results/conclusionBy the time this study was conducted, the experimental program was being administered, therefore no results could be taken. However, preliminary findings suggest the effectiveness of the program in reducing suicidal behavior in a real-world clinical setting.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Adolescent suicide attempts in three diverse island nations: patterns, contextual differences and demographic associations

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Jinrong Fu ◽  
Olumide Abiodun ◽  
Michael Lowery Wilson ◽  
Masood Ali Shaikh
Keyword(s):  
Suicidal Behavior ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Secondary Analysis ◽  
Epidemiological Studies ◽  
East Timor ◽  
Cook Islands ◽  
Populations At Risk ◽  
Nationally Representative ◽  
Suicide Planning

Abstract Objective Most epidemiological studies on suicidal behavior have been focused on high-income country settings. This study examine factors associated with suicidal behaviors among school-attending adolescents in three island nations. In this secondary analysis of the publicly available 2015 nationally representative GSHS data, we tested demographic, social, and behavioral attributes using multivariable logistic regression to association with suicide attempts. Results Within the recall period, 13.6% of participants reported having attempted suicide one or more times in the Cook Islands, 10.8% in Curaçao, and 9.8% in East Timor. In the Cook Islands, suicide ideation (AOR = 19.42, 95% CI = 9.11–41.41), anxiety (AOR = 2.51, 95% CI = 1.08–5.82), physical bullying (AOR = 3.3, 95% CI = 1.10–9.91), and cigarette smoking (AOR = 3.82, 95% CI = 1.38–10.54) were associated with suicide attempts. For Curaçaoo, suicide ideation (AOR = 7.88, 95% CI = 5.20–11.95) and suicide planning (AOR = 7.01, 95% CI = 4.24–11.60) were statistically significant. While for East Timor, suicide ideation (AOR = 4.59, 95% CI = 2.14–9.88), suicide planning (AOR = 3.36, 95% CI = 1.76–6.29), bullying victimization (AOR = 2.69, 95% CI = 1.02–7.12), and serious injuries (AOR = 2.22, 95% CI = 1.31–3.74) were statistically significant. Suicide attempt is relatively common in each of the three island nations. The socioeconomic context of adolescents might play a significant role in moderating suicidal behavior. Therefore, prevention efforts should be grounded in view of geographic, demographic, and socioeconomic contexts of the populations at risk.

scholarly journals Serotonin transporter gene polymorphism as a predictor of short-term risk of suicide reattempts

2018 ◽  
Vol 54 ◽  
pp. 19-26 ◽  
Author(s):  
Federico M. Daray ◽  
Ángeles R. Arena ◽  
Arnaldo R. Armesto ◽  
Demián E. Rodante ◽  
Soledad Puppo ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Serotonin Transporter ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Age Of Onset ◽  
Short Term ◽  
History Of ◽  
Multicenter Prospective Cohort Study ◽  
Adjusted Model

AbstractObjective:The serotonin-transporter-linked polymorphic region (5-HTTLPR) polymorphisms are associated with suicidal behavior; however, prospective studies are scarce. Herein we aim to determine if 5-HTTLPR polymorphisms predict risk of short-term suicide reattempt in a high-risk suicidal sample. We also explore possible mediators or moderators of this relationship.Methods:A multicenter prospective cohort study was designed to compare data obtained form 136 patients admitted to the emergency department for current suicidal ideation or a recent suicide attempt. Subjects were clinically evaluated, genotyped, and monitored for a new suicide attempt for 6 months.Results:At 6 months of follow up, 21% of the subjects had a new suicide attempt. The frequency of L-allele and L-carrier was higher in reattempters when compared with non-reattempters (55.8% vs. 35.4%, p = 0.01 and 76.9% vs. 54.2%, p = 0.04, respectively). Reattempters also differ from non-reattempters patients with respect to age, history of previous suicide attempts, and age of onset of suicidal behavior. The logistic regression model showed that L-carriers had an odds ratio of 2.8 (95% CI: 1.0–7.6) for reattempts when compared to SS genotype. The adjusted model indicates that this association is not mediated or moderated by impulsivity.Conclusion:The 5-HTTLPR polymorphisms predicted short-term risk of suicidal reattempt independently of age and sex. L-carriers have almost three times more risk of relapse when compared with SS carriers.

scholarly journals Association of Suicide Prevention Interventions With Subsequent Suicide Attempts, Linkage to Follow-up Care, and Depression Symptoms for Acute Care Settings

2020 ◽  
Vol 77 (10) ◽  
pp. 1021 ◽  
Author(s):  
Stephanie K. Doupnik ◽  
Brittany Rudd ◽  
Timothy Schmutte ◽  
Diana Worsley ◽  
Cadence F. Bowden ◽  
...  
Keyword(s):  
Acute Care ◽  
Suicide Prevention ◽  
Suicide Attempts ◽  
Depression Symptoms ◽  
Follow Up Care ◽  
Prevention Interventions ◽  
Acute Care Settings

Comparative analysis of suicidality in two Bulgarian regions

2017 ◽  
Vol 41 (S1) ◽  
pp. S403-S403
Author(s):  
K. Stoychev ◽  
V. Nakov ◽  
D. Dekov ◽  
M. Baltov ◽  
R. Dinolova-Hodzhadzhikova ◽  
...  
Keyword(s):  
Suicidal Behavior ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Population Aging ◽  
Psychotic Symptoms ◽  
Prevention Interventions ◽  
Health Related ◽  
Competing Interest ◽  
Methods Of Suicide ◽  
Old Females

IntroductionSuicidality is still an understudied problem in Bulgaria especially on a subnational (regional) level.ObjectivesTo collect data on suicidality in two major regions of Bulgaria with a population over 250,000 each (Plovdiv and Pleven) for a six years period (2009–2015).AimsTo analyze demographic, health-related and other characteristics associated with suicidal behavior as well as motives and methods of suicide.MethodsData were extracted from relevant documentation (medical records, public health reports, etc.) and statistically processed upon collection.ResultsMajority of suicide victims were males between 45 and 64 years while most suicide attempts occurred among 18–29 years old females.Leading method of suicide was hanging, followed by jumping from high places and use of firearm.Prevailing suicidal motives were psychotic symptoms, serious somatic illnesses and family problems. Depression accounted for 25% of all suicide cases and in another 25% motivation could not be identified because of insufficient data.The proportion of unemployed among suicide committers was not significantly higher than that of employed and retired.ConclusionsSevere mental disorders are a major trigger of suicidal behavior.Personal relationships should be targeted by suicide prevention interventions.Somatic illnesses are increasingly important suicide risk factor driven by the ongoing process of population aging.Frontline healthcare professionals should be trained to explore underlying suicidal motives and actively probe for depression in each case of suicidal behavior.Unemployment related suicide risk is most likely mediated through an adaptation crisis mechanism induced by the abrupt change of social status.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Suicidal Behavior in Swiss Students: An 18-Month Follow-up Survey

Crisis ◽  
1996 ◽  
Vol 17 (2) ◽  
pp. 78-86 ◽  
Author(s):  
Claus Buddeberg ◽  
Barbara Buddeberg-Fischer ◽  
Gabriela Gnam ◽  
Jürg Schmid ◽  
Stephan Christen
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Psychiatric Treatment ◽  
Psychiatric Symptoms ◽  
Mental Impairment ◽  
Completed Suicide ◽  
Psychological Disturbances ◽  
Alcohol And Drug Abuse

Suicidal behavior and its relationship with other mental disturbances was assessed in an epidemiological study of 1937 Swiss adolescents aged 14 to 19 years. During the most recent 12 months, 27.5% of the females and 16.1%of the males reported suicidal ideation, while 3.3% of the girls and 1.0% of the boys reported suicidal ideation. Suicidality was significantly correlated with physical and mental impairment, alcohol and drug abuse. Of the total epidemiological sample, 475 students (24.5%) were reassessed 12 and 18 months later. Of this follow-up sample, 37 females (12.4%) and 10 males (5.6%) described suicidal ideation as a continuing problem. They revealed significantly more psychiatric symptoms than nonpersistent ideators. Three girls (1.0%) and one boy (0.6%) reported suicide attempts during the follow-up period of 18 months. Only one out of six of the ideators of both sexes received psychiatric treatment. The findings indicate that transient suicidal ideation is common in adolescents. Persistent suicidal behavior appears to be a sign of severe social and psychological disturbances and is associated with serious physical and mental impairment. There is a high risk of completed suicide for youths who demonstrate persistent suicidal ideation, and far more substantial prevention efforts should be designed and implemented to address the circumstances of these youths.

Suicidal Behavior in German Adolescents

2015 ◽  
Vol 43 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Joana Straub ◽  
Ferdinand Keller ◽  
Nina Sproeber ◽  
Michael G. Koelch ◽  
Paul L. Plener
Keyword(s):  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Present Sample ◽  
Manic Symptoms ◽  
Symptoms Of Depression ◽  
Adolescent Sample ◽  
History Of ◽  
Sum Scores

Objective: Research in adults has identified an association between bipolar disorder and suicidal behavior. This relationship, however, has been insufficiently investigated in adolescents to date. Methods: 1,117 adolescents from 13 German schools (mean age = 14.83, SD = .63; 52.7% females) completed an extended German version of the Center for Epidemiological Studies Depression Scale (CES-D), which assesses depressive and manic symptoms during the last week, as well as the Self-Harm Behavior Questionnaire (SHBQ) for the assessment of lifetime suicidal behavior. Results: In the present sample 39.4% of the girls and 23.1% of the boys reported lifetime suicidal thoughts and 7.1% of the girls as well as 3.9% of the boys a lifetime history of suicide attempts. 18.7% of the adolescent sample revealed elevated symptoms of depression and 9% elevated levels of mania symptoms. Elevated sum scores of depression and mania were associated with a higher number of suicidal ideations and suicide attempts. A block-wise regression analysis revealed that sum scores of depression and mania predicted suicidal ideations best. Concerning suicide attempts, the best predictors were age as well as depression and mania sum scores. Conclusions: Suicidal behavior was reported more often when adolescents demonstrate symptoms of mania as well as symptoms of depression than when they demonstrate only depressive symptoms. The presence of bipolar symptoms in adolescents should alert clinicians to the heightened possibility of suicidal behavior.

Emergency Department Admission and Mortality Rate for Suicidal Behavior

Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 406-414 ◽  
Author(s):  
Raimondo Maria Pavarin ◽  
Angelo Fioritti ◽  
Francesca Fontana ◽  
Silvia Marani ◽  
Alessandra Paparelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Metropolitan Area ◽  
Suicidal Behavior ◽  
Mortality Risk ◽  
Illicit Drugs ◽  
Attempted Suicide ◽  
Cox Model ◽  
Emergency Department Admission ◽  
Completed Suicide

Background: The international literature reports that for every completed suicide there are between 8 and 22 visits to an Emergency Department (ED) for attempted suicide/suicidal behavior. Aims: To describe the characteristics of admission to emergency departments (EDs) for suicide-related presenting complaints in the metropolitan area of Bologna; to estimate the risk for all-cause mortality and for suicide; to identify the profiles of subjects most at risk. Method: Follow-up of patients admitted to the EDs of the metropolitan area of Bologna between January 2004 and December 2010 for attempted suicide. A Cox model was used to evaluate the association between sociodemographic variables and the general mortality risk. Results: We identified 505 cases of attempted suicide, which were more frequent for female subjects, over the weekend, and at night (8:00 p.m./8:00 a.m.). The most used suicide methods were psychotropic drugs, sharp or blunt objects, and jumping from high places. In this cohort, 3.6% of subjects completed suicide (4.5% of males vs. 2.9% of females), 2.3% within 1 year of the start of follow-up. The most common causes of death were drug use and hanging. In the multivariate analysis, those who used illicit drugs 24 hr prior to admission to the ED (hazard ratio [HR] = 3.46, 95% CI = 1.23–9.73) and patients who refused the treatment (HR = 6.74, 95% CI = 1.86–24.40) showed an increased mortality risk for suicide. Conclusion: Deliberate self-harm patients presenting to the ED who refuse treatment represent a specific target group for setting up dedicated prevention schemes.

Gender Differences in Suicidal Intent and Choice of Method Among Suicide Attempters

Crisis ◽  
2008 ◽  
Vol 29 (4) ◽  
pp. 209-212 ◽  
Author(s):  
Merete Nordentoft ◽  
Jacob Branner
Keyword(s):  
Gender Differences ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Suicidal Intent ◽  
Suicide Intent ◽  
Suicidal Intention ◽  
National Patient ◽  
Prevention Center ◽  
Suicide Prevention Center

The objective was to examine gender differences in choice of method and suicidal intent among persons referred to a suicide prevention center. A total of 351 consecutive patients who had attempted suicide were interviewed using the European Parasuicide Study Interview Schedule I (EPSIS I) while participating in a 2-week inpatient treatment program. They were invited to a 1-year follow-up interview, and followed in the National Patient Register. Compared to women, men who had attempted suicide were older, had better self-esteem, fewer depressive symptoms, and higher total suicidal intention scores, but they were not more likely to use violent methods. Neither use of violent method nor dangerousness of the attempt was associated with suicidal intention. Although men had higher suicide intent scores than women, there were no significant gender differences in the number of repeat suicide attempts during a 1-year follow-up period. Suicidal intent was not related to dangerousness of suicide method.

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