Where Are They Now?

Crisis ◽  
2018 ◽  
Vol 39 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Yossi Levi-Belz ◽  
Orit Krispin ◽  
Giora Galilee ◽  
Ehud Bodner ◽  
Alan Apter

Abstract. Background: While a history of suicide attempts has been identified as the most powerful risk factor among adults, it is not clear if this is also true for the adolescent population. Our aim was to examine the differences between attempters and nonattempters in the years following a documented suicide attempt and to investigate the adolescents' prognosis in terms of suicidal behavior and adjustment. Method: Military records at induction and during active military service were used to compare 105 adolescent suicide attempters with 105 matched controls. All were rated on cognitive/educational performance and psychosocial adaptation, psychological health diagnoses, and performance during their military service. Results: Suicide attempters had higher school dropout rates and lower scores on educational indicators. They registered more incidents of disciplinary and adjustment problems in the military. However, the overall prognosis of the suicide attempters appeared surprisingly good. No significant differences were found between the groups in suicide risk or in behavior in their military service. Limitations: Data were derived from the computerized records and no direct interviews were conducted with the participants. Conclusion: Attempted suicide in adolescence appears to be different in nature from attempted suicide in adulthood, and can be viewed as an indicator of social distress rather than as major risk factor of completed suicide. Implications in terms of intervention and prevention are discussed.

Crisis ◽  
2009 ◽  
Vol 30 (3) ◽  
pp. 115-119 ◽  
Author(s):  
Stephanie De Munck ◽  
Gwendolyn Portzky ◽  
Kees Van Heeringen

Background: Notwithstanding the epidemiological studies indicating an increased risk of attempted suicide among adolescents and young adults, there is a scarcity of international studies that examine long-term epidemiological trends in rates and characteristics of this vulnerable group. Aims: This article describes the results of a 9-year monitoring study of suicide attempts in adolescents and young adults referred to the Accident and Emergency Department of the Gent University Hospital (Belgium). Methods: Between January 1996 and December 2004, trends, sociodemographic, and methodrelated characteristics of suicide attempts were assessed by a psychiatrist on data sheets. Results: Attempted suicide rates declined from 1996 to 2001 and then rose until 2004, but did not exceed previous rates. During the 9 years of monitoring, there was a preponderance of female suicide attempters, except for 1997. Rates of attempts and of fatal suicide were negatively correlated. Significantly more males than females deliberately injured themselves. Younger attempters, especially females, significantly more often poisoned themselves with analgesics. In nearly one in five attempts, alcohol was used in combination with other methods, and alcohol intake was more commonly observed in older suicide attempters. Nearly half of the adolescents were identified as repeaters. Conclusions: The results of this study warrant further monitoring of trends and characteristics of young suicide attempters.


1991 ◽  
Vol 68 (3_suppl) ◽  
pp. 1317-1318 ◽  
Author(s):  
George A. Clum ◽  
Richard L. Luscomb ◽  
Anne T. Patsiokas

The question of whether high stress leads to attempting suicide (parasuicide) or suicide attempters are more likely to report high stress was examined in a one-year follow-up study of 98 persons, 47 of whom had attempted suicide. Cross-lagged panel correlations between stress and parasuicide provided both concurrent and predictive validity that stress as measured by life changes leads to parasuicide. A high relationship between stress at baseline and stress at follow-up provided support for the notion that some individuals experience chronic stress and that such individuals may be the ones at risk for future suicide attempts.


Crisis ◽  
2009 ◽  
Vol 30 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Carlos Filinto da Silva Cais ◽  
Sabrina Stefanello ◽  
Marisa Lúcia Fabrício Mauro ◽  
Gisleine Vaz Scavacini de Freitas ◽  
Neury José Botega

Background: This study compares sociodemographic and clinical characteristics of 102 first-time hospital-treated suicide attempters (first-evers) with a group of 101 repeat suicide attempters (repeaters) consecutively admitted to a general hospital in Brazil, during the intake phase of the WHO Multisite Intervention Study on Suicidal Behaviors (SUPRE-MISS). Aims: To compare sociodemographic and clinical characteristics of first-time hospital-treated suicide attempters (first-evers) with a group of repeat suicide attempters (repeaters). Methods: A standardized interview and psychometric scales were administered to all patients. Results: Repetition was associated with being of female sex (OR = 2.7; 95% confidence interval (CI) = 1.2–6.2), a housewife (OR = 3.8; 95% CI = 1.2–11.8), and having a score above median on the Beck Depression Inventory (OR = 5.2; 95% CI = 1.7–15.6). Conclusions: The findings suggest that repeaters, namely, depressed housewives who have attempted suicide previously, need specific treatment strategies in order to avoid future suicide attempts.


The article is devoted to theoretical and empirical research, important personal characteristics of servicemen: neuropsychological stability and socio-psychological maturity, which are the focus of psychological influence by the psychologist of the military unit at all major stages of military activity from conscription to discharge. The article empirically examines the system of relationships between indicators of neuropsychological stability, socio-psychological maturity and social relations in military servicemen at the stages of adaptation and performance of tasks. A correlation analysis was performed, according to Pearson, with indicators of neuropsychological stability, social maturity and the quality of relationships with the immediate social environment. As a result of the analysis of the obtained data, it was found that social maturity is directly related to the quality of social relations in a serviceman, both in the family and in the military, and tends to increase during military service. The level of stability of neuropsychological stability associated with the growth of social maturity due to the reflex component. The servicemen performing the assigned tasks have a positive dynamics of increasing the level of social maturity due to the reflexive and moral component, which indicates their personal and professional growth due to organized psychological support. The tasks and the expected result of psychological support at the stages of adaptation and performance of tasks as assigned are determined. The main vectors of psychological influence on the part of a military psychologist are indicated. to increase the level of neuropsychological stability and socio-psychological maturity in the military.


1970 ◽  
Vol 9 (3) ◽  
pp. 162-167 ◽  
Author(s):  
N Sapkota ◽  
AK Pandey ◽  
PM Shyangwa ◽  
DR Shakya ◽  
DK Thapa

Introduction: Suicide is a major public health concern and it is one of the commonest Psychiatric emergencies. Suicide rates are increasing and have become a global concern with more than 600,000 suicidal attempts every year in the United States, alone. There is no national data available for Nepal. This hospital based study may help in understanding about the cause and methods of suicide attempts. Objective: The aim of the present study was to assess the (i) methods and precipitating cause for attempted suicide (ii) to study the relationship between major socio-demographic variables and attempted suicide. This study may be helpful in formulating suicide prevention strategies at different levels. Methods: Cross-sectional study in a tertiary level hospital. Consecutive 100 cases of attempted suicide coming in contact to an investigating team were evaluated for methods opted for attempting suicide and underlying cause was explored. Demographic variables were recorded and analysed. Results: Majority of the suicide attempters (67%) were less than 35 years of age, and female outnumbered male. Sixty one percent of the subject belonged to rural background. Out of 100 suicide attempters 40% of them have completed SLC and majority of them were students. Fifty-four percent of the sample consumed pesticides and 25% of the cases used highly lethal means. Majority of the persons (58%) had psychiatric co morbidities in which depression was the commonest. Interpersonal conflict accounted for 18% of the cases followed by marital problems (13%) as triggering factors of attempted suicide. Conclusion: Majority of the suicide attempters were young and having psychiatric disorders. Most of the attempters were from rural areas. Keywords: Attempted suicide; psychiatric co morbidities; Interpersonal conflict. DOI: http://dx.doi.org/10.3126/hren.v9i3.5584   HR 2011; 9(3): 162-167


Crisis ◽  
2002 ◽  
Vol 23 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Eirini Flouri ◽  
Ann Buchanan

Summary: This study of 2722 adolescents aged 14-18 years explored whether parental involvement can protect against adolescent suicide attempts. Compared to their counterparts suicide attempters were more likely to have been in trouble with the police, to report lower levels of parental interest and academic motivation, and to report suicidal ideation and using alcohol or an illegal drug when they feel stressed. They were also less likely to reside with both parents. The association between parental involvement and suicidal behaviour was not stronger for sons than for daughters or for adolescents who had experienced family disruption than for those who grew up in two-parent families.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Apter

Objectives:To follow adolescent suicide attempters attending an emergency room in southern Israel through their induction examination for military service and then for the duration of this service.Methods:117 attempters were evaluated after a suicide attempt, and then followed up for up to five years. Outcome was assessed by their achievements on pre-induction psychometric and psychological testing at the induction center and by the quality of their service. Repeated suicidal behavior was also assessed.Results:In general boys had a worse prognosis than girls and suicidal behavior associated with poor educational achievements was particularly associated with a poor psychosocial outcome.Conclusions:Adolescent suicidal behavior in general has a good prognosis but boys with educational difficulties who attempt suicide are at great risk for adjustment problems.


1995 ◽  
Vol 19 (4) ◽  
pp. 517-531 ◽  
Author(s):  
Brenda J. Bettridge ◽  
Olga Eizner Favreau

Traditional theories about female adolescent suicide attempters view them as experiencing difficulty in achieving adequate separation-individuation. However, recent work on female adolescence suggests that achieving greater interdependency within relationships rather than increased independence from them is an important goal for nonclinical nonsuicidal female adolescents. We investigated both dependency needs and the perceived availability and adequacy of relationships in 21 female adolescent attempters and 23 nonattempters. Dependency needs did not significantly differentiate suicide attempters from nonattempters. Attempters, however, did report both a smaller social network and fewer intimate relationships than nonattempters, as well as less satisfaction with these relationships. These preliminary results suggest that more research is required to establish whether dependency needs are indeed causally related to the female adolescents' suicide attempts. Future research should also investigate other risk factors such as relational dissatisfaction, familial suicide attempts, and abuse.


2016 ◽  
Vol 33 (S1) ◽  
pp. S601-S601
Author(s):  
E. Gattoni ◽  
A. Feggi ◽  
C. Gramaglia ◽  
P. Bergamasco ◽  
I. Coppola ◽  
...  

BackgroundSuicide attempts, defined as self-inflicted, potentially injurious behaviors with a nonfatal outcome, and with evidence of intent to die are extremely prevalent. Literature suggests that suicide is more common among males, while attempted suicide is more frequent among females. Depression, mental disorders, substance use disorders and history of suicidal behavior are important risk factors for suicide: the risk of suicide attempt is 3 to 12 times higher in psychiatric patients than in the general population.AimThe aim of our study was to compare severity of depressive symptoms in a sample of suicide attempters with a diagnosis of bipolar and related disorders or depressive disorders and in a sample of sex- and diagnosis-matched patients who do not commit a suicide attempt. The severity of attempted suicide and the suicidal risk in the hospital will be assessed as well.Material and methodsWe collected a sample of inpatients who committed a suicide attempt during 2015. For each attempter, we selected another sex- and diagnosis-matched patient with no history of attempted suicide. Socio-demographic and clinical characteristics of the sample were gathered. Assessment included: Montgomery-Asberg Depression Rating Scale (MADRS) for severity of depressive symptoms in both groups, Suicide Intent Scale (SIS) for the severity of attempted suicide and the suicidal risk with a nurse assessment for suicide.ResultsData collecting is still ongoing. We expected to find more severe symptoms in patients who attempted suicide. Clinical implication will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Crisis ◽  
2020 ◽  
Vol 41 (1) ◽  
pp. 15-23
Author(s):  
Shenghua Jin ◽  
Yanzheng Liu ◽  
Dwight A. Hennessy ◽  
Long Sun ◽  
Yuli Zang ◽  
...  

Abstract. Background: Physical illness is a strong correlate of suicidal behavior. However, its impact on attempted suicide in rural China is under-studied. Aims: This study was designed to assess the influence of physical illness on risk of suicide attempts and to identify distinguishing characteristics among medically serious suicide attempters with physical illnesses from those without. Method: Participants were medically serious suicide attempters identified through hospital emergency rooms ( n = 659) as well as age- and gender-matched community controls ( n = 659) from Shandong Province, China. Face-to-face interviews with the respondents were conducted with a semistructured protocol that included sociodemographic and psychological measures. Results: Physical illness was a significant risk factor for medically serious suicide attempts ( OR = 1.739, 95% CI = 1.182–2.560). Older age was a significant risk factor, while female gender, no religion, and non-peasant occupations were significant protective factors for suicide attempts with physical illness. Limitations: Samples from only one province may not completely represent all serious suicide attempters in China. Furthermore, we did not assess the severity and the degree to which their physical illness limited the functioning of the individual. Conclusion: Physical illness is an important risk factor for suicide attempts in rural China. More efforts are needed to specifically target older people, males, those with religious beliefs, and peasant workers with physical illness.


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