Repeated Suicide Attempts Among  Service Users of An Emergency  Service in Northern Colombia:  Characteristics, Associated  Factors, And Management

Suicide has increased close to 60% in the last four decades worldwide. In Colombia, during the year 2019, 10,9% of violent deaths were due to suicide. This study aimed to identify risk factors predicting repeated suicide attempts. It also aimed to describe the management of suicidal behaviour within an emergency department of Northern Colombia. Dataset comprised 336 medical records of individuals seeking medical assistance for intentional selfharm between 2008-2019; 136 medical records were associated with previously reported suicide attempts. Results from a multivariate logistic regression showed that suicide ideation and having a history of psychiatric disorders significantly predicted repeated suicide attempts. Furthermore, repeated attempts were more likely in underaged individuals and young adults. Management of patients engaging in suicidal behaviour involved hospitalization and outpatient mental health services. However, a few patients were sent home with recommendations or were noncompliant. Findings from this study highlight the importance to develop evidence-based screening and monitoring protocols that prevent repeated suicide attempts. How to cite this article: Aristizabal-Diazgranados, E. T., Chamorro-Coneo, A. M., & Rodriguez-Acosta, S. (2021). Repeated Suicide Attempts Among Service Users of An Emergency Service in Northern Colombia: Characteristics, Associated Factors, And Management. Revista Colombiana de Psicología, 30(2), 41-54. https://doi.org/10.15446/rcp.v30n2.88942

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Relationship of depersonalization and suicidality in depressed patients

Vojnosanitetski pregled ◽

10.2298/vsp161201023t ◽

2018 ◽

Vol 75 (11) ◽

pp. 1065-1069

Author(s):

Suzana Tosic-Golubovic ◽

Olivera Zikic ◽

Violeta Slavkovic ◽

Gordana Nikolic ◽

Maja Simonovic

Keyword(s):

Suicidal Behaviour ◽

Protective Factor ◽

Suicide Ideation ◽

Suicide Attempts ◽

Psychiatric Morbidity ◽

Treatment Procedure ◽

Depressed Patients ◽

History Of ◽

Leading Symptom ◽

Relationship Of

Background/Aim. Depersonalization is considered to be the third leading symptom in psychiatric morbidity. The aim of this study was to investigate the correlation of depersonalization and different patterns of suicidal behaviour in patients suffering from depresssive disorder. Methods. The study included 119 depressed patients divided into two groups: the first group consisted of depressed patients with clinically manifested depersonalization according to the Cambridge Depresonalisation Scale presented score ? 70, and the second group consisted of the patients whithout clinically manifested depersonalization symptomatology, or, it was on the subsyndromal level. Subsequently, these two groups were compared regarding the suicidality indicators. Results. According to the Scale for Suicide Ideation of Beck, the depressed patients with depersonalization had statistically significantly higher scores regarding suicidal ideation, both active and passive, more often manifested suicidal desire, suicidal planning and overall suicidality (p < 0.000). Positive ideation, as a protective factor, was reduced in this group (p < 0.000). These patients had more previous suicide attempts (p < 0.001) and family history of suicides (p = 0.004). The depressed patients with depersonalization had 8 times more often active suicidal desire, 11 times more often passive suicidal desire and 5 times more often suicidal planning compared to patients without depersonalization. Conclusion. Suicidal potential, manifested in various patterns of suicidal behaviour among the patients suffering from depressive disorder with clinically manifested depersonalization is prominent. It is necessary to pay particular attention to depersonalization level during diagnostic and treatment procedure of the depressed patients having in mind that it may be associated with high suicidal potential.

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Comportamento Suicidário nos Internos de Psiquiatria em Portugal: Comparação com a Realidade Europeia

Acta Médica Portuguesa ◽

10.20344/amp.6038 ◽

2015 ◽

Vol 28 (5) ◽

pp. 608

Author(s):

João Gama Marques ◽

Alice Roberto ◽

Cátia Guerra ◽

Mariana Pinto da Costa ◽

Anja Podlesek ◽

...

Keyword(s):

Suicidal Ideation ◽

Suicide Ideation ◽

Suicide Attempts ◽

Active Form ◽

Final Analysis ◽

Burnout Syndrome ◽

Completed Suicide ◽

Anonymous Questionnaire ◽

Adult Psychiatry ◽

History Of

Introduction: The aim of this paper was to assess the prevalence of suicide ideation and attempts in Portuguese psychiatry trainees (adult and child and adolescence), and compare the data with the general population and other European countries. Material and Methods: A structured and anonymous questionnaire was sent by email to 159 portuguese trainees of adult psychiatry and child and adolescence psychiatry with questions about personal history of suicidal ideation and suicide attempts, as well as family history of suicide attempts and completed suicides. This is part of the BoSS Study (Burnout Syndrome Study) performed in 21 countries worldwide. Data was analysed in SPSS v.19. Results: From the inquired population, 62 trainees (40,3%) partially responded, and 46 (29%) were complete responders - these entered the final analysis. There was a ratio of 2:1 (female:male) and a mean age of 29 years. The suicidal ideation was present in passive form in 44% and in active form in 33%; also, 4.3% of respondents had previous suicide attempts. In first degree relatives, 22% had attempted suicide and 13% completed suicide. Discussion: The results are worriying and may be associated with some factors to which this population is exposed. Conclusion: It is necessary further research to better understand this phenomenon, its causes and potential modifiers.

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Examining Time Perspective Orientation in Suicide Ideation and Suicide Attempts

Journal of Social and Clinical Psychology ◽

10.1521/jscp.2019.38.7.627 ◽

2019 ◽

Vol 38 (8) ◽

pp. 627-646

Author(s):

Arezoo Shahnaz ◽

Boaz Y. Saffer ◽

E. David Klonsky

Keyword(s):

Psychological Functioning ◽

Suicide Risk ◽

Time Perspective ◽

Suicide Ideation ◽

Suicide Attempts ◽

Time Perspectives ◽

The Past ◽

History Of ◽

Negative Orientation ◽

Two Measures

Introduction: Time perspective orientation (TPO) refers to the way an individual psychologically and behaviorally connects to temporal concepts of past, present, and future. Previous studies have hypothesized that certain types of time perspectives, such as a negative orientation towards the past, predict negative psychological functioning and outcomes, including suicide risk. The current study examines whether differences in TPOs are linked to suicidal thoughts or suicidal acts using two measures of time perspective. Methods: We recruited a large online U.S.-based sample comprised of three groups: participants with (a) a history of suicide attempts (attempters; n = 107), (b) a history of suicide ideation but no history of attempts (ideators; n = 164), and (c) no history of ideation or attempts (nonsuicidal; n = 194). Results: A Positive Past (d = 0.71) and Negative Past (d = 0.89) orientation yielded large differences between individuals with a history of suicide ideation and nonsuicidal participants, where Positive Past was elevated among nonsuicidal participants and Negative Past among ideators. These differences were not accounted for by depression or anxiety. However, TPO differences between individuals with a history of suicide ideation and individuals with a history of attempts ranged from negligible to small (d range = 0.03—0.33). Discussion: The findings suggest that time perspective may be robustly associated with the development of suicide ideation, but only minimally related to suicide attempts among ideators.

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A Study of Psychiatric Emergencies: Part II. Suicide

Psychiatry in Medicine ◽

10.2190/6bdm-2dqm-ec25-m0ec ◽

1970 ◽

Vol 1 (4) ◽

pp. 359-366 ◽

Cited By ~ 3

Author(s):

Charles H. Browning ◽

Robert L. Tyson ◽

Sheldon I. Miller

Keyword(s):

Emergency Service ◽

Suicide Ideation ◽

Suicide Attempts ◽

Risk Groups ◽

Psychiatric Emergency ◽

Presenting Symptoms ◽

Completed Suicide ◽

Prevention Center ◽

Suicide Prevention Center

Suicide attempts or suicide ideation are often of critical importance in defining a psychiatric emergency. Follow-up studies of the psychiatric emergency population for the subsequent incidence of attempted or completed suicide are needed to identify high and low risk groups and to measure the effectiveness of the psychiatric emergency service. Suicide problems were presenting symptoms in 28.2 percent of psychiatric emergency evaluations seen in a three month period. The 10–29 decades for females and the 10–19 decade for males were represented significantly more often than older decades. Race and marital status were not related to suicide problems. There were seventeen known suicide attempts, but no known suicides in a six month follow-up period. This finding was contrasted with the results of a similar study done nine years previously at the same hospital and with a study done by the Cleveland Suicide Prevention Center, both of which found several suicides in the follow-up period. Possible reasons for the different results are discussed.

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Suicidal behaviour: an epidemiological and genetic study

Psychological Medicine ◽

10.1017/s0033291798006916 ◽

1998 ◽

Vol 28 (4) ◽

pp. 839-855 ◽

Cited By ~ 293

Author(s):

D. J. STATHAM ◽

A. C. HEATH ◽

P. A. F. MADDEN ◽

K. K. BUCHOLZ ◽

L. BIERUT ◽

...

Keyword(s):

Suicidal Behaviour ◽

Suicide Attempts ◽

Religious Affiliation ◽

Physical Assault ◽

Psychiatric History ◽

Birth Cohorts ◽

Suicidal Thoughts ◽

Logistic Regression Models ◽

Childhood Conduct Problems ◽

History Of

Background. Psychiatric history, familial history of suicide attempts, and certain traumatic life events are important predictors of suicidal thoughts and behaviour. We examined the epidemiology and genetics of suicidality (i.e. reporting persistent suicidal thoughts or a plan or suicide attempt) in a large community-based sample of MZ and DZ twin pairs.Method. Diagnostic telephone interviews were conducted in 1992–3 with twins from an Australian twin panel first surveyed in 1980–82 (N=5995 respondents). Data were analysed using logistic regression models, taking into account twin pair zygosity and the history of suicidality in the respondent's co-twin.Results. Lifetime prevalence of suicidal thoughts and attempts was remarkably constant across birth cohorts 1930–1964, and across gender. Major psychiatric correlates were history of major depression, panic disorder, social phobia in women, alcohol dependence and childhood conduct problems. Traumatic events involving assault (childhood sexual abuse, rape or physical assault) or status-loss (job loss, loss of property or home, divorce), and the personality trait neuroticism, were also significantly associated with suicide measures. Prevalence of serious suicide attempts varied as a function of religious affiliation. After controlling for these variables, however, history of suicide attempts or persistent thoughts in the respondent's co-twin remained a powerful predictor in MZ pairs (odds ratio=3·9), but was not consistently predictive in DZ pairs. Overall, genetic factors accounted for approximately 45% of the variance in suicidal thoughts and behaviour (95% confidence interval 33–51%).Conclusions. Risk of persistent suicidal thoughts and suicide attempts is determined by a complex interplay of psychiatric history, neuroticism, traumatic life experiences, genetic vulnerability specific for suicidal behaviour and sociocultural risk or protective factors.

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Financial Strain, Suicidal Thoughts, and Suicidal Behavior Among US Military Personnel in the National Guard

Crisis ◽

10.1027/0227-5910/a000592 ◽

2019 ◽

Vol 40 (6) ◽

pp. 437-445

Author(s):

Craig J. Bryan ◽

AnnaBelle O. Bryan

Keyword(s):

Military Personnel ◽

Suicide Ideation ◽

Suicide Attempts ◽

National Guard ◽

Self Report ◽

Financial Strain ◽

Multiple Indicators ◽

Lifetime History ◽

Us Military ◽

History Of

Abstract. Background: Although financial strain is an identified risk factor for suicide among US military personnel, research is limited regarding the specific dimensions of financial strain that confer the greatest risk. Aims: The present study examined the associations among multiple indicators of financial strain, suicide ideation, and suicide attempts in a sample of US National Guard personnel, a high-risk subgroup of the US military. Method: National Guard personnel from Utah and Idaho ( n = 997) completed an anonymous online self-report survey. Weighted univariate and multivariate logistic regression was used to test hypothesized associations. Results: Lifetime history of suicide ideation was significantly more common among participants reporting recent income decrease, credit problems, and difficulty making ends meet, even when adjusting for other covariates. Lifetime history of suicide attempt was significantly associated with recent foreclosure or loan default, credit problems, and difficulty making ends meet, but only in univariate analyses. Recent credit problems were the only financial strain indicator that significantly predicted a history of suicide attempt among participants with a history of suicide ideation. Limitations: The present study includes self-report methodology and cross-sectional design. Conclusion: Although multiple indicators of financial strain are associated with increased risk for suicidal thinking among National Guard military personnel, credit problems had the strongest association with suicide attempts.

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Suicide in probation: Towards the ideation-to-action model

Probation Journal ◽

10.1177/02645505211041581 ◽

2021 ◽

pp. 026455052110415

Author(s):

Charlie Brooker ◽

Karen Tocque ◽

Georgia West ◽

Alice Norman-Taylor ◽

James Fowler

Keyword(s):

Suicide Ideation ◽

Suicide Attempts ◽

Psychological Treatment ◽

Secondary Analysis ◽

Control Group ◽

Significant Difference ◽

Action Model ◽

History Of ◽

Clinically Significant ◽

A Prospective Study

Suicide in probation services is far higher than the general population. This paper presents secondary analysis of data previously used to evaluate the outcome of delivering psychological treatment to probationers in London. A sample of probation service users who screened positive for clinically significant symptoms of distress and were subsequently assessed and offered treatment ( n = 274) were allocated retrospectively to one of three groups: those with a history of suicidal ideations but no suicide attempts (ideation group), those with a history of a suicidal act (attempt group) or a control group where suicide was not evident (no history group). Results indicate no significant difference between the ideation and the attempt groups, but significant differences between these and the no history group. The findings are discussed within the context of the suicide ideation-to-action models that have been debated in other offender settings. We conclude that a more nuanced understanding of suicidal acts and suicide attempts is required in probation services including a prospective study that tests the ideation-to-action model.

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Suicide Ideation and Attempts among First Nations Peoples Living On-Reserve in Canada: The Intergenerational and Cumulative Effects of Indian Residential Schools

The Canadian Journal of Psychiatry ◽

10.1177/0706743717702075 ◽

2017 ◽

Vol 62 (6) ◽

pp. 422-430 ◽

Cited By ~ 21

Author(s):

Robyn Jane McQuaid ◽

Amy Bombay ◽

Opal Arilla McInnis ◽

Courtney Humeny ◽

Kimberly Matheson ◽

...

Keyword(s):

First Nations ◽

Indigenous Peoples ◽

Suicide Ideation ◽

Suicide Attempts ◽

Cumulative Risk ◽

Residential Schools ◽

Regional Health ◽

Increased Risk ◽

History Of ◽

Suicidal Thoughts And Behaviors

Objective: Suicide rates among Indigenous peoples in Canada are at least twice that of their non-Indigenous counterparts. Although contemporary stressors contribute to this increased risk, historical experiences such as the Indian Residential School (IRS) system may also have continuing links with the risk for suicidal thoughts and behaviors. The current investigation examined the intergenerational and cumulative links between familial IRS attendance in relation to lifetime suicide ideation and attempts among First Nations adults living on-reserve. Method: Data from the 2008-2010 First Nations Regional Health Survey were analyzed, and participants comprised a representative sample of First Nations adults older than 18 years (weighted N = 127,338; IRS attendees were excluded). Of those who knew their familial IRS history, 38.0% had no history of attendance, 19.3% had a grandparent who attended, 16.2% had a parent who attended, and 26.5% had a parent and grandparent who attended. Results: Exposure of one previous familial generation to the IRS experience was associated with increased risk for lifetime suicide ideation (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.16 to 1.84; P = 0.001) and attempts (OR, 1.44; 95% CI, 1.07 to 1.94; P < 0.016) compared with those with no IRS history. Having 2 generations of IRS familial history was associated with greater odds of reporting a suicide attempt compared with having one generation (OR, 1.35; 95% CI, 1.05 to 1.75; P = 0.022), which was reduced when current levels of distress and ideation were accounted for. Conclusion: Findings support the existence of linkages between intergenerational exposure to IRS and risk for suicidal ideation and attempts and for a potential cumulative risk in relation to suicide attempts across generations.

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Psychiatric disorders and suicide attempts among adolescents victimized by school bullying

Australasian Psychiatry ◽

10.1177/1039856217715987 ◽

2017 ◽

Vol 25 (4) ◽

pp. 376-380 ◽

Cited By ~ 9

Author(s):

Young Rong Bang ◽

Jae Hong Park

Keyword(s):

Psychiatric Disorders ◽

Suicide Ideation ◽

Suicide Attempts ◽

School Bullying ◽

Bullying Victimization ◽

School Students ◽

Cross Sectional ◽

Logistic Regression Models ◽

The Face ◽

History Of

Objective: We conducted a cross-sectional school-based study to investigate psychiatric disorders and suicide risk among adolescents victimized by bullying. Method: The study was designed in two stages. In the screening stage, 33,038 middle school students were screened for psychopathology. Next, in the face-to-face interview stage, 1196 participants were assessed for psychiatric disorders using a structured diagnostic instrument. We also collected information about the participants’ experiences of bullying and history of suicidal ideation/attempts. Results: The results indicate that adolescents with a history of bullying victimization were more likely to be diagnosed with depression and psychosis than those without such a history. Multivariate logistic regression models revealed that bullying victimization was significantly associated with suicide attempts even after adjusting for demographic characteristics, depression and psychosis. Conclusions: Bullying victimization is a risk factor for depression, psychosis, and suicide ideation and attempts. The findings warrant an early intervention and suicide prevention program for victimized students and anti-bullying policies in schools.

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Suicidal behavior among Portuguese psychiatry trainees: Comparison with the European situation

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.057 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S63-S63

Author(s):

J. Gama Marques

Keyword(s):

Suicidal Ideation ◽

Suicide Ideation ◽

Suicide Attempts ◽

Active Form ◽

Adult Child ◽

Final Analysis ◽

Burnout Syndrome ◽

Adult Psychiatry ◽

History Of ◽

Competing Interest

IntroductionThe aim of this paper was to assess the prevalence of suicide ideation and attempts in Portuguese psychiatry trainees (adult, child and adolescence), and compare the data with the general population and other European countries.Material and MethodsA structured and anonymous questionnaire was sent by email to 159 Portuguese trainees of adult psychiatry, child and adolescence psychiatry with questions about personal history of suicidal ideation and suicide attempts, as well as family history of suicide attempts and completed suicides. This is part of the BoSS Study (Burnout Syndrome Study) performed in 21 countries worldwide. Data was analyzed in SPSS v.19.ResultsFrom the inquired population, 62 trainees (40.3%) partially responded, and 46 (29%) were complete responders - these entered the final analysis. There was a ratio of 2:1 (female: male) and a mean age of 29 years. The suicidal ideation was present in passive form in 44% and in active form in 33%; also, 4.3% of respondents had previous suicide attempts. In first-degree relatives, 22% had attempted suicide and 13% completed suicide.DiscussionThe results are worrying and may be associated with some factors to which this population is exposed.ConclusionIt is necessary further research to better understand this phenomenon, its causes and potential modifiers.Disclosure of interestThe author has not supplied his declaration of competing interest.

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