Clinical Differences Between Single and Multiple Suicide Attempters, Suicide Ideators, and Non-suicidal Inpatients

Datos Bibliográficos

ID15528691
AutoresIsabella Berardelli (0000-0003-0602-871X, Sapienza University of Rome), Alberto Forte (0000-0002-9822-7769, Sapienza University of Rome), Marco Innamorati (0000-0003-3534-296X, European University of Rome), Benedetta Imbastaro (0000-0001-6623-5070, Sapienza University of Rome), Benedetta Montalbani (0000-0001-8389-0982, Sapienza University of Rome), Salvatore Sarubbi (0000-0002-8105-0370, Sapienza University of Rome), Gabriele Pasquale De Luca (Sapienza University of Rome), Martina Mastrangelo (Sapienza University of Rome), Gaia Anibaldi (Sapienza University of Rome), Elena Rogante (0000-0003-2771-919X, Sapienza University of Rome), D Lester (0000-0003-1357-8672, Stockton University), Denise Erbuto (0000-0002-6403-7254, Sapienza University of Rome), Gianluca Serafini (0000-0002-6631-856X, University of Genoa), Mario Amore (0000-0003-2927-2192, University of Genoa), Maurizio Pompili (0000-0003-1886-4977, Sapienza University of Rome, autor de correspondencia)
Año2020
Volumen11
Páginas605140-605140
Fecha de publicación2020-12-15
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1664-0640 • E-ISSN: 1664-0640
EditorialFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.605140
PMID33384631
OpenAlexW3111589825
IdiomaEN
Citas recibidas8
Referencias citadas38

Single suicide attempters (SSAs) and multiple suicide attempters (MSAs) represent distinct subgroups of individuals with specific risk factors and clinical characteristics. This retrospective study on a sample of 397 adult psychiatric inpatients analyzed the main sociodemographic and clinical differences between SSAs and MSAs and the possible differences between SSAs, MSAs, and psychiatric patients with and without suicidal ideation (SI). Clinical variables collected included psychiatric diagnoses (Mini International Neuropsychiatric Interview), presence of substance use, current suicide risk status (Columbia Suicide Severity Rating Scale), Clinical Global Impression at admission, Global Assessment of Functioning improvement between admission and discharge, age at onset of psychiatric illness, duration of untreated illness in years, number of hospitalizations in psychiatric settings, and lethality of the most severe suicide attempt. A multinomial logistic regression model with groups showed that MSAs had a higher lethality of their last suicide attempt as compared to SSAs. In addition, MSAs had distinct sociodemographic characteristics compared to both SSAs and patients with SI. Although the study was limited by the relatively small sample size and retrospective nature, the present results suggest that identifying MSAs could be useful in predicting suicide risk and designing ad hoc prevention strategies

Clinical Global Impression · Global Assessment of Functioning · Injury prevention · Logistic regression · Medical emergency · Poison control · Psychiatry · Retrospective cohort study · Schizophrenia (object-oriented programming · Suicidal ideation · Suicide attempt · Suicide prevention · Clinical Psychology · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mental Health Treatment and Access · Suicide and Self-Harm Studies · Internal Medicine