Characteristic Risk Factors Associated with Planned versus Impulsive Suicide Attempters
Clinical Psychopharmacology and Neuroscience
;
: 308-315, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-209621
ABSTRACT
OBJECTIVE:
The present study aimed to investigate predictors for planned suicide attempters.METHODS:
This study included 1,003 patients who attempted suicide and visited emergency department. They were divided into two groups, planned suicide attempters (SAs; n=133 [13.3%]) and impulsive SAs (n=870, [86.7%]), and the demographic variables, clinical characteristics, factors related to suicide, and psychiatric resources of the groups were compared.RESULTS:
Major depressive disorder and substance use disorders were more common among planned SAs than among impulsive SAs. Additionally, the planned SAs were older, more likely to be divorced, separated or widowed, and more likely to have comorbid medical illnesses, severe depression, higher suicidality, and self-blaming tendencies than the impulsive SAs. Financial problems and physical illnesses were more common in planned SAs but interpersonal conflicts were more frequent in impulsive SAs. Planned SAs had fewer previous suicide attempts but these were more serious suicide attempts. The presence of the hope to die, a written will, and suicidal ideation of a repetitive, intense, and continuous nature were predictive of planned SAs.CONCLUSION:
The present findings demonstrated that planned SAs had more severe psychopathology and medical illnesses than impulsive SAs. Therefore, screening for depression, substance use disorders, and suicidal plans among old and medically ill patients may be important for preventing suicide attempts.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Psicopatologia
/
Suicídio
/
Tentativa de Suicídio
/
Divórcio
/
Programas de Rastreamento
/
Fatores de Risco
/
Viuvez
/
Transtornos Relacionados ao Uso de Substâncias
/
Depressão
/
Transtorno Depressivo Maior
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Inglês
Revista:
Clinical Psychopharmacology and Neuroscience
Ano de publicação:
2015
Tipo de documento:
Artigo
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