Investigation of Sociodemographic Characteristics and Results of Recurrent Suicide Attempts: Sample of Ankara Province
DOI:
https://doi.org/10.17986/blm.1508Keywords:
suicide, recurrent suicide attempt, risk factorsAbstract
Objective: Suicide re-attempt is one of the strongest predictive factors of completed suicide. The aim of this study was to evaluate the socio-demographic data and the results of repeated suicide attempts in the 112-command center of Emergency Services.
Methods: The socio-demographic characteristics related to suicide attempts of the patients aged 15 and over applied to the Ankara 112 command center of Emergency Services for recurrent suicide attempts between 2017-2019 were examined through electronic records.
Results: There were 8231 applications due to suicide attempts in three years in Ankara province and 847 of them (10.3%) were recorded as recurrent suicide attempts. A total of 344 people who attempted recurrent suicide were 62.5% male and 37.5% female. The vast majority of those who had recurrent suicide attempts were found to have attempted suicide twice (79.9%). The rate of completed suicide among recurrent suicide attempts was 1.5%, all of them were the result of the second suicide attempt. The most common suicide attempt method was drug and chemical use in both sexes, and the most common methods used in completed suicides were firearms and medication/chemical use. According to the seasons, days or hours there was no statistically significant difference between genders or suicide attempts and completed suicides.
Conclusion: This is the first study that reports the socio-demographic characteristics of recurrent suicide attempts in our country. In addition to the interventions to recurrent suicide attempts, it is also important to develop preventive and protective strategies for high-risk groups vulnerable to making first suicide attempts.
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References
World Health Organization. [Internet] Mental health: suicide prevention. [cited 2020 June 15]. Available from: http://www.who.int/mental_health/suicide-prevention/en/.
Lahoz T, Hvid M, Wang A. Preventing repetition of attempted suicide—III. The Amager project, 5-year follow-up of a randomized controlled trial. Nord J Psychiatry. 2016;70(7):547–53. https://doi.org/10.1080/08039488.2016.1180711 DOI: https://doi.org/10.1080/08039488.2016.1180711
Turecki G, Brent D. Suicide and suicidal behaviour. Lancet. 2016;387(10024):1227–39. https://doi.org/10.1016/S0140-6736(15)00234-2 DOI: https://doi.org/10.1016/S0140-6736(15)00234-2
Hepp U, Wittmann L, Schnyder U, Michel K. Psychological and psychosocial interventions after attempted suicide. Crisis. 2004;25(3):108–17. https://doi.org/10.1027/0227-5910.25.3.108 DOI: https://doi.org/10.1027/0227-5910.25.3.108
Olfson M, Marcus S, Bridge J. Emergency department recognition of mental disorders and short-term outcome of deliberate self-harm. Am J Psychiatry. 2013;170:1442–1450. https://doi.org/10.1176/appi.ajp.2013.12121506 DOI: https://doi.org/10.1176/appi.ajp.2013.12121506
Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, ve ark. Attempted suicide in Europe: Rates, trends, and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand. 1996;93:327–338. https://doi.org/10.1111/j.1600-0447.1996.tb10656.x DOI: https://doi.org/10.1111/j.1600-0447.1996.tb10656.x
Uribe I, Blasco-Fontecilla H, García-Parés G, Batalla M, Capdevila M, Meca A, ve ark. Attempted and completed suicide: Not what we expected? J Affect Disord. 2013;150:840–6. https://doi.org/10.1016/j.jad.2013.03.013 DOI: https://doi.org/10.1016/j.jad.2013.03.013
Bostwick J, Pankratz V. Affective disorders and suicide risk: a reexamination. Am J Psychiatry. 2000;157:1925–1932. https://doi.org/10.1176/appi.ajp.157.12.1925 DOI: https://doi.org/10.1176/appi.ajp.157.12.1925
Carroll R, Metcalfe C, Gunnell D. Hospital Presenting Self-Harm and Risk of Fatal and Non-Fatal Repetition: Systematic Review and Meta-Analysis. PLoS One. 2014;9(2):e89944. https://doi.org/10.1371/journal.pone.0089944 DOI: https://doi.org/10.1371/journal.pone.0089944
Bostwick J, Pabbati C, Geske J, McKean A. Suicide Attempt as a Risk Factor for Completed Suicide: Even More Lethal Than We Knew. Am J Psychiatry. 2016;173(11):1094–100. https://doi.org/10.1176/appi.ajp.2016.15070854 DOI: https://doi.org/10.1176/appi.ajp.2016.15070854
Azcárate-Jiménez L, López-Goñi J, Goñi-Sarriés A, Montes-Reula L, Portilla-Fernández, A Elorza-Pardo R. Repeated suicide attempts: a follow-up study. Actas Esp Psiquiatr. 2019;47(4):127–36.
Kapur N, Cooper J, King-Hele S, Webb R, Lawlor M, Rodway C, ve ark. The repetition of suicidal behavior: a multicenter cohort study. J Clin Psychiatry. 2006;67:1599–1609. https://doi.org/10.4088/JCP.v67n1016 DOI: https://doi.org/10.4088/JCP.v67n1016
Ruengorn C, Sanichwankul, K Niwatananum W, Mahatnirunkul S, Pumpaisalchai, W Patumanond J. Incidence and risk factors of suicide reattempts within 1 year after psychiatric hospital discharge in mood disorder patients. Clin Epidemiol. 2011;3:305–13. https://doi.org/10.2147/CLEP.S25444 DOI: https://doi.org/10.2147/CLEP.S25444
Wang Y, Bhaskaran J, Sareen J, Wang J, Spiwak R, Bolton J. Predictors of future suicide attempts among individuals referred to psychiatric services in the emergency department: a longitudinal study. J Nerv Ment Dis. 2015;203(7):507–13. https://doi.org/10.1097/NMD.0000000000000320 DOI: https://doi.org/10.1097/NMD.0000000000000320
Mann J. Neurobiology of suicidal behaviour. Nat Rev Neurosci. 2003;4:819–28. https://doi.org/10.1038/nrn1220 DOI: https://doi.org/10.1038/nrn1220
Corcoran P, Keeley H, O’Sullivan M, Perry I. The incidence and repetition of attempted suicide in Ireland. Eur J Public Heal. 2004;14:19–23. https://doi.org/10.1093/eurpub/14.1.19 DOI: https://doi.org/10.1093/eurpub/14.1.19
Jeon H, Lee J, Lee Y, Hong J, Won S, Cho S, ve ark. Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean nationwide study. J Nerv Ment Dis. 2010;198:643–646. https://doi.org/10.1097/NMD.0b013e3181ef3ecf DOI: https://doi.org/10.1097/NMD.0b013e3181ef3ecf
Brådvik L, Berglund M. Repetition and severity of suicide attempts across the life cycle: a comparison by age group between suicide victims and controls with severe depression. BMC Psychiatry. 2009;9(1):62–9. https://doi.org/10.1186/1471-244X-9-62 DOI: https://doi.org/10.1186/1471-244X-9-62
Mendez-Busto s P, de Leon-Martinez V, Miret M, Baca-Garcia E, Lopez-Castroman J. Suicide Reattempters: A Systematic Review. Harvard Rev Psychiat. 2013;21(6):281–95. https://doi.org/10.1097/HRP.0000000000000001 DOI: https://doi.org/10.1097/HRP.0000000000000001
Nock M, Green J, Hwang I, McLaughlin K, Sampson N, Zaslavsky A, ve ark. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA psychiatry. 2013;70(3):300–10.https://doi.org/ 10.1001/2013.jamapsychiatry.55 DOI: https://doi.org/10.1001/2013.jamapsychiatry.55
Owens D, Horrocks J, House A. Fatal and non-fatal repetition of selfharm: systematic review. Br J Psychiatry. 2002;181:193–9. https://doi.org/10.1192/bjp.181.3.193 DOI: https://doi.org/10.1192/bjp.181.3.193
Lönnqvist J, Ostamo A. Suicide following the first suicide attempt: a five year follow-up using survival analysis. Psychiatr Fenn. 1991;22:171–9.
Kıymet ME, Ünüvar Göçeoğlu Ümit, Yürürdurmaz B, Balcı Y. Muğla İlinde Adli Tıp Polikliniğine Başvuran İntihar Girişimi Olgularının Değerlendirilmesi. Bull Leg Med. 2020. DOI: https://doi.org/10.17986/blm.1307
Alves V, Francisco L, de Melo A, Novaes C, Belo F, Nardi A. Trends in suicide attempts at an emergency department. Brazilian J Psychiatry. 2017;39(1):55–61. https://doi.org/10.1590/1516-4446-2015-1833 DOI: https://doi.org/10.1590/1516-4446-2015-1833
Phillips M, Yang G, Zhang Y, Wang L, Ji H, Zhou M. Risk factors for suicide in China: a national case-control psychological autopsy study. Lancet. 2002;360(9347):1728–1736. https://doi.org/10.1016/S0140-6736(02)11681-3 DOI: https://doi.org/10.1016/S0140-6736(02)11681-3
Runeson B, Tidemalm D, Dahlin M, Lichtenstein P, Långström N. Method of attempted suicide as predictor of subsequent successful suicide: national long term cohort study. BMJ. 2010;341:c3222. https://doi.org/10.1136/bmj.c3222 DOI: https://doi.org/10.1136/bmj.c3222
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