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Prediction of repeated parasuicide after 1–12 months

Published online by Cambridge University Press:  16 April 2020

A. Öjehagen
Affiliation:
Department of Clinical Neuroscience Division of Psychiatry, Lund University Hospital, SE-221 85Lund, Sweden
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Abstract

Background

To investigate predictors for repetition of suicide attempts 1–12 months after a suicide attempt.

Methods

Two hundred and sixteen patients who had made a suicide attempt were investigated after 1 month, and 178 were followed up again after 12 months.

Results

During 1–12 months after the suicide attempt, 30 patients reattempted suicide (repeaters). During 0–1 month 13 patients had reattempted suicide (early repeaters), and nine of them also repeated between 1 and 12 months. Repeaters had more often made three or more attempts before index attempt, they more often were in treatment at the index attempt and at 1 month they had lower global functioning and higher suicide ideation. In a Cox Regression analysis two predictors for repetition between 1 and 12 months remained significant; early repetition (OR 6.7, 95% CI, 3.0–14.9) and having GAF-scores below 49 (median cut-off) (OR 3.4 (95% CI, 1.5–7.5).

Conclusions

Our findings suggest that repetitive behaviour in itself is a strong predictor of future attempts. Strategies focusing on the repetitive behaviour are warranted.

Type
Original article
Copyright
Copyright © Elsevier SAS 2005

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