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Risk of suicide after attempted suicide in the population of Slovenia from 1970 to 1996

Published online by Cambridge University Press:  16 April 2020

Slavko Ziherl  and
Bojan Zalar
Slavko Ziherl*
Affiliation:
University Psychiatric Hospital Ljubljana, Studenec 48, 1260Ljubljana, Slovenia
Bojan Zalar
Affiliation:
University Psychiatric Hospital Ljubljana, Studenec 48, 1260Ljubljana, Slovenia
*
*Corresponding author. Tel.: +386 1 587 2467; fax: +386 1 529 4111. E-mail address: [email protected] (S. Ziherl).
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Abstract

Objective:

All suicide attempts cannot predict suicide, therefore we examined those characteristics of suicide attempt which could most accurately predict completed suicide.

Subject and methods:

Subjects were all individuals registered as committed suicides (N = 16,522) or attempted suicides (N = 15,057) in the register of suicides of the Republic of Slovenia between 1970 and 1996. Log linear analysis of a frequency table was used to uncover relationship between categorical variables.

Results:

The model we found fit between variables: mode, number of repetitions and type, then between number of repetitions, type and gender, and between mode, type and gender.

Discussion:

The risk of suicide in those who previously attempted suicide is approximately 773 times higher than the risk of suicide without a previous suicide attempt. Those who attempt suicide by hanging (hanging being in Slovenia the most frequent mode of completed suicide) are at even greater risk to commit suicide.

Conclusion:

Our data suggests that clinicians should heighten their awareness that any suicide attempt can in some 20% predict suicide. Someone who has attempted suicide by hanging is at the highest risk of suicide.

Keywords

SuicideSuicide attemptPrediction of suicide
Type
Original article
Information
European Psychiatry , Volume 21 , Issue 6 , September 2006 , pp. 396 - 400
Copyright
Copyright © Elsevier SAS 2006

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References

Dahlgren, K.G.Attempted suicides-35 years afterward Suicide Life-Threat 1977; 7:79.Google ScholarPubMed
Furst, J., Huffine, C.L.Assessing vulnerability to suicide Suicide Life-Threat 1991; 21:329–344.Google ScholarPubMed
Goldney, R.D.Prediction of suicide and attempted suicide. Hawton, K., K, V.The international handbook of suicide and attempted suicide Chichester: John Wiley and Sons; 2000. 585–595.CrossRefGoogle Scholar
Grad, O.T., Zavasnik, A.Proposal for a national programme for suicide prevention in Slovenia. Grad, O.T., How to reduce suicide in Slovenia WHO – Regional office for Europe; 1995. 3–18.Google Scholar
Hawton, K.Studying survivors of nearly lethal suicide attempts: an important strategy in suicide research Suicide Life-Threat 2001; 32:76–84.CrossRefGoogle ScholarPubMed
Hawton, K., Fagg, J.Repetition of attempted suicide: the performance of the Edinburgh Predictive Scales in patients in Oxford Arch. Suicide Res. 1995; 1:261–272.CrossRefGoogle Scholar
Hawton, K., Zahl, D., Weatherall, R.Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital Br. J. Psychiatry 2003; 182:537–542.CrossRefGoogle ScholarPubMed
Kreitman, N., Foster, J.Construction and selection of predictive scales, with special references to parasuicide Br. J. Psychiatry 1991; 159:185–192.CrossRefGoogle Scholar
Maris, R.W.The relationship of nonfatal suicide attempts to completed suicides. Maris, R.W., Berman, A.L., Maltsberger, J.T., Yufit, R.I., Assessment and prediction of suicide. New York, London: The Guilford Press; 1992. 362–380.Google Scholar
Milčinski, L., Zalar, B., Virant-Jaklič, M.Suicide and Slovenia—1995 Ljubljana: Slovenian Academy of Sciences and Arts 1997.Google Scholar
Nordstrom, P., Samuelson, M., Asberg, M., Traskman-Bendz, L., Aberg-Wistedt, A., Nordin, A.et al.CSF 5-HIAA predicts suicide risk after attempted suicide Suicide Life-Threat 1994; 24:1–9.Google ScholarPubMed
Ostamo, A., Lonnquist, J.Excess mortality of suicide attempters Soc. Psychiatry Psychiatr. Epidemiol. 2001; 36:29–35.CrossRefGoogle ScholarPubMed
Pounder, D.J.Why are the British hanging themselves? Am. J. Forensic Med. Pathol. 1993; 14:135–140.CrossRefGoogle ScholarPubMed
Schmidtke, A., Bille-Brahe, U., De Leo, D., Hawton, K., Nordvik, H., Grad, O.et al.Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO multicentre study of parasuicide Acta Psychiatr. Scand. 1996; 93:327–338.CrossRefGoogle ScholarPubMed
Stengel, E.Suicide and attempted suicide London: Penguin Books; 1973. (p. 80–1).Google Scholar
Stengel, E.Suicide and attempted suicide London: Penguin Books; 1973 .(p. 82–3).Google Scholar
Van Egmond, M., Diekstra, R.F.The predictability of suicidal behaviour: the results of meta-analysis of published studies Crisis 1990; 11:57–84.Google ScholarPubMed
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