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Social withdrawal and suicide risk: A descriptive study

Published online by Cambridge University Press:  23 March 2020

A. Malagon*
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain Universitat Autónoma Barcelona, Psychiatry and Forensic Medicine, Barcelona, Spain
D. Córcoles
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain Centro de Investigación Biomédica En Red de Salud Mental CIBERSAM, Centro de Investigación Biomédica En Red de Salud Mental CIBERSAM, Barcelona, Spain
E. Pérez
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain
L. Mollà
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain
D. Bergé
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain Universitat Autónoma Barcelona, Psychiatry and Forensic Medicine, Barcelona, Spain Centro de Investigación Biomédica En Red de Salud Mental CIBERSAM, Centro de Investigación Biomédica En Red de Salud Mental CIBERSAM, Barcelona, Spain
A. González
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain
M. Bellsolà
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain
L.M. Martín
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain Universitat Autónoma Barcelona, Psychiatry and Forensic Medicine, Barcelona, Spain
A. Bulbena
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain Universitat Autónoma Barcelona, Psychiatry and Forensic Medicine, Barcelona, Spain
V. Pérez
Affiliation:
Institute of Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, Spain Universitat Autónoma Barcelona, Psychiatry and Forensic Medicine, Barcelona, Spain Centro de Investigación Biomédica En Red de Salud Mental CIBERSAM, Centro de Investigación Biomédica En Red de Salud Mental CIBERSAM, Barcelona, Spain
*
*Corresponding author.

Abstract

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Introduction

Social withdrawal is a major health problem that has been related with higher morbidity and mortality rates. There are few studies about the relationship between suicidal behavior and social isolation.

Aim

To describe the existence of suicidal risk in subjects with social isolation.

Method

Participants were 187 subjects referred to a Crisis Resolution Home Treatment because of social isolation. The inclusion criteria were: home isolation, avoiding of social situations and relationships, for at least 6 months. Suicide risk was assessed by the item of the Severity of Psychiatric Illness, dividing in four groups (from absence to high suicide risk). Socio-demographic and clinical data were also analysed.

Results

Most cases (n = 132, 70.5%) had absence of suicide risk. They were predominantly young males in all groups. There were no statistically significant differences in sociodemographic or clinical variables. The mean age at onset of social isolation was lower in the high suicide risk group, having lower socially withdrawn period. This group had also lower rates of child abuse and suicide attempt history. The more frequent diagnosis in all groups was psychotic, affective and anxiety disorders. Those cases with mild and high suicide risk needed more frequently hospitalization.

Conclusions

Social isolated people attended by CRHT do not have high frequency of suicide risk. Cases with higher suicide risk are younger and have a shorter period of isolation. The absence of child abuse history or previous suicide attempts contrasts with previous suicidal behavior research. These data can be influenced by the characteristics of functioning of CRHT and the small sample size.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW254
Copyright
Copyright © European Psychiatric Association 2016
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