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Journal Article

Citation

Doblado SR. An. Psiquatr. 2000; 16(2): 63-70.

Copyright

(Copyright © 2000, Arán Ediciones)

DOI

unavailable

PMID

unavailable

Abstract

A sample of 144 cases (Osuna Epidemiological Survey of Suicide Attemtps), attended in 1997 and 1998 january-march, was assessed in order to play an epidemiological study about parasuicide behaviour. For this aim, simple and multivariant statistics were used. Annual prevalence rate found (101.8 attempts/100.000 inhabitants/year) is higher than observed in another Spanish urban studies and south european areas (WHO/EURO Multicentre Study on Parasuicide). Thus, classical association between suicide attempts and urban areas might be questioned. Male gender and age were associated to a hard severity of suicide attempts. Profiles of schizophrenic, geriatric and chronic somatic illness parasuicidal attempter were not essentially different to assessed in other studies. Clusters analysis differentiate two empiric subtypes: "Type A suicide behaviour" (25% of total, adult or geriatric male, without previous attempts, presenting hard psychopathology, low possibility of rescue and persistence of suicidal thoughts after attempt) and "Type B suicide behaviour" (75%, adolescent or young female, with repeated attempts, presenting soft psychopathology, high possibility of rescue and self-criticism after attempt). Following variables were risk factors for persistence of suicidal thoughts after attempt (logistic regression): bipolar or major depressive disorder > schizophrenia > previous attempts > male gender > organic mental disorder. Impulsiveness and diagnosis of personality or adjustment or neurotic disorder were protective factors in logistic regression. These mathematics models can help clinician in daily practice, let him contrast individual clinical experience with scientific evidences. © 2000 Aran EdicionEs, s. a.


Language: en

Keywords

Clusters-analysis; Logistic-regression; Nosology; Prevalence; Psychiatric-epidemiology; Rural; Suicide-attempts

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