@article{ref1,
title="Risk of re-attempts and suicide death after a suicide attempt: a survival analysis",
journal="BMC psychiatry",
year="2017",
author="Parra-Uribe, Isabel and Blasco-Fontecilla, Hilario and García-Parés, Gemma and Martínez-Naval, Luis and Valero-Coppin, Oliver and Cebrià-Meca, Annabel and Oquendo, Maria A. and Palao-Vidal, Diego",
volume="17",
number="1",
pages="e163-e163",
abstract="BACKGROUND: Suicide is the primary cause of unnatural death in Spain, and suicide re-attempts a major economic burden worldwide. The risk factors for re-attempt and suicide after an index suicide attempt are different. This study aims to investigate risk factors for re-attempt and suicide after an index suicide attempt. <br><br>METHODS: This observational study is part of a one-year telephone management program. We included all first-time suicide attempters evaluated in the emergency department at Parc Taulí-University Hospital (n = 1241) recruited over a five-year period (January 2008 to December 2012). Suicide attempters were evaluated at baseline using standardized instruments. Bivariate logistic regression models were used to identify risk factors. Kaplan-Meier curves were used to compare the time to re-attempt between categorical variables. Comparisons were performed using Log-Rank and Wilcoxon tests. Variables with a p-value lower than 0.2 were included in a multivariate Cox regression model. Bivariate logistic regression models were considered to identify risk factors for suicide. The significance level was set to 0.05. <br><br>RESULTS: Suicide re-attempters were more likely diagnosed with cluster B personality disorders (36.8% vs. 16.6%; p < 0.001), and alcohol use disorders (19.8 vs. 13.9; p = 0.02). Several [1.2% (15/1241)] of them died by suicide. Attempters who suicide were more likely alcohol users (33.3% vs. 17.2%; p = 0.047), and older (50.9 ± 11.9 vs. 40.7 ± 16.0; p = 0.004). <br><br>CONCLUSIONS: Alcohol use, personality disorders and younger age are risk factors for re-attempting. Older age is a risk factor for suicide among suicide attempters. Current prevention programs of suicidal behaviour should be tailored to the specific profile of each group.<p /> <p>Language: en</p>",
language="en",
issn="1471-244X",
doi="10.1186/s12888-017-1317-z",
url="http://dx.doi.org/10.1186/s12888-017-1317-z"
}