@article{ref1,
title="Interaction between prospective risk factors in the prediction of suicide risk",
journal="Journal of affective disorders",
year="2019",
author="Grendas, Leandro N. and Rojas, Sasha M. and Puppo, Soledad and Vidjen, Patricia and Portela, Alicia and Chiapella, Luciana and Rodante, Demián E. and Daray, Federico M.",
volume="258",
number="",
pages="144-150",
abstract="BACKGROUND: To meet the goal of preventing suicide the most important thing is to know the risk factors of suicidal behavior and understand their interaction. AIMS: The current study aims to evaluate prospective predictors and the interaction between factors for suicide and suicide re-attempts in high-risk, suicidal patients during a 24 month prospective follow-up period. <br><br>METHODS: A multicenter prospective cohort study was designed to compare data obtained from 324 patients admitted to the emergency department for current suicidal ideation or a recent suicide attempt. Participants were clinically evaluated at baseline and follow-up every 6 months to assess any unfavorable events (suicide or a suicide attempt). To estimate the rate of unfavorable events, the Kaplan-Meier method was used and Cox Proportional Hazards Regression Model was employed to examine predictors of suicide and suicide reattempt. <br><br>RESULTS: The incidence of a new suicide attempt was 26,000 events/100,000 persons-years. The incidence of death by suicide was 1110 events/100,000 person-year. The most reliable predictors of unfavorable events were being women, previous suicide attempts, younger age, and childhood sexual abuse. <br><br>FINDINGS revealed an interaction between childhood sexual abuse and low psychosocial functioning that increased the risk of an unfavorable event. <br><br>CONCLUSION: The risk of suicide re-attempts and suicide in the current 2-year follow-up was high. There was an interaction between low psychosocial functioning and childhood sexual abuse. This evidence should be taken into account for the evaluation and planning of preventive strategies.<br><br>Copyright © 2019 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2019.07.071",
url="http://dx.doi.org/10.1016/j.jad.2019.07.071"
}