TY  - JOUR
PY  - 2024//
TI  - Suicide-risk-related factors in a psychiatric patient cohort: a cross sectional study on outpatients, inpatients, and therapeutic community patients
JO  - Rivista di psichiatria
A1  - Gramaglia, Carla
A1  - Pontiggia, Martina
A1  - Magliocca, Sara
A1  - Patratanu, Silviana Maria
A1  - Valerio, Erica
A1  - Russotto, Sophia
A1  - Bonaldi, Sofia
A1  - Poli, Marianna
A1  - Rigamonti, Vittorio
A1  - Rezzonico, Giorgio
A1  - Bailo, Luca
A1  - Zeppegno, Patrizia
A1  - Madeddu, Fabio
A1  - Calati, Raffaella
SP  - 168
EP  - 178
VL  - 59
IS  - 4
N2  - BACKGROUND: Suicide constitutes a significant global health concern. Joiner's interpersonal-psychological theory of suicide focuses on three variables: Thwarted Belongingness (TB), Perceived Burdensomeness (PB) and Acquired Capability for Suicide. <br><br>METHODS: A sample of 90 psychiatric patients, comprising outpatients, inpatients and individuals residing in therapeutic communities, was recruited between 2021 and 2022. Scales measuring anxiety, depression, mental pain, reasons for living, TB, PB and fearlessness about death were administered. Patients with and without suicidal ideation (SI), as well as those with and without history of suicide attempt (SA) were compared and two stepwise logistic regression models were performed. <br><br>RESULTS: Both patients with SI and with SA had higher anxiety, depression, mental pain, PB, fearlessness about death and lower self-esteem. Notably, depression, PB and beliefs about coping strategies were strongly associated with SI, while higher fearlessness about death and PB were strongly linked to history of SA. Additionally, inpatients and therapeutic community patients were at higher risk of suicide and had higher levels of depression compared to outpatients. LIMITATIONS: The small sample size and the inclusion of patients with mixed psychiatric diagnoses limit the generalizability of the findings. The cross-sectional design hinders causal hypotheses about the relationship between current SI or past SA and potential risk factors. The use of self-report measures entails biases. The analyses did not include details about pharmacological treatments. <br><br>CONCLUSIONS: SA history could be explained by fearlessness about death. Improving the ability to cope with suicidal thoughts constitutes a pivotal component of therapeutic interventions with suicidal patients.<p />  <p>Language: en</p>
LA  - en
SN  - 0035-6484
UR  - http://dx.doi.org/10.1708/4320.43057
ID  - ref1
ER  -