Prediction of repeated parasuicide after 1-12 months

被引:39
作者
Cedereke, M [1 ]
Öjehagen, A [1 ]
机构
[1] Univ Lund Hosp, Dept Clin Neurosci, Div Psychiat, SE-22185 Lund, Sweden
关键词
prospective studies; follow-up studies; prediction; suicide attempt; repetition;
D O I
10.1016/j.eurpsy.2004.09.008
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
To investigate predictors for repetition of suicide attempts 1-12 months after a suicide attempt. Subjects and methods. - Two hundred and sixteen patients who had made a suicide attempt were investigated after 1 month, and 178 were followed up again after 12 months. Results. - During 1-12 months after the suicide attempt, 30 patients reattempted suicide (repeaters). During 0-1 month 13 patients had reattempted suicide (early repeaters), and nine of them also repeated between 1 and 12 months. Repeaters had more often made three or more attempts before index attempt, they more often were in treatment at the index attempt and at 1 month they had lower global functioning and higher suicide ideation. In a Cox Regression analysis two predictors for repetition between 1 and 12 months remained significant; early repetition (OR 6.7, 95% CI, 3.0-14.9) and having GAF-scores below 49 (median cut-off) (OR 3.4 (95% CI, 1.5-7.5). Conclusion. - Our findings suggest that repetitive behaviour in itself is a strong predictor of future attempts. Strategies focusing on the repetitive behaviour are warranted. (c) 2004 Elsevier SAS. All rights reserved.
引用
收藏
页码:101 / 109
页数:9
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