Suicide Reattempters: A Systematic Review

被引:85
作者
Mendez-Bustos, Pablo [1 ]
de Leon-Martinez, Victoria
Miret, Marta [2 ]
Baca-Garcia, Enrique [2 ,3 ,4 ]
Lopez-Castroman, Jorge [2 ,5 ]
机构
[1] Catholic Univ Maule, Dept Psychol, Talca, Chile
[2] Univ Autonoma Madrid, Dept Psiquiatria, Serv Psiquiatria, Hosp Univ La Princesa,Inst Invest Sanitaria Princ, Madrid, Spain
[3] New York Psychiat Inst, Dept Psychiat, New York, NY USA
[4] Columbia Univ, New York, NY 10027 USA
[5] INSERM, U1061, Montpellier, France
关键词
attempted suicide; multiple suicide attempts; suicide; PSYCHOPATHOLOGICAL RISK-FACTORS; FOLLOW-UP; GENDER-DIFFERENCES; SINGLE ATTEMPTERS; SEXUAL-ABUSE; BEHAVIORAL SENSITIZATION; WHO/EURO MULTICENTER; MULTIPLE ATTEMPTERS; FAMILY-HISTORY; MENTAL-HEALTH;
D O I
10.1097/HRP.0000000000000001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Learning Objectives: After participating in this educational activity, the psychiatrist should be better able to 1. Identify the characteristic features of suicide reattempters. 2. Evaluate the limitations of the literature. 3. Compare the characteristic features of single attempters and suicide reattempters. The aim of this study is to identify the characteristic features of suicide reattempters. The recognition of the suicide reattempters population as a distinct clinical population may encourage future preventive and clinical work with this high-risk subgroup and thus reduce deaths. A systematic literature review was carried out in order to identify the key demographic, psychological, and clinical variables associated with the repetition of suicide attempts. In addition, we wished to analyze the operational definitions of the repetition of suicide attempts proposed in the scientific literature. Studies published from 2000 to 2012 were identified in PubMed, PsycINFO, and Web of Science databases and were selected according to predetermined criteria. We examined a total of 1480 articles and selected 86 that matched our search criteria. The literature is heterogeneous, with no consensus regarding the operational definitions of suicide reattempters. Comparison groups in the literature have also been inconsistent and include subjects making a single lifetime attempt and subjects who did not reattempt during a defined study period. Suicide reattempters were associated with higher rates of the following characteristics: unemployment, unmarried status, diagnosis of mental disorders, suicidal ideation, stressful life events, and family history of suicidal behavior. Additional research is needed to establish adequate differentiation and effective treatment plans for this population.
引用
收藏
页码:281 / 295
页数:15
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