Symptom profile in suicide attempters during the COVID-19 pandemic: Relationships with suicide outcomes.

IF 7.2 2区 医学 Q1 PSYCHIATRY European Psychiatry Pub Date : 2024-10-25 DOI:10.1192/j.eurpsy.2024.1759
Patricia Díaz-Carracedo, Carolina Marín, Marina Diaz-Marsa, Guilherme Borges, Alejandro de la Torre-Luque, Matilde Elices, Alba Toll, Iria Grande, Natalia Roberto, Mireia Vázquez, Ana González-Pinto, Miguel Ruiz-Veguilla, Manuel Canal-Rivero, Ana I Cebria, Diego Palao, Teresa Bobes-Bascaran, Luis Jimenez-Treviño, Pilar Saiz, Jorge Andreo-Jover, Katya March, Angela Palao-Tarrero, Víctor Perez
{"title":"Symptom profile in suicide attempters during the COVID-19 pandemic: Relationships with suicide outcomes.","authors":"Patricia Díaz-Carracedo, Carolina Marín, Marina Diaz-Marsa, Guilherme Borges, Alejandro de la Torre-Luque, Matilde Elices, Alba Toll, Iria Grande, Natalia Roberto, Mireia Vázquez, Ana González-Pinto, Miguel Ruiz-Veguilla, Manuel Canal-Rivero, Ana I Cebria, Diego Palao, Teresa Bobes-Bascaran, Luis Jimenez-Treviño, Pilar Saiz, Jorge Andreo-Jover, Katya March, Angela Palao-Tarrero, Víctor Perez","doi":"10.1192/j.eurpsy.2024.1759","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Suicidal behavior constitutes a multi-cause phenomenon that may also be present in people without a mental disorder. This study aims to analyze suicidal behavior outcomes in a sample of attempters, from a symptom-based approach.</p><p><strong>Methods: </strong>The sample comprised 673 patients (72% female; <i>M</i> = 40.9 years) who attended a hospital emergency department due to a suicide attempt. A wide range of clinical factors (e.g., psychopathology symptoms, psychiatric diagnoses, impulsivity, acquired capability), was administered within 15 days after the index attempt. Nine psychopathology domains were explored to identify the profile of symptoms, using latent profile analysis. The relationship between the profile membership and suicide outcome (i.e., intensity of suicidal ideation, number of suicide behaviors, and medical injury derived from index attempt) was also studied, using linear and logistic regression.</p><p><strong>Results: </strong>Three psychopathology profiles were identified: high-symptom profile (45.02% of participants), moderate-symptom profile (42.50%), and low-symptom profile (12.48%). High-symptom profile members were more likely to show higher risk of non-suicidal self-injury, acquired capability for suicide, and more severe suicide behavior and ideation. On the other hand, a more severe physical injury was associated with low-symptom profile membership in comparison to membership from the other profiles (<i>OR</i> < 0.45, <i>p</i> < .05).</p><p><strong>Conclusions: </strong>A symptom-based approach may be useful to monitor patients and determine the risk of attempt repetition in the future and potential medical injury, and to optimize prevention and intervention strategies.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.2000,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1192/j.eurpsy.2024.1759","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Suicidal behavior constitutes a multi-cause phenomenon that may also be present in people without a mental disorder. This study aims to analyze suicidal behavior outcomes in a sample of attempters, from a symptom-based approach.

Methods: The sample comprised 673 patients (72% female; M = 40.9 years) who attended a hospital emergency department due to a suicide attempt. A wide range of clinical factors (e.g., psychopathology symptoms, psychiatric diagnoses, impulsivity, acquired capability), was administered within 15 days after the index attempt. Nine psychopathology domains were explored to identify the profile of symptoms, using latent profile analysis. The relationship between the profile membership and suicide outcome (i.e., intensity of suicidal ideation, number of suicide behaviors, and medical injury derived from index attempt) was also studied, using linear and logistic regression.

Results: Three psychopathology profiles were identified: high-symptom profile (45.02% of participants), moderate-symptom profile (42.50%), and low-symptom profile (12.48%). High-symptom profile members were more likely to show higher risk of non-suicidal self-injury, acquired capability for suicide, and more severe suicide behavior and ideation. On the other hand, a more severe physical injury was associated with low-symptom profile membership in comparison to membership from the other profiles (OR < 0.45, p < .05).

Conclusions: A symptom-based approach may be useful to monitor patients and determine the risk of attempt repetition in the future and potential medical injury, and to optimize prevention and intervention strategies.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
COVID-19 大流行期间自杀企图者的症状概况:与自杀结果的关系
背景:自杀行为是一种多原因现象,也可能出现在没有精神障碍的人身上。本研究旨在从基于症状的方法出发,分析企图自杀者样本的自杀行为结果:样本包括 673 名因自杀未遂而到医院急诊科就诊的患者(72% 为女性;男性 = 40.9 岁)。在自杀未遂事件发生后的 15 天内,对一系列临床因素(如精神病理症状、精神病诊断、冲动性、后天能力)进行了调查。通过潜伏特征分析,对九个精神病理学领域进行了探索,以确定症状特征。此外,还使用线性回归和逻辑回归法研究了症状特征与自杀结果(即自杀意念强度、自杀行为次数以及因企图自杀而导致的医疗伤害)之间的关系:研究发现了三种精神病理学特征:高症状特征(占参与者的 45.02%)、中症状特征(占参与者的 42.50%)和低症状特征(占参与者的 12.48%)。高症状成员更有可能表现出较高的非自杀性自伤风险、获得自杀能力以及更严重的自杀行为和意念。另一方面,与其他症状特征的成员相比,低症状特征的成员更容易受到更严重的身体伤害(OR p 结论):以症状为基础的方法可能有助于监测患者,确定其未来再次企图自杀的风险和潜在的医疗伤害,并优化预防和干预策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
European Psychiatry
European Psychiatry 医学-精神病学
CiteScore
8.50
自引率
3.80%
发文量
2338
审稿时长
4.5 weeks
期刊介绍: European Psychiatry, the official journal of the European Psychiatric Association, is dedicated to sharing cutting-edge research, policy updates, and fostering dialogue among clinicians, researchers, and patient advocates in the fields of psychiatry, mental health, behavioral science, and neuroscience. This peer-reviewed, Open Access journal strives to publish the latest advancements across various mental health issues, including diagnostic and treatment breakthroughs, as well as advancements in understanding the biological foundations of mental, behavioral, and cognitive functions in both clinical and general population studies.
期刊最新文献
Suicidal transition rates and their predictors in the adult general population: a repeated survey over 21 years in France. Patient trust in the use of machine learning-based clinical decision support systems in psychiatric services: A randomized survey experiment. Symptom profile in suicide attempters during the COVID-19 pandemic: Relationships with suicide outcomes. Prevalence of autistic traits and their relationships with other psychopathological domains in young adults seeking psychiatric attention: a cluster analysis. Exploring potential working mechanisms of accelerated HF-rTMS in refractory major depression with a focus on locus coeruleus connectivity.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1