Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.

Suicidal behaviour remains challenging for clinicians to predict, with few established risk factors and warning signs among psychiatric patients.We aimed to describe characteristics and identify risk factors for suicide attempts among patients with psychiatric disorders.Multivariable logistic regres...

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Main Authors: Meha Bhatt, Stefan Perera, Laura Zielinski, Rebecca B Eisen, Sharon Yeung, Wala El-Sheikh, Jane DeJesus, Sumathy Rangarajan, Heather Sholer, Elizabeth Iordan, Pam Mackie, Shofiqul Islam, Mahshid Dehghan, Lehana Thabane, Zainab Samaan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5823369?pdf=render
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author Meha Bhatt
Stefan Perera
Laura Zielinski
Rebecca B Eisen
Sharon Yeung
Wala El-Sheikh
Jane DeJesus
Sumathy Rangarajan
Heather Sholer
Elizabeth Iordan
Pam Mackie
Shofiqul Islam
Mahshid Dehghan
Lehana Thabane
Zainab Samaan
author_facet Meha Bhatt
Stefan Perera
Laura Zielinski
Rebecca B Eisen
Sharon Yeung
Wala El-Sheikh
Jane DeJesus
Sumathy Rangarajan
Heather Sholer
Elizabeth Iordan
Pam Mackie
Shofiqul Islam
Mahshid Dehghan
Lehana Thabane
Zainab Samaan
author_sort Meha Bhatt
collection DOAJ
description Suicidal behaviour remains challenging for clinicians to predict, with few established risk factors and warning signs among psychiatric patients.We aimed to describe characteristics and identify risk factors for suicide attempts among patients with psychiatric disorders.Multivariable logistic regression analysis, adjusted for clinically important confounders, was employed to determine risk factors for suicide attempts within a psychiatric patient population.The case (n = 146) and control groups (n = 104) did not differ significantly with regards to sociodemographic characteristics. The majority of the participants who had attempted suicide did so with high intent to die, and expected to die without medical intervention. The primary method of attempt was pharmaceutical overdose among the case participants (73.3%). Results showed impulsivity (odds ratio [OR] = 1.15, 95% confidence interval [CI] = 1.03-1.30) and borderline personality symptoms (OR = 1.07, 95% CI = 1.01-1.13) were significantly associated with attempted suicide.Our findings indicate that known sociodemographic risk factors for suicide may not apply within psychiatric populations. Prevention strategies for suicidal behaviour in psychiatric patients may be effective, including limited access to means for suicide attempts (i.e. excess pharmaceutical drugs) and target screening for high-risk personality and impulsivity traits.
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spelling doaj.art-a4c9307b297742a1a33d2be18838e7142022-12-21T22:39:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01132e019299810.1371/journal.pone.0192998Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.Meha BhattStefan PereraLaura ZielinskiRebecca B EisenSharon YeungWala El-SheikhJane DeJesusSumathy RangarajanHeather SholerElizabeth IordanPam MackieShofiqul IslamMahshid DehghanLehana ThabaneZainab SamaanSuicidal behaviour remains challenging for clinicians to predict, with few established risk factors and warning signs among psychiatric patients.We aimed to describe characteristics and identify risk factors for suicide attempts among patients with psychiatric disorders.Multivariable logistic regression analysis, adjusted for clinically important confounders, was employed to determine risk factors for suicide attempts within a psychiatric patient population.The case (n = 146) and control groups (n = 104) did not differ significantly with regards to sociodemographic characteristics. The majority of the participants who had attempted suicide did so with high intent to die, and expected to die without medical intervention. The primary method of attempt was pharmaceutical overdose among the case participants (73.3%). Results showed impulsivity (odds ratio [OR] = 1.15, 95% confidence interval [CI] = 1.03-1.30) and borderline personality symptoms (OR = 1.07, 95% CI = 1.01-1.13) were significantly associated with attempted suicide.Our findings indicate that known sociodemographic risk factors for suicide may not apply within psychiatric populations. Prevention strategies for suicidal behaviour in psychiatric patients may be effective, including limited access to means for suicide attempts (i.e. excess pharmaceutical drugs) and target screening for high-risk personality and impulsivity traits.http://europepmc.org/articles/PMC5823369?pdf=render
spellingShingle Meha Bhatt
Stefan Perera
Laura Zielinski
Rebecca B Eisen
Sharon Yeung
Wala El-Sheikh
Jane DeJesus
Sumathy Rangarajan
Heather Sholer
Elizabeth Iordan
Pam Mackie
Shofiqul Islam
Mahshid Dehghan
Lehana Thabane
Zainab Samaan
Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.
PLoS ONE
title Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.
title_full Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.
title_fullStr Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.
title_full_unstemmed Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.
title_short Profile of suicide attempts and risk factors among psychiatric patients: A case-control study.
title_sort profile of suicide attempts and risk factors among psychiatric patients a case control study
url http://europepmc.org/articles/PMC5823369?pdf=render
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