Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J study
Abstract Aim Risk factors for attempted suicide have been widely studied. However, there is limited evidence on predictive factors for suicide reattempts. We aimed to identify these in suicide attempters admitted to emergency departments. Methods This is the second analysis from a randomized control...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-06-01
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| Series: | PCN Reports |
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| Online Access: | https://doi.org/10.1002/pcn5.7 |
| _version_ | 1828376481497088000 |
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| author | Hirokazu Tachikawa Sho Takahashi Kiyotaka Nemoto Naohiro Yonemoto Hiroyuki Oda Yasufumi Miyake Yoshio Hirayasu Tetsuaki Arai Chiaki Kawanishi |
| author_facet | Hirokazu Tachikawa Sho Takahashi Kiyotaka Nemoto Naohiro Yonemoto Hiroyuki Oda Yasufumi Miyake Yoshio Hirayasu Tetsuaki Arai Chiaki Kawanishi |
| author_sort | Hirokazu Tachikawa |
| collection | DOAJ |
| description | Abstract Aim Risk factors for attempted suicide have been widely studied. However, there is limited evidence on predictive factors for suicide reattempts. We aimed to identify these in suicide attempters admitted to emergency departments. Methods This is the second analysis from a randomized controlled multicenter trial, ACTION‐J. Patient characteristics were extracted from baseline demographic data and clinical data of participants. Predictive factors for a recurrent suicide attempt in each gender were examined using Cox proportional hazards regression analysis. Dependent variables were months from trial entry to the first reattempt. Independent variables were characteristics regarded as potential predictive factors. Results The study included 914 adults (400 men and 514 women). A visit to a psychiatrist within a month of the suicide attempt was significantly associated with reattempts in men (hazard ratio [HR] 2.49, 95% confidence interval [CI] 1.21–5.25). Substance‐related disorders (HR 3.65, 95% CI 1.16–7.9.60), drinking alcohol less than once per month (HR 0.42, 95% CI 0.17–0.88), previous suicide attempts (HR 2.28, 95% CI 1.40–3.87), and taking a drug overdose for the first suicide attempt (HR 1.82, 95% CI 1.14–3.01) were significantly associated with reattempts in women. Conclusion Our data highlight the importance of visits to a psychiatrist a short time before the first suicide attempt in men and substance‐related disorder, previous suicide attempts, and drug overdose in the first suicide attempt in women as predictive factors for future suicide reattempts. |
| first_indexed | 2024-04-14T08:00:42Z |
| format | Article |
| id | doaj.art-c83ccdef23114ddaa2820b37ceda9ace |
| institution | Directory Open Access Journal |
| issn | 2769-2558 |
| language | English |
| last_indexed | 2024-04-14T08:00:42Z |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | PCN Reports |
| spelling | doaj.art-c83ccdef23114ddaa2820b37ceda9ace2022-12-22T02:04:54ZengWileyPCN Reports2769-25582022-06-0112n/an/a10.1002/pcn5.7Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J studyHirokazu Tachikawa0Sho Takahashi1Kiyotaka Nemoto2Naohiro Yonemoto3Hiroyuki Oda4Yasufumi Miyake5Yoshio Hirayasu6Tetsuaki Arai7Chiaki Kawanishi8Department of Disaster and Community Psychiatry, Faculty of Medicine University of Tsukuba Tsukuba JapanDepartment of Disaster and Community Psychiatry, Faculty of Medicine University of Tsukuba Tsukuba JapanDepartment of Psychiatry, Faculty of Medicine University of Tsukuba Tsukuba JapanDepartment of Neuropsychopharmacology, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira JapanDepartment of Neuropsychiatry Kansai Medical University Hirakata JapanDepartment of Emergency Medicine Teikyo University Hospital Itabashi‐ku JapanHirayasu Hospital Urasoe JapanDepartment of Psychiatry, Faculty of Medicine University of Tsukuba Tsukuba JapanDepartment of Neuropsychiatry Sapporo Medical University Graduate School of Medicine Sapporo JapanAbstract Aim Risk factors for attempted suicide have been widely studied. However, there is limited evidence on predictive factors for suicide reattempts. We aimed to identify these in suicide attempters admitted to emergency departments. Methods This is the second analysis from a randomized controlled multicenter trial, ACTION‐J. Patient characteristics were extracted from baseline demographic data and clinical data of participants. Predictive factors for a recurrent suicide attempt in each gender were examined using Cox proportional hazards regression analysis. Dependent variables were months from trial entry to the first reattempt. Independent variables were characteristics regarded as potential predictive factors. Results The study included 914 adults (400 men and 514 women). A visit to a psychiatrist within a month of the suicide attempt was significantly associated with reattempts in men (hazard ratio [HR] 2.49, 95% confidence interval [CI] 1.21–5.25). Substance‐related disorders (HR 3.65, 95% CI 1.16–7.9.60), drinking alcohol less than once per month (HR 0.42, 95% CI 0.17–0.88), previous suicide attempts (HR 2.28, 95% CI 1.40–3.87), and taking a drug overdose for the first suicide attempt (HR 1.82, 95% CI 1.14–3.01) were significantly associated with reattempts in women. Conclusion Our data highlight the importance of visits to a psychiatrist a short time before the first suicide attempt in men and substance‐related disorder, previous suicide attempts, and drug overdose in the first suicide attempt in women as predictive factors for future suicide reattempts.https://doi.org/10.1002/pcn5.7ACTION‐Jemergency medicinepredictive factorssubstance‐related disordersuicide reattempt |
| spellingShingle | Hirokazu Tachikawa Sho Takahashi Kiyotaka Nemoto Naohiro Yonemoto Hiroyuki Oda Yasufumi Miyake Yoshio Hirayasu Tetsuaki Arai Chiaki Kawanishi Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J study PCN Reports ACTION‐J emergency medicine predictive factors substance‐related disorder suicide reattempt |
| title | Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J study |
| title_full | Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J study |
| title_fullStr | Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J study |
| title_full_unstemmed | Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J study |
| title_short | Predictive factors for recurrent suicide attempts: Evidence from the ACTION‐J study |
| title_sort | predictive factors for recurrent suicide attempts evidence from the action j study |
| topic | ACTION‐J emergency medicine predictive factors substance‐related disorder suicide reattempt |
| url | https://doi.org/10.1002/pcn5.7 |
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