Is there a relationship between suicidal intent and lethality in deliberate self‐poisoning?

The relationship between suicidal intent and lethality of deliberate self‐poisoning (DSP) episodes and their associations with suicide have yielded contradictory findings. The aims of this study were to investigate the association between patients’ suicidal intent and independently rated lethality o...

Full description

Bibliographic Details
Main Authors: Gjelsvik, B, Heyerdahl, F, Holmes, J, Lunn, D, Hawton, K
Format: Journal article
Language:English
Published: Wiley 2016
_version_ 1797074422317711360
author Gjelsvik, B
Heyerdahl, F
Holmes, J
Lunn, D
Hawton, K
author_facet Gjelsvik, B
Heyerdahl, F
Holmes, J
Lunn, D
Hawton, K
author_sort Gjelsvik, B
collection OXFORD
description The relationship between suicidal intent and lethality of deliberate self‐poisoning (DSP) episodes and their associations with suicide have yielded contradictory findings. The aims of this study were to investigate the association between patients’ suicidal intent and independently rated lethality of DSP episodes, and whether the association changes over time. Eighty‐nine DSP patients were investigated longitudinally. Self‐reported suicidal intent, including perceived likelihood of dying, wish to die, and whether or not the DSP was considered a suicide attempt, was measured at the time of the index episode (t1), 3 months (t2), and 12 months (t3) later. Lethality was assessed independently by three clinical toxicologists. Lethality was significantly associated with patients’ reported wish to die (p = .01) and perceived likelihood of dying (p = .04) at t1, but not at t2 and t3. No association was found between whether the episode was considered a suicide attempt or not and lethality at t1, t2, or t3. Lethality and suicidal intent should be considered as largely separate dimensions of self‐harm. Clinicians should bear this in mind during clinical assessment, especially regarding historical information.
first_indexed 2024-03-06T23:35:55Z
format Journal article
id oxford-uuid:6da55355-79f0-46c6-9013-807148b67dfd
institution University of Oxford
language English
last_indexed 2024-03-06T23:35:55Z
publishDate 2016
publisher Wiley
record_format dspace
spelling oxford-uuid:6da55355-79f0-46c6-9013-807148b67dfd2022-03-26T19:19:09ZIs there a relationship between suicidal intent and lethality in deliberate self‐poisoning?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6da55355-79f0-46c6-9013-807148b67dfdEnglishSymplectic Elements at OxfordWiley2016Gjelsvik, BHeyerdahl, FHolmes, JLunn, DHawton, KThe relationship between suicidal intent and lethality of deliberate self‐poisoning (DSP) episodes and their associations with suicide have yielded contradictory findings. The aims of this study were to investigate the association between patients’ suicidal intent and independently rated lethality of DSP episodes, and whether the association changes over time. Eighty‐nine DSP patients were investigated longitudinally. Self‐reported suicidal intent, including perceived likelihood of dying, wish to die, and whether or not the DSP was considered a suicide attempt, was measured at the time of the index episode (t1), 3 months (t2), and 12 months (t3) later. Lethality was assessed independently by three clinical toxicologists. Lethality was significantly associated with patients’ reported wish to die (p = .01) and perceived likelihood of dying (p = .04) at t1, but not at t2 and t3. No association was found between whether the episode was considered a suicide attempt or not and lethality at t1, t2, or t3. Lethality and suicidal intent should be considered as largely separate dimensions of self‐harm. Clinicians should bear this in mind during clinical assessment, especially regarding historical information.
spellingShingle Gjelsvik, B
Heyerdahl, F
Holmes, J
Lunn, D
Hawton, K
Is there a relationship between suicidal intent and lethality in deliberate self‐poisoning?
title Is there a relationship between suicidal intent and lethality in deliberate self‐poisoning?
title_full Is there a relationship between suicidal intent and lethality in deliberate self‐poisoning?
title_fullStr Is there a relationship between suicidal intent and lethality in deliberate self‐poisoning?
title_full_unstemmed Is there a relationship between suicidal intent and lethality in deliberate self‐poisoning?
title_short Is there a relationship between suicidal intent and lethality in deliberate self‐poisoning?
title_sort is there a relationship between suicidal intent and lethality in deliberate self poisoning
work_keys_str_mv AT gjelsvikb istherearelationshipbetweensuicidalintentandlethalityindeliberateselfpoisoning
AT heyerdahlf istherearelationshipbetweensuicidalintentandlethalityindeliberateselfpoisoning
AT holmesj istherearelationshipbetweensuicidalintentandlethalityindeliberateselfpoisoning
AT lunnd istherearelationshipbetweensuicidalintentandlethalityindeliberateselfpoisoning
AT hawtonk istherearelationshipbetweensuicidalintentandlethalityindeliberateselfpoisoning