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. 2021 Jan;13(1):47-54.
doi: 10.5249/jivr.v13i1.1556. Epub 2021 Jan 30.

Suicidal continuum (ideation, planning, attempting) in an Islamic country; which should be focused on?

Mohamad Khajedaluee  1 , Majid Khadem-Rezaiyan  2 , Lida Jarahi  1 , Hoda Khatibi-Moghadam  3 , Afsaneh Faridpak  4
Affiliations

Suicidal continuum (ideation, planning, attempting) in an Islamic country; which should be focused on?

Mohamad Khajedaluee et al. J Inj Violence Res. 2021 Jan.

Abstract

Background: The aim of this study was to identify the characteristics of suicidal ideation (SI), suicidal plan (SP), and suicide attempt (SA) in patients who had survived suicide attempts.

Methods: In a one-year cross-sectional design in Khorasan Razavi province, all suicide attempters who were referred to urban and rural health care centers, hospital's emergency rooms and agreed to participate in the study were included. The previous twelve-month SI, SP and lifelong SA (prior to the current suicide attempt) were obtained.

Results: The mean age of 856 included individuals was 24.2±8.3 years. The majority (652,76.4%) were females. Half of them were first-time suicide attempters. The mean age of first SI was 22±7.7; SP 22±7.9; and SA 22.2±8 years. The twelve-month prevalence of SI and SP prior to the current suicide attempt was 30% and 26.7%, respectively. Males, unlettered, wedded, and employees were significantly older at their first time SI, SP, and SA (all p less than 0.001). SI (25,44.6%), SP(25,47.2%) and SA(34,75.6%) were more prevalent in widow/divorced individuals(all p-values less than 0.02). SI (OR=53.4,CI95%=33.6-85) increased the risk of SP, and SP(OR=6.7,CI95%=4.5-9.9) increased the risk of SA.

Conclusions: SI seems to be a more important predictor of suicide compared to SP, however, the fact that a significant number of attempters had not any previous detectable suicidal ideation or plan, indicates particular clinical considerations. We need to have some presuppositions about the factors leading to unplanned and unthoughtful suicide attempts.

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Conflict of interest statement

Ethical approval: Ethics approval and consent to participate: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Oral informed consent was obtained from participants. This study was approved by the Ethical Committee of Mashhad University of Medical Sciences (IR.MUMS.REC.1394.96).

Figures

Figure 1-A
Figure 1-A. The relationship of suicide ideation and planning; B: the relationship of suicide planning and attempting; C: the relationship of suicide ideation and attempts.
Figure 2
Figure 2. The frequency of individuals in the complete hierarchy of suicide continuum. (SI= Suicide Ideation; SP= Suicide Planning; SA= Suicide At-tempt; Plus sign: having; Minus sign: not having).
See this image and copyright information in PMC

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