Clinical predictors and psychosocial risk factors of suicide attempt severity

doi:10.1016/j.sjpmh.2023.07.002

. 2023 Sep 29:S2950-2853(23)00034-0.

doi: 10.1016/j.sjpmh.2023.07.002. Online ahead of print.

Clinical predictors and psychosocial risk factors of suicide attempt severity

Itxaso González-Ortega¹, Marina Diaz-Marsa², Purificación López-Peña³, Jessica Fernández-Sevillano⁴, Jorge Andreo-Jover⁵, Julio Bobes⁶, María Fe Bravo-Ortiz⁷, Ana Isabel Cebria⁸, Benedicto Crespo-Facorro⁹, Alejandro de la Torre-Luque¹⁰, Matilde Elices¹¹, Verónica Fernández-Rodrigues¹², Nathalia Garrido-Torres¹³, Iria Grande¹⁴, Ángela Palao-Tarrero¹⁵, Andrés Pemau¹², Natalia Roberto¹⁶, Miguel Ruiz-Veguilla⁹, Elisa Seijo-Zazo¹⁷, Susana Alberich¹, Ana González-Pinto¹⁸, Víctor Pérez¹⁹; SURVIVE Group

Collaborators, Affiliations

Collaborators

SURVIVE Group:
Natalia Angarita¹¹, Wala Ayad-Ahmed²⁰, Jose Luis Ayuso-Mateos¹⁰, Mª Teresa Bobes-Bascarán²¹, Lorenzo Bracco²², Manuel Canal-Rivero²³, Irene Canosa-García¹¹, Myriam Cavero²⁴, Laura Comendador²⁵, Javier Curto-Ramos²⁶, Jennifer Fernández-Fernández²⁷, Melisa V Fernandez-Iturri²⁸, Daniel García²⁶, Ainoa García-Fernández²⁷, Elena Garcia-Ligero²⁸, Adriana Garcia-Ramos¹², Joaquín Gil²⁴, Luis Jimenez-Treviño²¹, Guillermo Juarez²⁶, Itziar Leal-Leturia¹², Saioa López-Zurbano²⁹, Lorea Mar-Barrutia³⁰, Maria T Muñoz³¹, Marta Navas³², Beatriz Orgaz²⁶, Diego J Palao³³, Ivan Pérez-Diez¹², Joaquim Punti³¹, Pablo Reguera-Pozuelo²⁸, Julia Rider²⁸, Pilar A Sáiz²¹, Lola Saiz³², Alba Toll¹¹, Nuria Tur³², Mireia Vazquez²⁴, M Velasco²⁶, Eduard Vieta³⁴, Iñaki Zorrilla³

Affiliations

¹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Personality, Assessment and Psychological Treatment, National University of Distance Education (UNED), Vitoria, Spain.
² Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital Clínico San Carlos, Madrid, Spain; Complutense University of Madrid, Madrid, Spain.
³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Neurosciences, University of the Basque Country, Leioa, Spain.
⁴ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain.
⁵ Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain.
⁶ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, University of Oviedo, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Spain; Instituto de Neurociencias del Principado de Asturias (INEUROPA), Spain; Mental Health Services of the Principality of Asturias (SESPA), Oviedo, Spain.
⁷ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain.
⁸ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mental Health Service, Hospital Universitari Parc Taulí, Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain; Department of Clinical and Health Psychology, Faculty of Psychology, Universitat Autònoma of Barcelona, Cerdanyola del Vallès, Spain.
⁹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain; Department of Psychiatry, University of Sevilla, Sevilla, Spain.
¹⁰ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Complutense University of Madrid, Madrid, Spain.
¹¹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mar Institute of Medical Research (IMIM), Parc de Salut Mar, Barcelona, Spain.
¹² Complutense University of Madrid, Madrid, Spain.
¹³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain.
¹⁴ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Institute of Neurosciences (UBNeuro) P. de la Vall d'Hebron, Barcelona, Spain; Department de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain.
¹⁵ Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain.
¹⁶ Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Institute of Neurosciences (UBNeuro) P. de la Vall d'Hebron, Barcelona, Spain.
¹⁷ Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Spain; Instituto de Neurociencias del Principado de Asturias (INEUROPA), Spain; Mental Health Services of the Principality of Asturias (SESPA), Oviedo, Spain.
¹⁸ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Neurosciences, University of the Basque Country, Leioa, Spain; Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy; Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona, 08193 Cerdanyola del Vallès, Spain. Electronic address: anamaria.gonzalez-pintoarrillaga@osakidetza.eus.
¹⁹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mar Institute of Medical Research (IMIM), Parc de Salut Mar, Barcelona, Spain; Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar, Barcelona, Spain; Universitat Pompeu Fabra, UPF, Barcelona, Spain.
²⁰ Hospital Clínico San Carlos, Madrid, Spain; Complutense University of Madrid, Madrid, Spain.
²¹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, University of Oviedo, Oviedo, Spain.
²² Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan, Italy; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona. 08193 Cerdanyola del Vallès, Spain.
²³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Clinical and Health Psychology, Faculty of Psychology, Universitat Autònoma of Barcelona, Cerdanyola del Vallès, Spain.
²⁴ Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
²⁵ Mental Health Service. Hospital Universitari Parc Taulí. Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona. 08193 Cerdanyola del Vallès, Spain.
²⁶ Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain.
²⁷ Department of Psychiatry, University of Oviedo, Oviedo, Spain.
²⁸ Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain.
²⁹ Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Neurosciences, University of the Basque Country, Leioa, Spain.
³⁰ Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain.
³¹ Mental Health Service. Hospital Universitari Parc Taulí. Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain.
³² Hospital Clínico San Carlos, Madrid, Spain.
³³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mental Health Service. Hospital Universitari Parc Taulí. Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona. 08193 Cerdanyola del Vallès, Spain.
³⁴ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Institute of Neurosciences (UBNeuro) P. de la Vall d'Hebron, Barcelona, Spain; Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain.

PMID: 38591830
DOI: 10.1016/j.sjpmh.2023.07.002

Free article

Clinical predictors and psychosocial risk factors of suicide attempt severity

Itxaso González-Ortega et al. Span J Psychiatry Ment Health. 2023.

Free article

. 2023 Sep 29:S2950-2853(23)00034-0.

doi: 10.1016/j.sjpmh.2023.07.002. Online ahead of print.

Authors

Collaborators

SURVIVE Group:
Natalia Angarita¹¹, Wala Ayad-Ahmed²⁰, Jose Luis Ayuso-Mateos¹⁰, Mª Teresa Bobes-Bascarán²¹, Lorenzo Bracco²², Manuel Canal-Rivero²³, Irene Canosa-García¹¹, Myriam Cavero²⁴, Laura Comendador²⁵, Javier Curto-Ramos²⁶, Jennifer Fernández-Fernández²⁷, Melisa V Fernandez-Iturri²⁸, Daniel García²⁶, Ainoa García-Fernández²⁷, Elena Garcia-Ligero²⁸, Adriana Garcia-Ramos¹², Joaquín Gil²⁴, Luis Jimenez-Treviño²¹, Guillermo Juarez²⁶, Itziar Leal-Leturia¹², Saioa López-Zurbano²⁹, Lorea Mar-Barrutia³⁰, Maria T Muñoz³¹, Marta Navas³², Beatriz Orgaz²⁶, Diego J Palao³³, Ivan Pérez-Diez¹², Joaquim Punti³¹, Pablo Reguera-Pozuelo²⁸, Julia Rider²⁸, Pilar A Sáiz²¹, Lola Saiz³², Alba Toll¹¹, Nuria Tur³², Mireia Vazquez²⁴, M Velasco²⁶, Eduard Vieta³⁴, Iñaki Zorrilla³

Affiliations

¹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Personality, Assessment and Psychological Treatment, National University of Distance Education (UNED), Vitoria, Spain.
² Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital Clínico San Carlos, Madrid, Spain; Complutense University of Madrid, Madrid, Spain.
³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Neurosciences, University of the Basque Country, Leioa, Spain.
⁴ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain.
⁵ Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain.
⁶ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, University of Oviedo, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Spain; Instituto de Neurociencias del Principado de Asturias (INEUROPA), Spain; Mental Health Services of the Principality of Asturias (SESPA), Oviedo, Spain.
⁷ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain.
⁸ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mental Health Service, Hospital Universitari Parc Taulí, Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain; Department of Clinical and Health Psychology, Faculty of Psychology, Universitat Autònoma of Barcelona, Cerdanyola del Vallès, Spain.
⁹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain; Department of Psychiatry, University of Sevilla, Sevilla, Spain.
¹⁰ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Complutense University of Madrid, Madrid, Spain.
¹¹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mar Institute of Medical Research (IMIM), Parc de Salut Mar, Barcelona, Spain.
¹² Complutense University of Madrid, Madrid, Spain.
¹³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain.
¹⁴ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Institute of Neurosciences (UBNeuro) P. de la Vall d'Hebron, Barcelona, Spain; Department de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain.
¹⁵ Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain; Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain.
¹⁶ Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Institute of Neurosciences (UBNeuro) P. de la Vall d'Hebron, Barcelona, Spain.
¹⁷ Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Spain; Instituto de Neurociencias del Principado de Asturias (INEUROPA), Spain; Mental Health Services of the Principality of Asturias (SESPA), Oviedo, Spain.
¹⁸ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Neurosciences, University of the Basque Country, Leioa, Spain; Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy; Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona, 08193 Cerdanyola del Vallès, Spain. Electronic address: anamaria.gonzalez-pintoarrillaga@osakidetza.eus.
¹⁹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mar Institute of Medical Research (IMIM), Parc de Salut Mar, Barcelona, Spain; Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar, Barcelona, Spain; Universitat Pompeu Fabra, UPF, Barcelona, Spain.
²⁰ Hospital Clínico San Carlos, Madrid, Spain; Complutense University of Madrid, Madrid, Spain.
²¹ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Psychiatry, University of Oviedo, Oviedo, Spain.
²² Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan, Italy; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona. 08193 Cerdanyola del Vallès, Spain.
²³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Department of Clinical and Health Psychology, Faculty of Psychology, Universitat Autònoma of Barcelona, Cerdanyola del Vallès, Spain.
²⁴ Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
²⁵ Mental Health Service. Hospital Universitari Parc Taulí. Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona. 08193 Cerdanyola del Vallès, Spain.
²⁶ Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain.
²⁷ Department of Psychiatry, University of Oviedo, Oviedo, Spain.
²⁸ Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain.
²⁹ Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain; Department of Neurosciences, University of the Basque Country, Leioa, Spain.
³⁰ Department of Psychiatry, Araba University Hospital, Bioaraba Research Institute, Vitoria, Spain.
³¹ Mental Health Service. Hospital Universitari Parc Taulí. Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain.
³² Hospital Clínico San Carlos, Madrid, Spain.
³³ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Mental Health Service. Hospital Universitari Parc Taulí. Unitat Mixta de Neurociència Traslacional I3PT-INc-UAB, Barcelona, Spain; Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona. 08193 Cerdanyola del Vallès, Spain.
³⁴ Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Institute of Neurosciences (UBNeuro) P. de la Vall d'Hebron, Barcelona, Spain; Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain.

PMID: 38591830
DOI: 10.1016/j.sjpmh.2023.07.002

Abstract

Background: Suicide attempts are an important predictor of completed suicide and may differ in terms of severity of medical consequences or medical lethality. There is little evidence on serious suicide attempt (SSA) and very few studies have compared SSA with non-SSA.

Objective: The aim of this multisite, coordinated, cohort study was to analyze the role of clinical variables and the sociodemographic and psychological risk factors of SSA.

Method: In this multisite, coordinated, cohort study, 684 participants (222 for the mild suicide attempt group, 371 for the moderate suicide attempt group and 91 for the SSA group) were included in the study. Ordinal regression models were performed to analyze the predictor variables of SSA.

Results: Early physical abuse (OR=1.231) and impulsivity (OR=1.036) were predictors of SSA, while depressive symptoms were associated with a lower risk of SSA.

Conclusion: Environmental and psychological factors as physical abuse and impulsivity are related with severe suicide severity. These findings will help to develop strategies to prevent suicide and may be considered for the treatment and management of suicide.

Keywords: Childhood trauma; Medical severity; Predictors; Suicide attempt.

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Clinical predictors and psychosocial risk factors of suicide attempt severity

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Clinical predictors and psychosocial risk factors of suicide attempt severity

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