@article{ref1,
title="Relevant risk factors of repeated suicidal attempts in a sample of outpatients",
journal="Revista de psiquiatrí́a y salud mental",
year="2019",
author="Espandian, Ashkan and González, Marina and Reijas, Teresa and Flórez, Gerardo and Ferrer, Ernesto and Saiz, Pilar A. and Salgado-Barreira, Angel and González, Amparo and Brenlla, Julio and Docasar, Luis and Bobes, Julio",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Suicide is, at present, an important global public health problem; detection of risk factors can be used as a method for prevention and intervention. This study aims to identify predictors of suicide in patients with suicidal attempt retry (SAR), who are followed-up an in the Intensive Intervention Program (PII). MATERIAL AND METHODS: The sample includes patients followed up at the Intensive Intervention Program because of a previous suicidal attempt. The following variables were collected during the 12 months follow-up (baseline, 6 months and 12 months): Repeated attempts, socio-demographic and clinical variables, lack of adherence and the Beck Depression Inventory and Hopelessness Scale. STATISTIC ANALYSIS: The association between SAR and qualitative study variables was performed using Chi-Square and for the quantitative, T-Student was used. The analysis was carried out with the software SPSS 19.0. The study has been approved by the Research Ethics Committee of Galicia. <br><br>RESULTS: Of the 319 patients, 29 (9%) of them committed a new suicidal attempt, 22 (76%) of these new attempts happened during the first 6 month of the Program. Of those who repeat the attempt, 7 (24%) have a history of a previous attempt that precede the basal attempt (P=.033) in less than 180 days. Medication overdose is the most used method, as it was used by 240 of the patients (76%). 27 (93%) kept drug overdose as their retry method, also reaching significance(P<.001). <br><br>CONCLUSIONS: Overdose as a method of attempt and re-attempt, and the time elapsed from the previous attempt, are the highlighted risk factors associated with repeated suicidal attempts. For this reason, it is crucial to identify patients with a new suicide attempt so that a more intense intervention and drug treatment control is delivered during the first 180 days.<br><br>Copyright © 2019. Publicado por Elsevier España, S.L.U.<p /> <p>Language: es</p>",
language="es",
issn="1888-9891",
doi="10.1016/j.rpsm.2019.03.003",
url="http://dx.doi.org/10.1016/j.rpsm.2019.03.003"
}