@article{ref1,
title="Risk of suicide attempt repetition after an index attempt: a systematic review and meta-analysis",
journal="General hospital psychiatry",
year="2023",
author="de la Torre-Luque, Alejandro and Pemau, Andres and Ayad-Ahmed, Wala and Borges, Guilherme and Fernández-Sevillano, Jessica and Garrido-Torres, Nathalia and Garrido-Sanchez, Lucia and Garriga, Marina and Gonzalez-Ortega, Itxaso and Gonzalez-Pinto, Ana and Grande, Iria and Guinovart, Marti and Hernández-Calle, Daniel and Jimenez-Trevino, Luis and López-Solà, Clara and Mediavilla, Roberto and Perez-Aranda, Adrian and Ruiz-Veguilla, Miguel and Seijo-Zazo, Elisa and Toll, Alba and Pérez-Solà, Victor and Ayuso-Mateos, José Luis",
volume="81",
number="",
pages="51-56",
abstract="OBJECTIVES: To estimate the risk of suicide attempt repetition among individuals with an index attempt. It also aims to study the role of risk factors and prevention programme in repetition. <br><br>METHODS: This systematic review and meta-analysis was conducted in keeping with the PRISMA 2020 guidelines. Studies on attempt repetition (both cohort studies and intervention studies) were searched from inception to 2022. <br><br>RESULTS: A total of 110 studies comprising 248,829 attempters was reviewed. The overall repetition rate was 0.20 (0.17, 0.22). Repetition risk linearly increased over time. A higher risk of attempt repetition was associated with female sex and index attempts in which self-cutting methods were used. Moreover, a mental disorder diagnosis was associated with an increasing repetition risk (OR = 2.02, p < .01). The delivery of a preventive programme reduced the repetition risk, OR = 0.76, p < .05; however, this effect was significant for psychotherapy interventions, OR = 0.38, p < .01. <br><br>CONCLUSION: One in five suicide attempters will engage in a new suicide attempt. An elevated repetition risk is associated with being female, more severe index methods and psychiatric disorder diagnosis. Preventive programmes, particularly psychotherapy, may contribute to reducing repetition risk and eventually save lives.<p /> <p>Language: en</p>",
language="en",
issn="0163-8343",
doi="10.1016/j.genhosppsych.2023.01.007",
url="http://dx.doi.org/10.1016/j.genhosppsych.2023.01.007"
}