@article{ref1,
title="Improvement and recovery from suicidal and self-destructive phenomena in treatment-refractory disorders",
journal="Journal of nervous and mental disease",
year="2009",
author="Perry, C. J. and Bailey, A. and Fowler, J. Christopher and Clemence, A. Jill and Plakun, Eric M. and Zheutlin, Barbara and Speanburg, Stefanie",
volume="197",
number="1",
pages="28-34",
abstract="Long-term data about recovery from suicidal and self-destructive phenomena are limited. We examined these phenomena in a naturalistic, follow-along study of 226 adults with treatment-refractory disorders admitted at the Austen Riggs Center. Follow-along interviews systematically rated suicidal ideation, suicide attempts, self-mutilation, and other self-destructive phenomena. We identified vital status in 98.7%, finding 1 death by suicide. Among 79 who made at least 1 suicide attempt in the 6 months before admission, 61 (77.2%) were estimated to be free of suicidal acts by a median of 7.18 years. Self-mutilation and other self-destructive phenomena showed slightly longer times to recovery. Among 156 individuals with suicidal ideation, 79 (50.6%) attained sustained recovery at a median of 8.69 years. On average 2.9 to 5.2 years were required from the last observed self-destructive event to attain sustained recovery. Most participants showed significant improvement in suicidal phenomena, whereas between 50.6% and 77.2% attained sustained recoveries.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0b013e3181927598",
url="http://dx.doi.org/10.1097/NMD.0b013e3181927598"
}