TY  - JOUR
PY  - 2022//
TI  - Suicidal ideation and attempts in adults seeking outpatient psychodynamic psychotherapy
JO  - Clinical psychology and psychotherapy
A1  - Singer, Susanne
A1  - Sievers, Luisa
A1  - Scholz, Ida
A1  - Taylor, Katherine
A1  - Blanck, Julian
A1  - Maier, Lena
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Suicide is an important cause of death in patients with mental health disorders, but little is known about the occurrence of suicidal ideation and attempts in outpatient psychotherapy patients. The aim of this study was to identify the proportion of patients with and correlates of suicidal ideation and attempts in community-based psychotherapy practices. Using 983 applications for reimbursement of psychotherapy from individual patients, reports about suicidal thoughts and suicide attempts were extracted along with demographic, biographic, and clinical data. Multivariate logistic regression analysis was used to identify correlates of suicidal ideation and attempts by calculating odds ratios (OR). Among the patients, 19% presented with suicidal thoughts (11% currently and 8% in the past) and 6% with suicide attempts. Important correlates of suicidal thoughts were male gender (OR 1.7), lower education (OR 1.8), early retirement (OR 2.9), death of a parent when younger than 5 years old (OR 3.3), violence experienced from various people (OR 2.1), self-harm behavior (OR 7.9), and alcohol misuse (OR 1.7). Suicide attempts were associated with male gender (OR 5.6), lower education (OR 4.2), violence experienced from partner (OR 2.5) or from various people (OR 9.5), and self-harm behavior (OR 15.0). These results show that the proportion of suicidal patients seeking outpatient psychotherapy is high. It should therefore be a central topic in clinical training. Biographic data such as the loss of a parent at an early age or experiencing violence are associated with who is at increased risk and should be explored in detail.<p />  <p>Language: en</p>
LA  - en
SN  - 1063-3995
UR  - http://dx.doi.org/10.1002/cpp.2797
ID  - ref1
ER  -