TY - JOUR PY - 2009// TI - Improvement and recovery from suicidal and self-destructive phenomena in treatment-refractory disorders JO - Journal of nervous and mental disease A1 - Perry, C. J. A1 - Bailey, A. A1 - Fowler, J. Christopher A1 - Clemence, A. Jill A1 - Plakun, Eric M. A1 - Zheutlin, Barbara A1 - Speanburg, Stefanie SP - 28 EP - 34 VL - 197 IS - 1 N2 - 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.
Language: en
LA - en SN - 0022-3018 UR - http://dx.doi.org/10.1097/NMD.0b013e3181927598 ID - ref1 ER -