The predictors of suicidality in previous suicide attempters following case management services
Journal
Suicide and Life-Threatening Behavior
Journal Volume
43
Journal Issue
5
Pages
469-478
Date Issued
2013
Author(s)
Chen W.-J.
Shyu S.-S.
Lin G.-G.
Chen C.-C.
Ho C.-K.
MING-BEEN LEE
Chou F.H.-C.
Abstract
Suicide attempts constitute a serious clinical problem. People who have attempted suicide are at an elevated risk for additional suicide attempts, but there is limited evidence regarding the predictors of suicidality of suicide attempters following case management services. In the present study the indicators of suicidality after case management were examined. A total of 1,056 subjects who had recently attempted suicide were recruited from January 1, 2011, to June 30, 2011. The suicide prevention center of Kaohsiung City in Taiwan provided case management services and followed up on suicide attempt cases for 6 months. The salient factors for repeat suicide attempts were estimated using a logistic regression analysis. The results showed that multiple factors, including a "willingness to receive mental health services during a crisis," "social support," "a history of mental disorders," and "a history of suicide," could predict repeat suicide attempts with hazard ratios (0.58, 0.54, 3.84, 1.51) and 95% confidence interval (0.39-0.86, 0.36-0.83, 2.41-6.10, 1.03-2.21). The four factors mentioned above were the most accurate predictors of subsequent suicidality when case management services were utilized after 6 months of follow-up. The findings of our study could help clarify future strategies for suicide prevention. ? 2013 The American Association of Suicidology.
SDGs
Other Subjects
adult; article; case management; female; human; male; middle aged; patient attitude; psychological aspect; recurrent disease; risk factor; social support; statistics; suicidal ideation; suicide; suicide attempt; Adult; Case Management; Female; Humans; Male; Middle Aged; Patient Acceptance of Health Care; Recurrence; Risk Factors; Social Support; Suicidal Ideation; Suicide; Suicide, Attempted
Type
journal article