Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up
Abstract
:1. Introduction
2. Method
2.1. Participants
2.2. Instruments
2.3. Procedure
2.4. Ethical Considerations
2.5. Data Analysis
3. Results
3.1. Description of the Sample
3.2. Clinical Data
4. Discussion
4.1. Limitations
4.2. Strengths
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | (n, %) |
---|---|
Demographics and clinical data | |
Sex (female) | (n = 446, 83.7%) |
Age (older than 14 years old) | (n = 306, 57.4%) |
Attempt method | Medication overdose (n = 336, 63%) |
Current diagnosis | |
Any psychiatric diagnosis | (n = 497, 93.2%) |
Psychiatric comorbidity | (n = 165, 31%) |
Substance use | (n = 32, 6%) |
Schizophrenia and psychotic symptoms | (n = 12, 2.3%) |
Affective disorders | (n = 131, 24.5%) |
Anxiety disorders | (n = 31, 5.8%) |
Eating disorders | (n = 57, 10.7%) |
Impulse control disorders | (n = 2, 0.4%) |
Adjustment disorders | (n = 233, 43.7%) |
Personality disorders or traits | (n = 116, 21.8%) |
Behavioral disorders | (n = 36, 6.8%) |
Autism spectrum disorders | (n = 12, 2.3%) |
Attention deficit and hyperactivity disorders | (n = 12, 2.3%) |
Other diagnosis | (n = 24, 4.5%) |
Personal background of mental disorder | |
Existence of personal background | (n = 380, 71.3%) |
Substance use | (n = 28, 5.3%) |
Schizophrenia and psychotic symptoms | (n = 6, 1.1%) |
Affective disorders | (n = 81, 15.2%) |
Anxiety disorders | (n = 67, 12.6%) |
Eating disorders | (n = 69, 12.9%) |
Impulse control disorders | (n = 0, 0%) |
Adjustment disorders | (n = 42, 7.9%) |
Personality disorders or traits | (n = 27, 5.1%) |
Behavioral disorders | (n = 57, 10.7%) |
Autism spectrum disorders | (n = 7, 1.3%) |
Attention deficit and hyperactivity disorders | (n = 33, 6.2%) |
Self-harm | (n = 210, 39.4%) |
Abuse during childhood | (n = 31, 5.8%) |
Bullying | (n = 75, 14.1%) |
Mental health hospitalization | (n = 78, 14.6%) |
Previous suicide behavior | (n = 196, 36.8%) |
Other personal background | (n = 70, 13.1%) |
Family background of mental disorder | |
Family background of psychopathology | (n = 299, 56.1%) |
Substance use disorders | (n = 83, 15.6%) |
Schizophrenia and psychotic symptoms | (n = 44, 8.3%) |
Affective disorders | (n = 172, 32.3%) |
Anxiety disorders | (n = 69, 12.9%) |
Eating disorders | (n = 16, 3%) |
Impulse control disorders | (n = 0, 0%) |
Adjustment disorders | (n = 16, 3%) |
Personality disorders or traits | (n = 20, 3.8%) |
Behavioral disorders | (n = 18, 3.4%) |
Family history of suicidal behavior | (n = 68, 12.8%) |
Other family background of psychopathology | (n = 59, 11.1%) |
Variables | Relapse (n = 93) | No Relapse (n = 440) | p |
---|---|---|---|
n (%) | n (%) | ||
Substance use disorders | 5 (5.4%) | 27 (6.1%) | n.s. |
Schizophrenia & psychotic symptoms | 1 (1.1%) | 11 (2.5%) | n.s. |
Affective disorders | 25 (26.9%) | 106 (24.1%) | n.s. |
Anxiety disorders | 4 (4.3%) | 27 (6.1%) | n.s. |
Eating disorders | 12 (12.9%) | 45 (10.2%) | n.s. |
Impulse control disorders | 0 (0%) | 2 (0.5%) | n.s. |
Adjustment disorders | 42 (45.2%) | 191 (43.4%) | n.s. |
Personality disorders or traits | 31 (33.3%) | 85 (19.3%) | 0.003 |
Behavioral disorders | 6 (6.5%) | 30 (6.8%) | n.s. |
Autism spectrum disorders | 4 (4.3%) | 8 (1.8%) | n.s. |
Attention deficit & hyperactivity disorders | 2 (2.2%) | 10 (2.3%) | n.s. |
Variables | Relapse (n = 93) | No Relapse (n = 440) | p |
---|---|---|---|
n (%) | n (%) | ||
Substance use disorders | 3 (3.2%) | 25 (5.7%) | n.s. |
Schizophrenia & psychotic symptoms | 1 (1.1%) | 5 (1.1%) | n.s. |
Affective disorders | 17 (18.3%) | 64 (14.5%) | n.s. |
Anxiety disorders | 15 (16.1%) | 52 (11.8%) | n.s. |
Eating disorders | 17 (18.3%) | 52 (11.8%) | n.s. |
Impulse control disorders | 0 (0%) | 0 (0%) | n.s. |
Adjustment disorders | 8 (8.6%) | 34 (7.7%) | n.s. |
Personality disorders or traits | 3 (3.2%) | 24 (5.5%) | n.s. |
Behavioral disorders | 9 (9.7%) | 48 (10.9%) | n.s. |
Autism spectrum disorders | 2 (2.2%) | 5 (1.1%) | n.s. |
Attention deficit & hyperactivity disorders | 4 (4.3%) | 29 (6.6%) | n.s. |
Non suicidal self-harm | 57 (61.3%) | 153 (34.8%) | <.001 |
Sexual abuse during childhood | 4 (4.3%) | 27 (6.1%) | n.s. |
Bullying | 21 (22.6%) | 54 (12.3%) | 0.009 |
Mental health hospitalization | 16 (17.2%) | 62 (14.1%) | n.s. |
Previous suicidal behavior | 44 (47.3%) | 152 (34.5%) | 0.020 |
Variables | Relapse (n = 93) | No Relapse (n = 440) | p |
---|---|---|---|
n (%) | n (%) | ||
Substance use disorders | 20 (21.5%) | 63 (14.3%) | n.s. |
Schizophrenia & psychotic symptoms | 10 (10.8%) | 34 (7.7%) | n.s. |
Affective disorders | 38 (40.9%) | 134 (30.5%) | n.s. |
Anxiety disorders | 14 (15.1%) | 55 (12.5%) | n.s. |
Eating disorders | 2 (2.2%) | 14 (3.2%) | n.s. |
Impulse control disorders | 0 (0%) | 0 (0%) | n.s. |
Adjustment disorders | 4 (4.3%) | 12 (2.7%) | n.s. |
Personality disorders or traits | 4 (4.3%) | 16 (3.6%) | n.s. |
Behavioral disorders | 5 (5.3%) | 13 (3%) | n.s. |
Autism spectrum disorders | 0 (0%) | 0 (0%) | n.s. |
Attention deficit & hyperactivity disorders | 0 (0%) | 0 (0%) | n.s. |
Family suicidal behavior | 16 (17.2%) | 52 (11.8%) | n.s. |
Variables | OR | p | CI |
---|---|---|---|
Non-suicidal self-harm | 2.721 | <0.001 | 95% [1.706, 4.340] |
Age | 0.541 | 0.009 | 95% [0.340, 0.860] |
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Alvarez-Subiela, X.; Castellano-Tejedor, C.; Verge-Muñoz, M.; Esnaola-Letemendia, K.; Palao-Vidal, D.; Villar-Cabeza, F. Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up. Int. J. Environ. Res. Public Health 2022, 19, 7566. https://doi.org/10.3390/ijerph19137566
Alvarez-Subiela X, Castellano-Tejedor C, Verge-Muñoz M, Esnaola-Letemendia K, Palao-Vidal D, Villar-Cabeza F. Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up. International Journal of Environmental Research and Public Health. 2022; 19(13):7566. https://doi.org/10.3390/ijerph19137566
Chicago/Turabian StyleAlvarez-Subiela, Xavier, Carmina Castellano-Tejedor, Mireia Verge-Muñoz, Kike Esnaola-Letemendia, Diego Palao-Vidal, and Francisco Villar-Cabeza. 2022. "Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up" International Journal of Environmental Research and Public Health 19, no. 13: 7566. https://doi.org/10.3390/ijerph19137566