Itxaso González-Ortega , Marina Diaz-Marsa , Purificación López-Peña , Jessica Fernández-Sevillano , Jorge Andreo-Jover , Julio Bobes , María Fe Bravo-Ortiz , Ana Isabel Cebria , Benedicto Crespo-Facorro , Alejandro de la Torre-Luque , Matilde Elices , Verónica Fernández-Rodrigues , Nathalia Garrido-Torres , Iria Grande , Ángela Palao-Tarrero , Andrés Pemau , Natalia Roberto , Miguel Ruiz-Veguilla , Elisa Seijo-Zazo , Susana Alberich , Iñaki Zorrilla
{"title":"Clinical predictors and psychosocial risk factors of suicide attempt severity","authors":"Itxaso González-Ortega , Marina Diaz-Marsa , Purificación López-Peña , Jessica Fernández-Sevillano , Jorge Andreo-Jover , Julio Bobes , María Fe Bravo-Ortiz , Ana Isabel Cebria , Benedicto Crespo-Facorro , Alejandro de la Torre-Luque , Matilde Elices , Verónica Fernández-Rodrigues , Nathalia Garrido-Torres , Iria Grande , Ángela Palao-Tarrero , Andrés Pemau , Natalia Roberto , Miguel Ruiz-Veguilla , Elisa Seijo-Zazo , Susana Alberich , Iñaki Zorrilla","doi":"10.1016/j.sjpmh.2023.07.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Suicide attempts are an important predictor of completed suicide and may differ in terms of severity of medical consequences or medical lethality. There is little evidence on serious suicide attempt (SSA) and very few studies have compared SSA with non-SSA.</div></div><div><h3>Objective</h3><div>The aim of this multisite, coordinated, cohort study was to analyze the role of clinical variables and the sociodemographic and psychological risk factors of SSA.</div></div><div><h3>Method</h3><div>In this multisite, coordinated, cohort study, 684 participants (222 for the mild suicide attempt group, 371 for the moderate suicide attempt group and 91 for the SSA group) were included in the study. Ordinal regression models were performed to analyze the predictor variables of SSA.</div></div><div><h3>Results</h3><div>Early physical abuse (OR<!--> <!-->=<!--> <!-->1.231) and impulsivity (OR<!--> <!-->=<!--> <!-->1.036) were predictors of SSA, while depressive symptoms were associated with a lower risk of SSA.</div></div><div><h3>Conclusion</h3><div>Environmental and psychological factors as physical abuse and impulsivity are related with severe suicide severity. These findings will help to develop strategies to prevent suicide and may be considered for the treatment and management of suicide.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"18 3","pages":"Pages 182-190"},"PeriodicalIF":2.8000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spanish Journal of Psychiatry and Mental Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950285323000340","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"PSYCHIATRY","Score":null,"Total":0}
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Abstract
Background
Suicide attempts are an important predictor of completed suicide and may differ in terms of severity of medical consequences or medical lethality. There is little evidence on serious suicide attempt (SSA) and very few studies have compared SSA with non-SSA.
Objective
The aim of this multisite, coordinated, cohort study was to analyze the role of clinical variables and the sociodemographic and psychological risk factors of SSA.
Method
In this multisite, coordinated, cohort study, 684 participants (222 for the mild suicide attempt group, 371 for the moderate suicide attempt group and 91 for the SSA group) were included in the study. Ordinal regression models were performed to analyze the predictor variables of SSA.
Results
Early physical abuse (OR = 1.231) and impulsivity (OR = 1.036) were predictors of SSA, while depressive symptoms were associated with a lower risk of SSA.
Conclusion
Environmental and psychological factors as physical abuse and impulsivity are related with severe suicide severity. These findings will help to develop strategies to prevent suicide and may be considered for the treatment and management of suicide.
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