Spanish Journal of Psychiatry and Mental Health最新文献

{"title":"A critical juncture for suicide prevention in Spain","authors":"Manuel Canal Rivero","doi":"10.1016/j.sjpmh.2026.03.001","DOIUrl":"10.1016/j.sjpmh.2026.03.001","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 1-2"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Second victim experience in Spanish psychiatrists coping with patient suicide: A call for postvention","authors":"Víctor Pérez-Solà ,&nbsp;José Luis Ayuso ,&nbsp;Cecilia Borrás-Murcia ,&nbsp;Matilde Elices ,&nbsp;Maite Campillo ,&nbsp;Lucas Giner ,&nbsp;Ana González-Pinto ,&nbsp;Julio Antonio Guija ,&nbsp;Mercedes Navío ,&nbsp;Diego Palao ,&nbsp;Pilar Saiz","doi":"10.1016/j.sjpmh.2023.11.004","DOIUrl":"10.1016/j.sjpmh.2023.11.004","url":null,"abstract":"<div><h3>Background</h3><div>Losing a patient by suicide may lead to psychological distress and mid/long-term personal and professional consequences for psychiatrists, becoming second victims.</div></div><div><h3>Material and methods</h3><div>The validated Spanish version of the Second Victim Experience and Support Tool (SVEST-E) questionnaire and a 30-item questionnaire created ad-hoc was administered online to psychiatrists from all over Spain to evaluate how patient suicide affects mental health professionals.</div></div><div><h3>Results</h3><div>Two hundred ninety-nine psychiatrists participated in the survey, and 256 completed the SVEST-E questionnaire. The results of the SVEST-E questionnaire revealed a negative impact of suicide on emotional and physical domains, although this seemed not to lead to work absenteeism. Most respondents desired peer support from a respected colleague and considered institutional support, although desirable, lacking. Almost 70% of surveyed stated that an employee assistance program providing free counseling to employees outside of work would be desirable. The ad-hoc questionnaire showed that up to 88% of respondents considered some suicides unavoidable, and 76% considered the suicide unexpected. Almost 60% of respondents reported no changes in the approach of patients with suicidal ideation/behavior, after losing a patient. However, up to 76% reported performing more detailed clinical evaluations and notes in the medical record. Up to 13% of respondents considered leaving or changing their job or advancing retirement after losing a patient by suicide.</div></div><div><h3>Conclusions</h3><div>After a patient's suicide, psychiatrists often suffer the feelings of second victim, impacting personal and professional areas. The study results indicate the need for postvention strategies to mitigate the negative impact of patient suicide.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 16-23"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric profiles in suicidal attempters: Relationships with suicide behaviour features","authors":"Yolanda Sánchez-Carro ,&nbsp;Alejandro de la Torre-Luque ,&nbsp;Marina Díaz-Marsá ,&nbsp;Raimundo Aguayo-Estremera ,&nbsp;Jorge Andreo-Jover ,&nbsp;Wala Ayad-Ahmed ,&nbsp;Julio Bobes ,&nbsp;Teresa Bobes-Bascarán ,&nbsp;María Fé Bravo-Ortiz ,&nbsp;Manuel Canal-Rivero ,&nbsp;Ana Isabel Cebrià ,&nbsp;Benedicto Crespo-Facorro ,&nbsp;Matilde Elices ,&nbsp;Verónica Fernández-Rodrigues ,&nbsp;Purificacion Lopez-Peña ,&nbsp;Iría Grande ,&nbsp;Ángela Palao-Tarrero ,&nbsp;Andrés Pemau ,&nbsp;Natalia Roberto ,&nbsp;Miguel Ruiz-Veguilla ,&nbsp;Víctor Pérez-Solà","doi":"10.1016/j.sjpmh.2024.01.004","DOIUrl":"10.1016/j.sjpmh.2024.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Suicide constitutes a major health concern worldwide, being a significant contributor of death, globally. The diagnosis of a mental disorder has been extensively linked to the varying forms of suicidal ideation and behaviour. The aim of our study was to identify the varying diagnostic profiles in a sample of suicide attempters.</div></div><div><h3>Methods</h3><div>A sample of 683 adults (71.3% females, 40.10<!--> <!-->±<!--> <!-->15.74 years) admitted at a hospital emergency department due to a suicide attempt was recruited. Latent class analysis was used to identify diagnostic profiles and logistic regression to study the relationship between comorbidity profile membership and sociodemographic and clinical variables.</div></div><div><h3>Results</h3><div>Two comorbidity profiles were identified (Class I: low comorbidity class, 71.3% of attempters; Class II: high comorbidity class, 28.7% of attempters). Class I members were featured by the diagnosis of depression and general anxiety disorder, and low comorbidity; by contrast, the high comorbidity profile was characterized by a higher probability of presenting two or more coexisting psychiatric disorders. Class II included more females, younger, with more depressive symptoms and with higher impulsivity levels. Moreover, Class II members showed more severe suicidal ideation, higher number of suicide behaviours and a greater number of previous suicide attempts (<em>p</em> <!-->&lt;<!--> <!-->.01, for all the outcomes), compared to Class I members.</div></div><div><h3>Conclusions</h3><div>Psychiatric profiles may be considered for treatment provision and personalized psychiatric treatment in suicidal attempters as well as tackle suicide risk.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 33-40"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatal suicidal behavior in Bipolar II patients after their first hospitalization","authors":"Evaristo Nieto ,&nbsp;Laura Plans ,&nbsp;Antoni Benabarre ,&nbsp;Adrià Palau ,&nbsp;José Sanchez-Moreno ,&nbsp;Eduard Vieta","doi":"10.1016/j.rpsm.2021.12.007","DOIUrl":"10.1016/j.rpsm.2021.12.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Bipolar disorder, especially Bipolar II disorder, is a mental disorder with high risk of fatal suicide behavior (FSB). The aim of this study was determine rate and risk factors of FSB in a cohort of Bipolar II patients followed after their first hospitalization.</div></div><div><h3>Material and methods</h3><div>We recruited all Bipolar II patients according DSM-IV criteria who were hospitalized for first time in our Psychiatric unit between 1996 and 2016 (<em>N</em> <!-->=<!--> <!-->59). We collected clinical variables during their first hospitalization and identified all patients with FSB during follow-up until 31st December 2020. We compared baseline variables between Bipolar II patients with FSB and the ones without FSB.</div></div><div><h3>Results</h3><div>The average age at FSB was 45.5 years old and there was a 2-year gap on average between the first psychiatric hospitalization and completed suicide. FSB was characterized by a violent act (83% of cases). When we compared Bipolar II patients who died by suicide with who died by other causes or they are alive, only a history of previous violent suicide attempt (<em>p</em> <!-->&lt;<!--> <!-->0.05) was detected as a risk factor significantly associated with FSB. 10% of Bipolar II inpatients died by suicide, all of them in the first five years after the first hospitalization and usually by a violent method.</div></div><div><h3>Conclusions</h3><div>Bipolar II disorder has a high rate of completed suicide. History of a previous violent suicide attempt is a predictor of completed suicide.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 11-15"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety intervention for improving functioning in suicidal attempters (STRONG): A secondary prevention study. Study rationale and research protocol","authors":"Natalia Roberto ,&nbsp;Mireia Vazquez ,&nbsp;Joaquim Radua ,&nbsp;Jose Carlos Pariente ,&nbsp;Emma Muñoz-Moreno ,&nbsp;Carlos Laredo ,&nbsp;Lorenzo Bracco ,&nbsp;Tábatha Fernández ,&nbsp;Sara Martín-Parra ,&nbsp;Anabel Martínez-Aran ,&nbsp;Jose Sánchez-Moreno ,&nbsp;Pilar Saiz ,&nbsp;Miguel Ruiz-Veguilla ,&nbsp;Roger Borras ,&nbsp;Alba Toll ,&nbsp;Matilde Elices ,&nbsp;Paolo Brambilla ,&nbsp;Philippe Courtet ,&nbsp;Víctor Perez-Solà ,&nbsp;Eduard Vieta ,&nbsp;Iria Grande","doi":"10.1016/j.sjpmh.2023.05.001","DOIUrl":"10.1016/j.sjpmh.2023.05.001","url":null,"abstract":"<div><h3>Background</h3><div>Suicide is one of the most largely preventable causes of death worldwide. The aim of the STRONG study is to assess the effectiveness of a specific intervention (an extended Safety Planning Intervention) called <em>iFightDepression-SURVIVE</em> (iFD-S) in suicidal attempters by changes in psychosocial functioning. As secondary outcomes, quality of life, cognitive performance, clinical state and neuroimaging correlates will be considered.</div></div><div><h3>Objective</h3><div>To describe the rationale and design of the STRONG study, an extension of the SURVIVE study, a national multicenter cohort about on prevention in suicidal attempters.</div></div><div><h3>Methods</h3><div>The STRONG study is a two-year clinical trial. A total sample of 60 patients will be randomly allocated to two arms: a group will receive a iFD-S and treatment as usual (TAU) (<em>n</em> <!-->=<!--> <!-->30 treatment group), while another group will exclusively receive TAU (<em>n</em> <!-->=<!--> <!-->30 control group). There will be three study points: baseline; 3-month; and 6-month follow-up assessments, all of which will include rater-blinded evaluation of psychosocial functioning, quality of life, clinical state, cognitive performance and neuroimaging acquisition.</div></div><div><h3>Results</h3><div>It is expected to obtain data on the efficacy of iFD-S in patients who have committed a suicide attempt.</div></div><div><h3>Conclusion</h3><div>Results will provide insight into the effectiveness of IFD-S in suicidal attempters with respect to improvements in psychosocial functioning, quality of life, cognition, and neuroimaging correlates.</div></div><div><h3>Clinical trials ID</h3><div><span><span>NCT05655390</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 66-72"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76219554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The urgent need for suicide prevention tools in Spain","authors":"Lucas Giner ,&nbsp;Enrique Baca-Garcia ,&nbsp;Pilar A. Saiz","doi":"10.1016/j.sjpmh.2023.02.002","DOIUrl":"10.1016/j.sjpmh.2023.02.002","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 3-4"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135200194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of health services use and clinical profiles in the year prior to suicide between 2010 and 2018: An opportunity to improve its prevention","authors":"Andrea Gabilondo ,&nbsp;Ana Gonzalez-Pinto ,&nbsp;Jon Garcia ,&nbsp;David del Valle ,&nbsp;Benito Morentin ,&nbsp;Alvaro Iruin","doi":"10.1016/j.sjpmh.2024.05.002","DOIUrl":"10.1016/j.sjpmh.2024.05.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicide is the first cause of external death in Spain. International studies show frequent and varied health contacts in the months prior to suicide. There are hardly any studies on that phenomenon in this country.</div></div><div><h3>Objective</h3><div>To analyze health care use in the year prior to suicide between 2010 and 2018 in the Basque Country, as well as pharmacological prescriptions and psychiatric diagnoses received.</div></div><div><h3>Methods</h3><div>Retrospective descriptive study with all suicides registered by the Basque Institute of Legal Medicine (BILM) between 2010 and 2018. The records of the BILM and the Basque Health Service (Osakidetza) were cross-checked.</div></div><div><h3>Results</h3><div>1526 suicides were analyzed. 74% had health contacts in the previous year. The use was higher in women (<em>p</em> <!-->&lt;<!--> <!-->0.05) and in older ages (<em>p</em> <!-->&lt;<!--> <!-->0001). Primary care was the most used specialty (58.8% the previous year and 7.1% the previous week), followed by Hospital Emergencies (50.3% and 10.2%) and Outpatient Medical Specialties (49% and 11.6%), especially Radiology. Outpatient psychiatry only contacted 29.6% that year, although it had the highest average number of visits (15.1 SD22.6). The most frequent diagnostic category among psychiatric patients was F30–39 (26.7%), with differences between sexes and ages. 49.7% received psychotropic drugs.</div></div><div><h3>Conclusions</h3><div>The results are aligned with international evidence, which they also extend, and reinforce the need to extend prevention beyond psychiatric services. It seems advisable to increase proactivity in the search for risk by sensitizing and training different professional profiles, but also to work from non-health settings to improve assistance to highly vulnerable profiles (young men) with low health links.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 41-45"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment and management of individuals consulting for a suicidal crisis: A European Delphi method-based consensus guidelines","authors":"Aiste Lengvenyte ,&nbsp;Lucas Giner ,&nbsp;Vincent Jardon ,&nbsp;Emilie Olié ,&nbsp;Victor Perez ,&nbsp;Pilar Saiz ,&nbsp;Expert Panel from the EPA Section of Suicidology ,&nbsp;Ana Gonzalez Pinto ,&nbsp;Philippe Courtet","doi":"10.1016/j.sjpmh.2023.12.001","DOIUrl":"10.1016/j.sjpmh.2023.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Managing patient with suicidal thoughts and behaviours presents significant challenges due to the scarcity of robust evidence and clear guidance. This study sought to develop a comprehensive set of practical guidelines for the assessment and management of suicidal crises.</div></div><div><h3>Materials and methods</h3><div>Utilizing the Delphi methodology, 80 suicide clinician and research experts agreed on a series of recommendations. The process involved two iterative rounds of surveys to assess agreement with drafted recommendations, inviting panellists to comment and vote, culminating in 43 consensus recommendations approved with at least 67% agreement. These consensus recommendations fall into three main categories: clinical assessment, immediate care, and long-term approaches.</div></div><div><h3>Results</h3><div>The panel formulated 43 recommendations spanning suicidal crisis recognition to continuous long-term care. These guidelines underscore systematic proactive suicide risk screening, in-depth medical and toxicological assessment, and suicide risk appraisal considering personal, clinical factors and collateral information from family. The immediate care directives emphasize a secure environment, continuous risk surveillance, collaborative decision-making, including potential hospitalization, sensible pharmacological management, safety planning, and lethal means restriction counselling. Every discharge should be accompanied by prompt follow-up care incorporating proactive case management and multi-modal approach involving crisis lines, brief contact, and psychotherapeutic and pharmacological interventions.</div></div><div><h3>Conclusions</h3><div>This study generated comprehensive guidelines addressing care for individuals in suicidal crises, covering pre- to post-discharge care. These practical recommendations can guide clinicians in managing patients with suicidal thoughts and behaviours, improve patient safety, and ultimately contribute to the prevention of future suicidal crises.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"19 1","pages":"Pages 24-32"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139072534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A critical review of coping behaviors to reduce anxiety and depression: Methodological considerations and future research directions.","authors":"Deetje Josephine Solang","doi":"10.1016/j.sjpmh.2025.11.004","DOIUrl":"10.1016/j.sjpmh.2025.11.004","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The overlooked women of IES Ramón y Cajal.","authors":"Alba Toll Privat","doi":"10.1016/j.sjpmh.2025.11.002","DOIUrl":"10.1016/j.sjpmh.2025.11.002","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}