Skip to main content Accessibility help
×
Home

Predictors of Suicide Behavior Relapse in Pediatric Population

  • Francisco Villar (a1) (a2), Carmina Castellano-Tejedor (a2) (a3), Mireia Verge (a1), Bernardo Sánchez (a1) and Tomás Blasco-Blasco (a2)...

Abstract

Identifying patients at increased risk of suicide remains a challenge today. It has been reported that 10% of patients committing a suicide attempt end up dying and that both the risk and the severity of clinical symptomatology increase with the number of attempts. Within the framework of selective and indicated prevention, it is essential to identify the group of patients with an increased risk of recurrence. The objective of this study is to identify factors predicting suicide attempt relapse to improve the decision making process in the therapeutic approach to suicidal behavior. The methodology employed was a longitudinal design aimed at identifying factors, in a binary logistic regression model (stepwise), predicting the repetition of suicidal behavior among a sample of 417 participants aged between 8 and 17 years old, at the six months follow-up. A statistically significant model χ2(3, N = 417) = 18.610; p < .001; Nagelkerke R 2 = .096 including the following factors was obtained: current diagnosis of personality disorder/maladaptive personality OR = .806, p = .028, 95% CI [1.091, 4.595], personal history of self-injury OR = .728, p = .043, 95% CI [1.023, 4.192], and family history of psychopathological diagnosis OR = .925, p = .021, 95% CI [1.151, 5.530]. Considering these results, having a diagnosis of personality disorder or maladaptive personality traits, presence or history of self-harm and family history of psychopathology draws a predictive profile of autolytic attempt recurrence during the six months after the initial intervention at the emergency room.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Predictors of Suicide Behavior Relapse in Pediatric Population
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Predictors of Suicide Behavior Relapse in Pediatric Population
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Predictors of Suicide Behavior Relapse in Pediatric Population
      Available formats
      ×

Copyright

Corresponding author

*Correspondence concerning this article should be addresssed to Francisco Villar. Hospital Sant Joan de Deu. Psychiatry and Psychology. 08950 Barcelona (Spain). E-mail: fvillar@sjdhospitalbarcelona.org

Footnotes

Hide All
How to cite this article:

Villar, F., Castellano-Tejedor, C., Verge, M., Sánchez, B., & Blasco-Blasco, T. (2018). Predictors of suicide behavior relapse in pediatric population. The Spanish Journal of Psychology, 21. e6. Doi:10.1017/sjp.2018.7

Footnotes

References

Hide All
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5 th ed.) Washington, DC: American Psychiatric Association.
Ayuso-Mateos, J. L., Baca-García, E., Bobes, J., Giner, J., Giner, L., Pérez, V.,... Recoms, G. (2012). Recomendaciones preventivas y manejo del comportamiento suicida en España [Recommendations for the prevention and management of suicidal behavior in Spain]. Revista de Psiquiatría y Salud Mental, 5(1), 823.
Borges, G., Nock, M. K., Abad, J. M. H., Hwang, I., Sampson, N. A., Alonso, J.,... Kessler, R. C. (2010). Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. The Journal of Clinical Psychiatry, 71(12), 16171628. http://doi.org/10.4088/JCP.08m04967blu
Brent, D. A., Melhem, N. M., Oquendo, M., Burke, A., Birmaher, B., Stanley, B.,... Mann, J. J. (2015). Familial pathways to early-onset suicide attempt: A 5.6-year prospective study. JAMA Psychiatry, 72(2), 160168. http://doi.org/10.1001/jamapsychiatry.2014.2141
Bursztein, C., & Apter, A. (2009). Adolescent suicide: Current Opinion in Psychiatry, 22, 16. https://doi.org/10.1097/YCO.0b013e3283155508
Consoli, A., Cohen, D., Bodeau, N., Guilé, J. M., Mirkovic, B., Knafo, A.,... Gérardin, P. (2015). Risk and protective factors for suicidality at 6-month follow-up in adolescent inpatients who attempted suicide: An exploratory model. Canadian Journal of Psychiatry, 60, 2736.
Gould, M. S., Marrocco, F. A., Hoagwood, K., Kleinman, M., Amakawa, L., & Altschuler, E. (2009). Service use by at-risk youths after school-based suicide screening. Journal of the American Academy of Child & Adolescent Psychiatry, 48(12), 11931201. https://doi.org/10.1097/CHI.0b013e3181bef6d5
Greenfield, B., Henry, M., Weiss, M., Tse, S. M., Guile, J. M., Dougherty, G.,... Harnden, B.(2008). Previously suicidal adolescents: Predictors of six-month outcome. Journal of the Canadian Association of Child and Adolescent Psychiatry, 17(4), 197201.
Groholt, B., & Ekeberg, Ø. (2009). Prognosis after adolescent suicide attempt: Mental health, psychiatric treatment, and suicide attempts in a nine-year follow-up study. Suicide and Life-Threatening Behavior, 39(2), 125136. https://doi.org/10.1521/suli.2009.39.2.125
Haukka, J., Suominen, K., Partonen, T., & Lönnqvist, J. (2008). Determinants and outcomes of serious attempted suicide: A nationwide study in Finland, 1996–2003. American Journal of Epidemiology, 167(10), 11551163. https://doi.org/10.1093/aje/kwn017
Joiner, T. E. Jr., Van Orden, K. A., Witte, T. K., & Rudd, M. D. (2009). The Interpersonal Theory of Suicide: Guidance for working with suicidal clients. Washington, DC: American Psychological Association.
Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
Kapur, N., Murphy, E., Cooper, J., Bergen, H., Hawton, K., Simkin, S.,... Owens, D. (2008). Psychosocial assessment following self-harm: Results from the multi-centre monitoring of self-harm project. Journal of Affective Disorders, 106(3), 285293. https://doi.org/10.1016/j.jad.2007.07.010
Law, C. K., Yip, P. S. F., & Chen, Y. Y. (2011). The economic and potential years of life lost from suicide in Taiwan, 1997–2007. Crisis, 32(3), 152159. https://doi.org/10.1027/0227-5910/a000070
Miranda, R., Scott, M., Hicks, R., Wilcox, H. C., Munfakh, J. L. H., & Shaffer, D. (2008). Suicide attempt characteristics, diagnoses, and future attempts: Comparing multiple attempters to single attempters and ideators. Journal of the American Academy of Child and Adolescent Psychiatry, 47(1), 3240. https://doi.org/10.1097/chi.0b013e31815a56cb
Mittendorfer-Rutz, E., Rasmussen, F., & Lange, T. (2012). A life-course study on effects of parental markers of morbidity and mortality on offspring’s suicide attempt. PLoS ONE, 7(12), e51585. https://doi.org/10.1371/journal.pone.0051585
Mittendorfer-Rutz, E., Rasmussen, F., & Wasserman, D. (2008). Familial clustering of suicidal behavior and psychopathology in young suicide attempters. Social Psychiatry and Psychiatric Epidemiology, 43(1), 2836. https://doi.org/10.1007/s00127-007-0266-0
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133154. https://doi.org/10.1093/epirev/mxn002
Nock, M. K., Hwang, I., Sampson, N. A., & Kessler, R. C. (2010). Mental disorders, comorbidity and suicidal behavior: Results from the National Comorbidity Survey Replication. Molecular Psychiatry, 15(8), 868876. https://doi.org/10.1038/mp.2009.29
Nock, M. K., Ursano, R. J., Heeringa, S. G., Stein, M. B., Jain, S., Raman, R., … Kessler, R. C. (2015). Mental disorders, comorbidity and pre-enlistment suicidal behavior among new soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Service members (Army STARRS). Suicide & Life-Threatening Behavior, 45, 588599. https://doi.org/10.1111/sltb.12153
O’Connor, R. C., Smyth, R., & Williams, J. M. G. (2015). Intrapersonal positive future thinking predicts repeat suicide attempts in hospital-treated suicide attempters. Journal of Consulting and Clinical Psychology, 83(1), 169176. https://doi.org/10.1037/a0037846
Oquendo, M. A., Currier, D., & Mann, J. J. (2006). Prospective studies of suicidal behavior in major depressive and bipolar disorders: What is the evidence for predictive risk factors? Acta Psychiatrica Scandinavica, 114(3), 151158. https://doi.org/10.1111/j.1600-0447.2006.00829.x
Owens, D., Horrocks, J., & House, A. (2002). Fatal and non-fatal repetition of self-harm. The British Journal of Psychiatry, 181(3), 193199. https://doi.org/10.1192/bjp.181.3.193
Pitman, A., Krysinska, K., Osborn, D., & King, M. (2012). Suicide in young men. The Lancet, 379, 23832392. https://doi.org/10.1016/S0140-6736(12)60731-4
Tidemalm, D., Runeson, B., Waern, M., Frisell, T., Carlström, E., Lichtenstein, P., & Långström, N. (2011). Familial clustering of suicide risk: A total population study of 11.4 million individuals. Psychological Medicine, 41(12), 25272534. https://doi.org/10.1017/S0033291711000833
van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E Jr.. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575600. https://doi.org/10.1037/a0018697
World Health Organization (WHO). (2014). Preventing suicide: A global imperative. Retrieved from WHO website http://apps.who.int/iris/bitstream/10665/131056/1/9789241564779_eng.pdf?ua=1&ua=1
Yen, S., Weinstock, L. M., Andover, M. S., Sheets, E. S., Selby, E. A., & Spirito, A. (2013). Prospective predictors of adolescent suicidality: 6-month post-hospitalization follow-up. Psychological Medicine, 43(5), 983993. https://doi.org/10.1017/S0033291712001912

Keywords

Predictors of Suicide Behavior Relapse in Pediatric Population

  • Francisco Villar (a1) (a2), Carmina Castellano-Tejedor (a2) (a3), Mireia Verge (a1), Bernardo Sánchez (a1) and Tomás Blasco-Blasco (a2)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed