A controlled examination of acute warning signs for suicide attempts among hospitalized patients

Near-term risk factors for suicidal behavior, referred to as 'warning signs' (WS), distinguish periods of acute heightened risk from periods of lower risk within an individual. No prior published study has examined, using a controlled study design, a broad set of hypothesized WS for suicid...

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Vydáno v:Psychological medicine Ročník 53; číslo 7; s. 2768 - 2776
Hlavní autoři: Bagge, Courtney L., Littlefield, Andrew K., Wiegand, Timothy J., Hawkins, Eric, Trim, Ryan S., Schumacher, Julie A., Simons, Kelsey, Conner, Kenneth R.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Cambridge, UK Cambridge University Press 01.05.2023
Témata:
Alcohol use
Autopsies
Behavior
Cognition
Cognitive ability
Cognitive-behavioral factors
Cross-Over Studies
Drinking behavior
Female
Gender differences
Hospitalization
Hospitals
Humans
Interpersonal communication
Mental health services
Military hospitals
Original
Original Article
Patients
Prevention
Risk Factors
Risk management
Suicidal Ideation
Suicide
Suicide, Attempted - prevention & control
Suicide, Attempted - psychology
Suicides & suicide attempts
Veterans
Within-subjects design
United States > US
suicide attempt
Near-term risk
short-term risk
warning sign
suicidal behavior
suicide
ISSN:0033-2917, 1469-8978, 1469-8978
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Popis
Shrnutí:Near-term risk factors for suicidal behavior, referred to as 'warning signs' (WS), distinguish periods of acute heightened risk from periods of lower risk within an individual. No prior published study has examined, using a controlled study design, a broad set of hypothesized WS for suicide attempt. This study addressed this gap through examination of hypothesized behavioral/experiential, cognitive, and affective WS among patients recently hospitalized following a suicide attempt. Participants were recruited during hospitalization from five medical centers across the USA including two civilian hospitals and three Veterans Health Administration facilities ( = 349). A within-person case-crossover study design was used, where each patient served as her/his own control. WS were measured by the Timeline Follow-back for Suicide Attempts Interview and were operationalized as factors that were present ( absent) or that increased in frequency/intensity within an individual during the 6 h preceding the suicide attempt (case period) compared to the corresponding 6 h on the day before (control period). Select WS were associated with near-term risk for suicide attempt including suicide-related communications, preparing personal affairs, drinking alcohol, experiencing a negative interpersonal event, and increases in key affective (e.g. emptiness) and cognitive (e.g. burdensomeness) responses. The identification of WS for suicidal behavior can enhance risk recognition efforts by medical providers, patients, their families, and other stakeholders that can serve to inform acute risk management decisions.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0033-2917
1469-8978
1469-8978
DOI:10.1017/S0033291721004712