What the study found
The study found that, in this hospital-based psychiatry sample, patients evaluated after a suicide attempt were more often younger and had more prior self-harm-related history than patients seen for other psychiatric reasons. The authors also report that previous non-suicidal self-injury, previous suicide attempt, depressive disorder, personality disorder, and recent life stressors were associated with suicide attempts.
Why the authors say this matters
The authors conclude that psychiatric consultation in a general hospital is a crucial opportunity for comprehensive assessment of suicide risk factors and early intervention. They suggest that younger people with a history of suicidal behaviors and non-suicidal self-injury should be prioritized for targeted preventive strategies.
What the researchers tested
The researchers analyzed psychiatric consultation data from the University Hospital of Perugia. They used the Columbia Suicide Severity Rating Scale to assess suicidal ideation, suicide attempts, and non-suicidal self-injury, then compared patients referred after a suicide attempt with those referred for other psychiatric reasons using bivariate analyses and a logistic regression model with Firth's penalized likelihood.
What worked and what didn't
Among 373 patients, 129 were evaluated after a real, interrupted, or aborted suicide attempt. In the suicide-attempt group, females and younger patients were more common, and there were higher rates of family psychiatric history, previous suicide attempt, previous non-suicidal self-injury, recent life stressors, and current depressive or personality disorders. In the regression model, previous non-suicidal self-injury, previous suicide attempt, depressive disorder, personality disorder, and recent life stressors were positively associated with suicide attempt, while age was negatively associated.
What to keep in mind
This was a single-center analysis from one hospital psychiatric consultation setting, so the findings are specific to that sample. The abstract does not describe follow-up, treatment outcomes, or whether the identified risk markers improve prevention when used in practice.
- In this sample of 373 psychiatric consultations, 34.6% were for a suicide attempt.
- Patients seen after a suicide attempt were more often younger and female.
- Previous non-suicidal self-injury and previous suicide attempt were associated with suicide attempt status.
- Depressive disorder, personality disorder, and recent life stressors were also associated with suicide attempt status.
- The authors say hospital psychiatric consultation is an important point for suicide risk assessment.