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The Predictors of Suicidality in Previous Suicide Attempters following Case Management Services
Author(s) -
Chen WeiJen,
Shyu ShiSen,
Lin GueiGing,
Chen ChengChung,
Ho ChiKung,
Lee MingBeen,
Chou Frank HuangChih
Publication year - 2013
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1111/sltb.12031
Subject(s) - suicide attempt , suicide prevention , psychiatry , logistic regression , mental health , medicine , hazard ratio , poison control , confidence interval , psychology , clinical psychology , medical emergency
Suicide attempts constitute a serious clinical problem. People who have attempted suicide are at an elevated risk for additional suicide attempts, but there is limited evidence regarding the predictors of suicidality of suicide attempters following case management services. In the present study the indicators of suicidality after case management were examined. A total of 1,056 subjects who had recently attempted suicide were recruited from J anuary 1, 2011, to June 30, 2011. The suicide prevention center of K aohsiung C ity in T aiwan provided case management services and followed up on suicide attempt cases for 6 months. The salient factors for repeat suicide attempts were estimated using a logistic regression analysis. The results showed that multiple factors, including a “willingness to receive mental health services during a crisis,” “social support,” “a history of mental disorders,” and “a history of suicide,” could predict repeat suicide attempts with hazard ratios (0.58, 0.54, 3.84, 1.51) and 95% confidence interval (0.39–0.86, 0.36–0.83, 2.41–6.10, 1.03–2.21). The four factors mentioned above were the most accurate predictors of subsequent suicidality when case management services were utilized after 6 months of follow‐up. The findings of our study could help clarify future strategies for suicide prevention.