A shelter in the storm: Acceptability and feasibility of a brief clinical intervention for suicidal crisis

Background: People attending the emergency department (ED) for suicidal crisis are at significantly higher risk of taking their own lives in the week following discharge. Aims: We aimed to evaluate the acceptability and feasibility of implementing a brief clinical aftercare intervention provided through Allied Health Brief Therapies (AHBTs) Clinics. Method: Consecutive referrals (n = 149) to the clinics following assessment in […]

Suicide attempt aftercare in geriatric patients: A pilot project

Hospitalized patients after suicide attempts gave informed consent to a postvention project after discharge. A continuous caregiver contacted the subjects monthly by phone for a period of 1 year. In case of significant worsening and reoccurrence of suicidal ideations, immediate re-admission was possible. Ten subjects 65 years and older and hospitalized because of suicide attempts were […]

Postcards in Persia: A twelve to twenty-four month follow-up of a randomized controlled trial for hospital-treated deliberate self-poisoning.

This study reports the outcomes, during follow-up, of a low-cost postcard intervention in a Randomized Control Trial of hospital-treated self-poisoning (n = 2300). The intervention was 9 postcards over 12 months (plus usual treatment) versus usual treatment. Three binary endpoints at 12–24 months (n = 2001) were: any suicidal ideation, suicide attempt, or self-cutting. There was a significant reduction […]

Suicide history and mortality: A follow-up of a national cohort in the United States.

Little is known about the cause-specific deaths among young suicide attempters from the general population, and the time window for intervention to reduce the elevated rate of death was unclear. We analyzed a nationally representative sample of young adults (17Ð39 years old) who participated in the third National Health and Nutrition Examination Survey (NHANES III, […]

Using structured telephone follow-up assessments to improve suicide-related adverse event detection.

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Association of Polyaminergic Loci With Anxiety, Mood Disorders, and Attempted Suicide

The authors genotyped 63 polymorphisms, across 4 polyaminergic genes, in 1255 French-Canadian individuals, followed longitudinally for 22 years. Univariate associations with anxiety, mood disorders, & attempted suicide as assessed in early adulthood were examined. The involvement of gene-environment interactons in terms of childhood abuse were investigated & internalizing & externalizing symptoms as endophenotypes mediating these […]

Repetition of Suicide Attempts Across Episodes of Severe Depression: Behavioural Sensitisation Found in Suicide Group but not in Controls

This study investigated the distribution of initial & repeated suicide attempts across depressive episodes in suicides & controls with a unipolar severe depression. A blind record evaluation was performed of 80 suicide victims & controls admitted to the Department of Psychiatry between 1956-1969 & monitored to 2010. The risk of a first suicide attempt decreased […]

Immediate Risk of Suicide and Cardiovascular Death After a Prostate Cancer Diagnosis: Cohort Study in the United States

A cohort study of 342,497 American patients diagnosed with prostate cancer from January 1979-December 2004 was conducted. Follow-up started from the date of diagnosis to the end of the first 12 calendar months after diagnosis. The relative risks of suicide & cardiovascular death were calculated as standardised mortality ratios. During the follow-up, 148 men died […]

Re: Immediate Risk of Suicide and Cardiovascular Death After a Prostate Cancer Diagnosis: Cohort Study in the United States

In this letter to the editor, the authors comment on Fang et al’s 2010 study & report on their own study of the risk of suicide & cardiovascular death in Swedish males diagnosed with prostate cancer. Men diagnosed with advanced or metastatic prostate cancer are at increased risk of suicide, including posttraumatic stress symptoms & […]

The Effect of Participating in Suicide Research: Does Participating in a Research Protocol on Suicide and Psychiatric Symptoms Increase Suicide Ideation and Attempts?

The effect of engaging in an intensive research protocol that inquired extensively about psychiatric & suicide symptoms & explosed participants to a number of images, including suicide-related content, was explored. Individuals experiencing a major depressive episode were called at 1- & 3-months after the initial protocol. Partipants reported experiencing reductions in suicide ideation at the […]

Chain of Care for Patients who Have Attempted Suicide: a Follow-Up Study from Baerum, Norway

This study tested the effectiveness of a community-based suicide prevention team in preventing repeated suicide attempts & suicides, as part of a chain-of-care model for all general hospital treated suicide attempters in Baerum, Norway. Data has been collected consecutively since 1984. Between January 1984-December 2007, 1616 subjects were registered as having attempted suicide; 197 made […]

Suicide bereavement and coping: a descriptive and interpretive analysis of the coping process

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Schizophrenia, an illness with bad outcomes: myth or reality?

OBJECTIVE: Different myths about schizophrenia endorsed by clinicians maintain the pessimism about outcome thus reducing chances of improvement. There are no recent North American studies on the long-term outcome of first-episode schizophrenia to clarify if these beliefs are myths or reality. Our study describes the long-term outcome (10 to 16 years) of a first-episode schizophrenia […]

Excess Mortality, Causes of Death and Prognostic Factors in Anorexia Nervosa

This study sought to estimate standardised mortality ratios & to investigate potential prognostic factors in anorexia nervosa. 6009 women who had had inpatient treatment for anorexia nervosa were followed-up retrospectively using Swedish registers. The overall standardised mortality ratio was 6.2. Anorexia nervosa, psychoactive substance use & suicide had the highest standardised mortality ratios. 84 deaths […]

Temporal Pattern of Suicide Risk in Young Individuals With Early Psychosis

This study examined the temporal pattern of suicide risk in patients with early psychosis & determined whether discrete periods of significantly elevated risk can be identified up to 24 months after commencing treatment. Suicidaliy ratings collected each month were retrieved for 696 patients treated between December 2002-December 2005. Time-series analysis was performed on suicide risk […]

Evidence for Beneficial Effects of Antidepressants on Suicidality in Depressive Patients: a Systematic Review

This paper gives a comprehensive overview of the positive effects of antidepressants on suicidality. In the first section, principal methodological issues related to suicidology in general as well as to clinical & epidemiological studies that investigate the influence of antidepressants on suicidality are discussed. In the second section, the results of controlled clinical studies on […]

Attentional Bias Toward Suicide-Related Stimuli Predicts Suicidal Behavior

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Predictors of Spontaneous and Systematically Assessed Suicidal Adverse Events in the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) Study

334 depressed adolescents who had not responded to a previous trial with a selective serotonin reuptake inhibitor antidepressant were randomized to a switch to another selective serotonin reuptake inhibitor or venlafaxine, with or without cognitive behaviour therapy. Self-harm events were assessed by spontaneous report from the first 181 participants & by systematic weekly assessment for […]

Mortality of Metis and Registered Indian Adults in Canada: an 11-Year Follow-Up Study

This study describes mortality patterns among Metis & Registered Indian adults, compared with the non-Aboriginal population. The 1991-2001 Canadian census mortality follow-up study tracked mortality among a 15% sample of respondents, aged 25 or older. Age-specific & age-standardized mortality rates & period life tables based on the number of person-years at risk were calculated across […]

Suicide Attempt in First-Episode Psychosis: a 7.4 Year Follow-Up Study

This study reports baseline & follow-up data from a naturalistic, prospective follow-up of 413 patients with first-episode psychosis treated at a specialist early psychosis centre. Follow-up data were available for 282 participants. Sixty-one made a suicide attempt over the follow-up period, including 12 suicides. The baseline risk factors increasing the risk of any suicide attempt […]

Suicide Attempters: Biological Stressmarkers and Adverse Life Events

This study investigated stressful life events & biological stress markers among former psychiatric inpatients who were followed up 12 years after an index suicide attempt. At the time of the index attempt, & before treatment, cerebrospinal fluid samples were taken & urine was collected. Data concerning stressful life events were collected retrospectively from all participants […]

Persistent Suicide Risk in Clinically Improved Schizophrenia Patients: Challenge of the Suicidal Dimension

This study assessed suicidality in long-term clinically improved patients with schizophrenia in Mumbai, India. 61 patients out of 200 consecutive hospitalized first-episode patients who were much improved at the endpoint of a 10-year follow-up were studied. Many of the patients, although clinically improved, experienced emerging suicidality during the follow-up period. All of the patients reported […]

One-Year Incidence of Suicide Attempts and Associated Risk and Protective Factors Among Adolescents

Data were collected using diagnostic interviews & questionnaires with a sample of 4,175 Texas youth, age 11-17 years, & 3,134 followed up a year later. Total incidence was 0.95% & first incidence 0.84% for attempts. Few significant independent predictors of attempts were found. Multivariate analyses identified only 2 independent predictors of first incidence (marijuana use […]