Outcomes Following Appeal and Reversal of Civil Commitment

The authors tested whether adjudicated decisions over whether to uphold or rescind the detention of psychiatric patients had implications in subsequent patient morbidity. Consecutive patients applying to the Consent & Capacity Board in Ontario between January 2001-March 2007 were identified. A total of 3498 decisions were rendered for 2321 unique patients. Approximately 18% of involuntary […]

Suicidal Ideation and its Recurrence in Boys and men From Early Adolescence to Early Adulthood: an Event History Analysis

Occurence & recurrences of suicide ideation were modelled among boys/men assessed annually from ages 12 to 29 years. Multi-spell discrete-time event-history analyses permitted determination of whether risk for suicide ideation escalates with prior experiences of suicide ideation while accounting for changes in risk with time & controlling for vulnerability factors. Period effects supported decreasing risk […]

Respiratory Function and Other Biological Risk Factors for Completed Suicide: 40 Years of Follow-Up of European Cohorts of the Seven Countries Study

In the prospective cohort of the Seven Countries Study, 5,321 middle-aged men from Finland, Serbia, Italy, & Greece were tested to assess which biological risk factors independently identified subjects at increased risk of suicide. Completed suicide was assessed during 40 years of follow-up. Biological cardiovascular risk factors (including forced vital capacity & height) were tested […]

Baseline Factors Predictive of Serious Suicidality at Follow-Up: Findings Focussing on age and Gender From a Community-Based Study

This paper compares 12-month prevalence rates for suicide ideation & suicide attempt at baseline & follow-up; identifies new cases & remissions; & assesses the capacity of baseline data to predict serious suicidality at follow-up, focusing on age & gender differences. 6666 Australians, aged 20-29, 40-49, & 60-69 years, participated. At follow-up, prevalence of suicide ideation […]

Differences and Similarities in the Serotonergic Diathesis for Suicide Attempts and Mood Disorders: a 22-Year Longitudinal Gene-Environment Study

The final version of this paper was published in the August 15, 2010 issue of this journal.

Elderly Suicide Rates in the United Kingdom: Trends From 1979 to 2002

Trends in elderly suicide rates in the United Kingdom over a 24-year period, 1979-2002, were examined. Differences in suicide rates between elderly men & women & between the age-bands 65-74 years & 75 years & older were studied using data from the World Health Organization website. Suicide rates for both age-bands declined over the study […]

Suicidal Intention, Psychosocial Factors and Referral to Further Treatment: a One-Year Cross-Sectional Study of Self-Poisoning

This study explored differences in psychosocial factors & referrals to follow-up among Norwegian self-poisoning patients according to their evaluated intention. A cross-sectional multicentre study of all 908 admissions to hospital in Oslo during 1 year was completed. 37% of all incidents were suicide attempts, 26% were appeals, & 38% were related to substance use. 55% […]

Predictors of Suicide in a Community-Based Cohort of Individuals With Severe Mental Disorder

This study identified predictors of suicide in a large community-based cohort of persons with long-term mental disorder. 12,247 cases were linked to the Swedish national inpatient register & the cause-of-death register. Predictors of suicide in 1997-2000 were determined by bivariate analysis & multiple logistic regression. Predictors included a history of inpatient psychiatric care, previous suicide […]

Are Patients With Depression at Heightened Risk of Suicide as They Begin to Recover?

It has long been taught & believed that patients with depression & suicidal tendencies are at heightened risk of suicide as they begin to recover & their energy & motivation return. This article examines this belief. Although no studies have tracked suicide along with symptomatic change in depression, recent large-scale studies of suicide & phase […]

Completed Suicide After Attempted Suicide: Methods Used in Attempts may Indicate the Degree of Risk

In this editorial, the author reviews a study by Runeson et al (2010) in which they found the risk of completed suicide among a sample of Swedish patients varied considerably according to the methods used in earlier attempts. Their study has important implications for assessment & aftercare but caution is suggested in interpreting the results. […]

Hopelessness, Depression, Substance Disorder, and Suicidality: a 13-Year Community-Based Study

Using a longitudinal study design with a community sample of more than 3,000 participants, the authors examined if hopelessness was a long-term predictor of suicidal behaviours. The association of hopelessness at baseline & incident suicidal behaviours in the 13-year follow-up was assessed, adjusting for depression & substance use disorders. Hopelessness was predictive of suicide, suicide […]

Immediate Risk for Cardiovascular Events and Suicide Following a Prostate Cancer Diagnosis: Prospective Cohort Study

This study examined whether the emotional stress evoked by a prostate cancer diagnosis increases the immediate risks of cardiovascular events & suicide. A prospective cohort study was done by following all men in Sweden who were 30 years or older for a diagnosis of prostate cancer. Poisson regression models were used to caculate relative risk […]

A Canadian Naturalistic Study of a Community-Based Cohort Treated for Bipolar Disorder

This study compared the change in clinical parameters & resource utilization at 1 month in a group of 496 Canadian patients requiring treatment intervention for exacerbation of mania. The clinical response at 1 year was also evaluated. Patients were divided into the Olanzapine cohort, 287 patients, & the Other cohort, 209 patients who had a […]

Suicidal Ideation in the Finnish General Population. A 12-Month Follow-Up Study

This study investigated the incidence, prevalence, & persistence of & recovery from suicide ideation in a sample of the Finnish general population. Postal questionnaires were mailed to 1593 subjects at baseline & on follow-up, 12 months later. The 12-month incidence (4.6%) & prevalence of suicide ideation (14.7%) was higher in men than in women. 69% […]

Long-Term Suicide Mortality Rates Decrease in men and Increase in Women After the Niigata-Chuetsu Earthquake in Japan

This study examined whether the 2004 Niigata-Chuetsu earthquake in Japan affected long-term mortality from suicide. A comparative study was conducted of suicide rates during the 5-year period preceding & the 3-year period following the earthquake in the disaster area & a control area. In men, baseline suicide mortality rates were 48.4 per 100,000 person-years in […]

Course and Predictors of Suicidality Over the First two Years of Treatment in First-Episode Schizophrenia Spectrum Psychosis

This study investigated the course of suicidal behaviour over the first 2 years of comprehensive, integrated treatment in 2 groups of patients with DSM-IV first episode schizophrenia spectrum psychosis, where 1 group was recruited through an early detection program. It has been shown previously that the rate of severe suicidal behaviour was lower in the […]

Core Features of Repeated Suicidal Behaviour: a Long-Term Follow-Up After Suicide Attempts in a low-Suicide-Incidence Population

This study examined repeated suicidal behaviour in a low-incidence population to elucidate robust risk factors. A cohort of first-ever attempters from 1960-1982 on the Faroe Islands was followed up for a minimum of 20 years. The incidence of suicidal behaviour for the cohort years was 37.9 per 100,000 per year. It was associated, as expected, […]

Cigarette Smoking is Associated With Suicidality in Bipolar Disorder

In this propsective observational study of 116 individuals with bipolar disorder, the authors examined the association between smoking & suicidality as measured by Linehan’s Suicide Behaviors Questionnaire & prospective suicide attempts over a 9-month period. Impulsivity was measured. Smoking was associated with higher baseline Suicide Behaviors Questionnaire scores in univariate & adjusted analyses but was […]

Is Organizational Change Associated With Increased Rates of Readmission to General Hospital in Suicide Attempters? A 10-Year Prospective Catchment Area Study

This study examined predictors for readmission in patients admitted to a general hospital emergency ward for suicide attempts before & after organizational changes potentially affecting the chain of care. Data from periods before & after 2004 – when the hospital changed its catchment area – were compared. A substantial increase in readmission rates in the […]

Childhood Sexual Abuse Predicts Poor Outcome Seven Years After Parasuicide

The predictive value of a diagnosis of borderline personality disorder was compared to the predictive value of a history of childhood sexual abuse in terms of outcome 7 years later in Swedish patients admitted for parasuicide. Univariate regression analysis showed higher odds ratios for borderline personality disorder, female gender, & childhood sexual abuse regarding prolonged […]

Method of Attempted Suicide as Predictor of Subsequent Successful Suicide: National Long Term Cohort Study

The assocation between method of attempted sucide & risk of subsequent suicide was studied in a Swedish cohort followed up for 21-31 years. 48,649 individuals admitted to hospital in 1973-1982 afet attempted suicide were included. 5,740 individuals died by suicide during the follow-up, 1973-2003. The risk of suicide varied substantially according to the method used […]

Incidence and Predictors of Suicide Attempts in DSM-IV Major Depressive Disorder: a Five-Year Prospective Study

Prospective information on 249 patients enrolled in the Vantaa Depression Study was available to investigate time spent in depressive states & the timing of suicide attempts. During the follow-up assessment period, there were 106 suicide attempts per 1,018 patient-years. The incidence rate per 1,000 patient-years during major depressive episodes was 21-fold & it was 4-fold […]

Substance use and Male Gender as Risk Factors for Deaths and Suicide: a 5-Year Follow-Up Study After Deliberate Self-Harm

This study determined mortality by suicide & other causes of death in a cohort of suicide attempters & identified predictive factors, including contacts with healthcare after the attempt. All consecutive 1198 deliberate self-harm patients treated during a 12-month period in Helsinki were identified. By the end of the 5-year follow-up period, 171 patients had died; […]