The impact of the COVID-19 pandemic on suicide mortality in Spain: Differences by sex and age

Background Variations in suicide following the initial COVID-19 pandemic outbreak were heterogeneous across space, over time, and across population subgroup. Whether suicide has increased during the pandemic in Spain, a major initial COVID-19 hotspot, remains unclear, and no study has examined differences by sociodemographic group. Methods We used 2016–2020 data on monthly suicide deaths from […]

Presence and predictors of suicide ideation in a clinical outpatient context

Background: It is of vital importance to study the risk factors associated with suicidal behaviour. The purpose of this study is to analyse the presence of suicide ideation and related factors in an applied clinical environment. Method: A correlative-predictive study is conducted with a sample of 180 adult patients, 64% women, with an average age […]

Health plans for suicide prevention in Spain: A descriptive analysis of the published documents

The number of deaths by suicide worldwide each year is more than 800,000 people, which is equivalent to one death every 40 seconds. Suicide prevention has been listed by the World  Health Organisation as a global imperative and has become a priority for global public health. This descriptive study describes and compares the intervention components […]

Intimate partner sexual violence and violent victimisation among women living homeless in Madrid (Spain)

The purpose of this paper is to discover the extent to which women living homeless in Madrid (Spain) have been victims of intimate partner sexual violence (IPSV), analysing the connection between stressful life events (SLE) relating to violent victimisation and having suffered sexual assault by a partner. This study took place using a sample of […]

The impact of temporary contracts on suicide rates

The number of suicides has increased in the last decades in several developed countries. For instance, Spain has experienced a gradual but steady increase in suicides since the 80’s and it is currently the leading external cause of death in the country. At the same time, the dualisation of the labor market, with a strong […]

Catalonia Suicide Risk Code Epidemiology (CSRC-Epi) study: Protocol for a population-representative nested case-control study of suicide attempts in Catalonia, Spain

Introduction Suicide attempts represent an important public health burden. Centralised electronic health record (EHR) systems have high potential to provide suicide attempt surveillance, to inform public health action aimed at reducing risk for suicide attempt in the population, and to provide data-driven clinical decision support for suicide risk assessment across healthcare settings. To exploit this potential, […]

Suicidal thoughts and behaviors: Prevalence and association with distal and proximal factors in Spanish university students

Objective We report on the prevalence of suicidal thoughts and behaviors in Spanish university students and their risk and protective factors (distal/proximal; individual/environmental). Methods First‐year university students completed an online survey including Self‐Injurious Thoughts and Behaviors Interview (SITBI) items, the screening version of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) along with adversities and positive relationships […]

Understanding patients’ experiences of the wish to hasten death: An updated and expanded systematic review and meta-ethnography

Objectives Patients with advanced disease sometimes express a wish to hasten death (WTHD). In 2012, we published a systematic review and meta-ethnography of qualitative studies examining the experience and meaning of this phenomenon. Since then, new studies eligible for inclusion have been reported, including in Europe, a region not previously featured, and specifically in countries with […]

Suicidal ideation in Spanish and Italian lesbian and gay adults: The role of internalized sexual stigma.

A growing body of research claims that sexual minority individuals have nearly twice the suicidal ideation rate of heterosexual individuals. Method: The main objective of the current study was to test a model wherein internalized sexual stigma (ISS) mediates the association between some gay-related stressors and suicidal ideation. The present cross-sectional survey involved two samples […]

Factors associated with hospitalization after suicide spectrum behaviors: Results from a multicenter study in Spain.

The objective of this study was to identify factors associated with hospital admission after suicide spectrum behaviors. PatientsÕ characteristics, the nature of the suicidal behavior, admission rates between centers, and factors associated with admission have been examined in suicide spectrum presentations to emergency departments in 3 Spanish cities. The intent of the suicidal behavior had […]

Poor long-term prognosis in mixed bipolar patients: 10-year outcomes in the Vitoria Prospective Naturalistic Study in Spain.

Objective: There have been few prospective long-term naturalistic studies of patients with mixed episodes of bipolar disorder. The aim of this study was to examine 10-year outcomes in patients with at least 1 mixed episode. Method: A naturalistic sample of bipolar I disorder patients (n=120), representative of bipolar patients treated in a catchment area of […]

High Affinity 3Himipramine and 3Hparoxetine Binding Sites in Suicide Brains

Specific binding of 3Himipramine & 3Hparoxetine was simultaneously examined in human brains from 11 controls & 11 depressed suicide victims. A single saturable high affinity site was obtained for both radioligands. Age was not related to significant changes in either binding parameter, indicating stability in the brain serotonergic system with increasing age. A significant decrease […]

Feelings of Hopelessness in a Spanish University Population: Descriptive Analysis and its Relationship to Adapting to University, Depressive Symptomatology and Suicidal Ideation

This study examined levels of hopelessness in a Spanish university population, analyzed the relationship of hopelessness with the process of adapting to university, & analyzed the relationships between hopelessness, depression, psychopathology, & suicide ideation. 1277 first- & second-year students participated. 13.9% of students presented moderate or severe levels of hopelessness. Students with greater levels of […]

Suicide Mortality in Olot From 1936 Until 2000

This study describes suicide mortality in a limited & homogeneous population in Spain. Suicide cases, 1936-2000, were extracted from data in regional archives & from autopsy reports in the Olot court registry office. Suicide occurred more frequently in males & in the over 65-year-old population. The suicide rate fluctuated over the study period. Among males, […]

Patients who Attempted Suicide and Failed to Attend Mental Health Centres

This study examined the characteristics of individuals who did not attend outpatient centres to which they were referred after a suicide attempt. 232 Spanish patients who attended a hospital emergency department were interviewed. 73 percent of the sample did not go to the mental health centre to which they had been referred. In comparison to […]

Community Study on a Parasuicidal Population: Clinical Identification of Repetition Risk

This study aimed to determine the clinical features that can identify people with high parasuicide purpose among a parasuicidal population. 48 persons who had a parasuicide episode 2-6 years prior were interviewed & followed-up for 2 years. At follow-up, 8 people had repeated at least one parasuicidal act. A higher significant difference was found between […]

Atypical Depression is Associated With Suicide Attempt in Bipolar Disorder

The association between suicide attempt & atypical depression, in addition to other major risk factors, was evaluated in 390 bipolar I & II Spanish outpatients. History of suicide attempts was obtained through interviews with patients & relatives. Attempters & non-attempters were compared using univariate & multivariate analysis. Attempters showed significantly higher rates of atypical depression, […]

Premenstrual Symptoms and Luteal Suicide Attempts

In a general hospital, 125 fertile female suicide attempters (& 83 blood donors as controls) with regular menstrual cycles were prospectively studied. A retrospective diagnosis of premenstrual dysphoric disorder was made. Attempts during the luteal phase were not more frequent in females with premenstrual dysphoric disorder than in those without. As expected, there was a […]

Dimensions of Suicidal Behavior According to Patient Reports

This study conducted an exploratory factor analysis of the Suicide Intent Scale. Two large samples of suicide attempters, 435 & 252 individuals, from a general hospital were studied. The validity of the scale’s subscales obtained from the factor analysis was investigated by examining the association between the subscales & clinical variables. There were 2 factors: […]

A Pilot Study on a Gene-Hormone Interaction in Female Suicide Attempts

In a first set of analyses, an association between menses & suicide attempts was replicated. According to the polymorphism of the serotonin transporter promoter area, subjects could be classified as S individuals (s/s or s/l) or L individuals (l/l). This third set of analyses tested for an interaction between the same polymorphism & low hormonal […]

Association Study of two Polymorphisms of the Serotonin-2A Receptor Gene and Suicide Attempts


Documentation of Suicide Risk Assessment in Clinical Records


Using Data Mining to Explore Complex Clinical Decisions: a Study of Hospitalization After a Suicide Attempt

This study reanalyzed, using data mining techniques, a published study of variables that predicted psychiatrists’ decisions to hospitalize in 509 cases of adult suicide attempters who were assessed in a Spanish emergency department. 5 analyses done by psychiatric researchers using traditional statistical techniques classified 72%-88% of patients correctly. The model developed by researchers with no […]