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Inicio Spanish Journal of Psychiatry and Mental Health Psychiatric profiles in suicidal attempters: Relationships with suicide behaviou...
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Original
Available online 14 February 2024
Psychiatric profiles in suicidal attempters: Relationships with suicide behaviour features
Yolanda Sánchez-Carroa,b, Alejandro de la Torre-Luqueb,c, Marina Díaz-Marsáb,c,d,
Corresponding author
, Raimundo Aguayo-Estremerac, Jorge Andreo-Jovera,e, Wala Ayad-Ahmedd, Julio Bobesf, Teresa Bobes-Bascaránb,f,g,h, María Fé Bravo-Ortiza,e,i, Manuel Canal-Riverob,j,k, Ana Isabel Cebriàl, Benedicto Crespo-Facorrob,j,k, Matilde Elicesm, Verónica Fernández-Rodriguesc,d, Purificacion Lopez-Peñab,n, Iría Grandeb,o,p,q,r, Ángela Palao-Tarreroa,e,i, Andrés Pemauc, Natalia Robertob,o,p,q,r, Miguel Ruiz-Veguillab,j,k..., Víctor Pérez-Solàb,m, the SURVIVE Consortium Ver más
a Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
b CIBERSAM ISCIII, Madrid, Spain
c Universidad Complutense de Madrid, Madrid, Spain
d Hospital Clinico San Carlos, Madrid, Spain
e Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
f Universidad de Oviedo, Spain
g Instituto de Investigación Sanitaria del Principado de Asturias, Spain
h Instituto de Neurocias del Principado de Asturias, Spain
i Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain
j UGC-Salud Mental de Hospital Virgen del Rocío/IBIS Sevilla, Spain
k Universidad de Sevilla, Spain
l Corporacio Sanitaria Parc Tauli, Sabadell, Spain
m Institut Hospital del Mar d’Investigacions Mediques (IMIM), Barcelona, Spain
n Department Psychiatry, Hospital Universitario Alava, Bioaraba, UPV/EHU, Osakidetza, Spain
o Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain
p Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, Barcelona, Spain
q Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
r Institute of Neurosciences (UBNeuro), Spain
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Received 13 September 2023. Accepted 22 January 2024
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Tables (3)
Table 1. Demographics, and clinical variables.
Table 2. Latent class model fit. Model comparation table.
Table 3. Odds ratio and logistic regression loadings of predictors.
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Abstract
Background

Suicide constitutes a major health concern worldwide, being a significant contributor of death, globally. The diagnosis of a mental disorder has been extensively linked to the varying forms of suicidal ideation and behaviour. The aim of our study was to identify the varying diagnostic profiles in a sample of suicide attempters.

Methods

A sample of 683 adults (71.3% females, 40.10±15.74 years) admitted at a hospital emergency department due to a suicide attempt was recruited. Latent class analysis was used to identify diagnostic profiles and logistic regression to study the relationship between comorbidity profile membership and sociodemographic and clinical variables.

Results

Two comorbidity profiles were identified (Class I: low comorbidity class, 71.3% of attempters; Class II: high comorbidity class, 28.7% of attempters). Class I members were featured by the diagnosis of depression and general anxiety disorder, and low comorbidity; by contrast, the high comorbidity profile was characterized by a higher probability of presenting two or more coexisting psychiatric disorders. Class II included more females, younger, with more depressive symptoms and with higher impulsivity levels. Moreover, Class II members showed more severe suicidal ideation, higher number of suicide behaviours and a greater number of previous suicide attempts (p<.01, for all the outcomes), compared to Class I members.

Conclusions

Psychiatric profiles may be considered for treatment provision and personalized psychiatric treatment in suicidal attempters as well as tackle suicide risk.

Keywords:
Suicide attempt
Mental disorders
Suicidal ideation
Impulsivity
Depression

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