Epidemiology Of Suicide Attempts Research Articles

Epidemiology of suicide attempts and self-harm in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.

Epidemiology of suicide attempts and self-harm in emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.

Suicide Attempts in an Italian Population with Substance Use Disorders: Results of a Follow-up Study

Suicide is a leading cause of morbidity worldwide. Among the known risk factors, substance use disorders are particularly relevant, but there are still few data on the epidemiology of suicide attempts in this group during the COVID-19 pandemic. We used electronic health records of the National Health Services to identify individuals who received a diagnosis of substance use disorder in the metropolitan area of Bologna from 2009 to 2019. Within this cohort, we identified those who accessed emergency departments for suicide attempt from 2009 to 2020. The crude suicide rate for 1000 person years was 2.54, higher than in the general population. The risk was higher within 1 year from the first visit in patients with any psychiatric diagnosis, mainly depression, neurotic and somatoform syndromes and personality and behavioural disorders. The risk was higher, but not significantly, in the year 2020 compared to the previous year.

Trend and epidemiology of suicide attempts by self-poisoning among Egyptians.

Suicide attempts by self-poisoning have become a critical health problem. This study aimed to investigate the trend, incidence, and the associated risk factors of suicide attempts by self-poisoning. A total of 7398 Egyptian patients were analyzed. The trend of suicide attempts by self-poisoning was analyzed using 6745 patients over four registry years from January 1, 2016, to January 1, 2020. Then, the associated risk factors behind attempted suicide by self-poisoning from January 1, 2019, to January 1, 2020, were assessed using 2523 suicide attempters by self-poisoning, 201 fatalities by self-poisoning, and another 653 survivors of accidental poisoning. Results showed a rising trend of suicide attempts by self-poisoning over the studied years. The incidence of suicide attempts through deliberate self-poisoning represented 26.63/1,000 (CI95%: 25.63-27.86) to the admitted patients and 26.10/100,000 (CI95%: 25.10-27.14) to the regional population. The death rate due to suicide attempts by self-poisoning was 2.08/100,000 (1.90-2.49). The case fatality rate and the proportionate mortality rate for suicide by self-poisoning were 7.38% (CI95%: 6.45-8.42) and 14.11% (CI95%: 12.4-16.0) respectively. Multivariate analysis revealed that attempted suicide by self-poisoning was predicted among patients aged <25 or 25-40 years old (OR = 27.49, CI95%: 15.28-49.64 and OR = 59.42, CI95%: 32.76-107.77 respectively), those of low or moderate socioeconomic status (OR = 35.03, CI95%: 21.32-57.56 and OR = 14.11, CI95%: 10.86-18.43 respectively), students (OR = 2.91, CI95%: 1.57-5.43) and those living in rural residency (OR = 4.12, CI95%: 3.27-5.19). Suicide attempts by self-poisoning exhibited an incremental rise across time which raises a serious concern. Efforts should be directed to overcome the mentioned risk factors triggering suicide attempts by self-poisoning.

Age, period, and cohort patterns in the epidemiology of suicide attempts among sexual minorities in the United States and Canada: detection of a second peak in middle adulthood.

Sexual minority adults experience fivefold greater risk of suicide attempt, as compared with heterosexuals. Establishing age-specific epidemiological patterns of suicide is a prerequisite to planning interventions to redress the sexual orientation suicide inequity, and such patterns must be carefully interpreted in light of correlated period and cohort effects. We, therefore, combined US and Canadian data (1985-2017) from primary (two pooled multi-year national surveys, N = 15,477 and N = 126,463) and secondary (published, meta-analytic, N = 122,966) sources to separately estimate age, period, and cohort trends in self-reported suicide attempts among sexual minorities. Age- and gender-stratified cross-sectional data were used to infer age and cohort effects. Age-collapsed meta-analyzed data were used to infer period effects among sexual minorities of all genders. We identified a bimodal age distribution in recent suicide attempts for sexual minorities across genders, though more pronounced among sexual minority men: one peak in adolescence (18-20years of age for both genders) and one peak nearing mid-life (30-35years of age for men; 35-40years of age for women). This pattern was also apparent using recall data within birth cohorts of sexual minority men, suggesting it is not an artifact of birth cohort effects. Finally, we observed decreasing trends in lifetime suicide attempt prevalence estimates for both sexual minorities and heterosexuals, though these decreases did not affect the magnitude of the sexual orientation disparity. In the context of exclusively adolescent-focused suicide prevention interventions for sexual minorities, tailored suicide prevention for sexual minority adults should be pursued throughout the life course.

Epidemiology of suicide attempts and deaths: a population-based study in Fars, Iran (2011-16).

Suicide is a critical psychological issue worldwide with an increasing trend. This study investigated suicide comprehensively. In this cross-sectional study, we reviewed data of 28 552 suicide attempts during 2011-16, in Southern Iran. To calculate age-standardized incidence rates, population statistics were derived from the Statistical Center of Iran and the National Organization for Civil Registration. We used the standard population of World Health Organization 2012 to adjust the suicide attempts and deaths rates by age. The mean age of participants was 26.8 ± 10.6 years with the highest suicide attempts rates in the age groups of 15-24 and 25-34 years (48% and 32.5%, respectively); 58.7% were women and 52.9% were single. Case-fatality rate (CFR) was 6.27%. Annual age-standardized incidence rates of suicide attempts during the 6-year period has increased (P < 0.001), and that of deaths were not incremental (P > 0.05). Logistic regression model showed male sex, rural area, older age, psychological and somatic disorders, and family history of suicide as significant factors. In this comprehensive study, although the age-standardized mortality rate of suicide in southern Iran was lower than in other countries, the increasing trend of suicide attempts during the study period served as an alarming sign in this province.

Epidemiology of Suicide Attempts among Youth Transitioning to Adulthood.

Suicide is the second leading cause of death for older adolescents and young adults. Although empirical literature has identified important risk factors of suicidal behavior, it is less understood if changes in risk factors correspond with changes in suicide risk. To address this knowledge gap, we assessed if there were different trajectories of suicidal behavior as youth transition into young adulthood and determined what time-varying risk factors predicted these trajectories. This study used four waves of data spanning approximately 13 years from the National Longitudinal Study of Adolescent Health. The sample included 9027 respondents who were 12-18 years old (M = 15.26; SD = 1.76) at Wave 1, 50% male, 17% Hispanic, and 58% White. The results indicated that 93.6% of the sample had a low likelihood for suicide attempts across time, 5.1% had an elevated likelihood of attempting suicide in adolescence but not young adulthood, and 1.3% had an elevated likelihood of attempting suicide during adolescence and adulthood. The likelihood of a suicide attempt corresponded with changes on depression, impulsivity, delinquency, alcohol problems, family and friend suicide history, and experience with partner violence. Determining how suicide risk changes as youth transition into young adulthood and what factors predict these changes can help prevent suicide. Interventions targeting these risk factors could lead to reductions in suicide attempts.

Les tentatives de suicide appréhendées par un Service d’aide médicale d’urgence (Samu)

IntroductionAlthough regular statistics are available on suicides in France, the epidemiology of suicide attempts (SAs) is poorly understood.Aim and procedureThe databases of calls to the Samu Centre 15, le Nord Department, were examined in order to assess the number of people involved in suicide attempts, their age, sex, residence and repeated attempts during the three-year study period. Weather conditions on the day, deprivation score and time (hour, day, month) were also analyzed against the number of attempts.Results: There were 23,213 calls to the Samu Centre 15 involving SA between 2006 and 2008 in le Nord. Suicide attempts were more common on Sundays, during May (followed by January) and in the middle of the evening; almost 90% of the cases occurred at home and involved more women (289 per 100,000) than men (234 per 100,000). Standardized morbidity ratios (SMR by SA) in the north were far higher than in the south rural part of the department. A strong correlation (R = +0.66) was found between SMR and the social deprivation score, but almost no correlation was found with weather conditionsConclusionAlthough the data source used is not exhaustive (not all SAs result in a call to the Samu services), assuming that the proportions reported are consistent over time and space, the calls to Samu-Centre 15 can be considered a good epidemiological indicator of suicide attempts, subject, however, to the recording criteria being consistent.

Attempted suicides in Ankara in 1995.

Since 1962, statistics of successful suicides have been available in Turkey(1).These statistics are collected sysematically by the State Institute of Statistics. However, suicide attempts have never been systematically registered. Our information about suicide attempts was from findings of some limited researches and from hospital records(2–9). The only comprehensive research about epidemiology of suicide attempts was carried out by Ankara University Crisis Intervention Centre in Ankara in 1990(10). The aim of this study was to replicate the research which was conducted in 1990, to find out the incidence of attempted suicide in Ankara in 1995, and to compare the results of 1990 and 1995.

Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989-1992. Results of the WHO/EURO Multicentre Study on Parasuicide.

The World Health Organization/EURO Multicentre Project on Parasuicide is part of the action to implement target 12 of the WHO programme, "Health for All by the Year 2000', for the European region. Sixteen centres in 13 European countries are participating in the monitoring aspect of the project, in which trends in the epidemiology of suicide attempts are assessed. The highest average male age-standardized rate of suicide attempts was found for Helsinki, Finland (314/100,000), and the lowest rate (45/100,000) was for Guipuzcoa, Spain, representing a sevenfold difference. The highest average female age-standardized rate was found for Cergy-Pontoise, France (462/100,000), and the lowest (69/100,000) again for Guipuzcoa, Spain. With only one exception (Helsinki), the person-based suicide attempt rates were higher among women than among men. In the majority of centres, the highest person-based rates were found in the younger age groups. The rates among people aged 55 years or over were generally the lowest. For the majority of the centres, the rates for individuals aged 15 years or over decreased between 1989 and 1992. The methods used were primarily "soft' (poisoning) or cutting. More than 50% of the suicide attempters made more than one attempt, and nearly 20% of the second attempts were made within 12 months after the first attempt. Compared with the general population, suicide attempters more often belong to the social categories associated with social destabilization and poverty.

The epidemiology of suicide attempts, 1960 to 1971.

Although the suicide rate has been relatively stable in the United States and other countries over the last decade, there has been a marked increase in suicide attempts. A review of English language studies between 1960 and 1971 documents the increases, their magnitude and characteristics. The striking international consistencies in the age, sex, personality of the attempters, as well as the social context and method of attempts, indicates that self-destruction in the young is a major public health problem for the 70s requiring new approaches at the level of primary prevention.

Letters to the editor: The epidemiology of suicide attempts.

Letters to the editor: The epidemiology of suicide attempts.