Repeating a suicide attempt during adolescence: risk and protective factors 12 months after hospitalization.
Suicide attempts (SAs) are a public health concern in adolescence. A brief hospitalization is recommended, but access to inpatient wards is often not available. In addition, numerous risk factors for SA recurrence have been identified, but few studies have explored protective factors. Here, we aimed...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 29; no. 12; pp. 1729 - 1741 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146833083&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146833083 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Dec2020 vid: 29 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 146833083 144025363 146833083 146833083 10.1007/s00787-020-01491-x 146833083 ppf: 1729 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Repeating a suicide attempt during adolescence: risk and protective factors 12 months after hospitalization. aug: au: Mirkovic, Bojan Cohen, David Garny de la Rivière, Sébastien Pellerin, Hugues Guilé, Jean-Marc Consoli, Angèle Gerardin, Priscille affil: Department of Child and Adolescent Psychiatry, CHU Charles-Nicolle-CH Le Rouvray, Université Rouen Normandie, 1 Rue de Germont, 76000, Rouen, France sug: subj: Suicide, Attempted Therapy Recurrence Risk Factors Risk Assessment Suicide, Attempted Prevention and Control Human Descriptive Statistics Adolescence Inpatients Prospective Studies France Depression Severity of Illness Male Female Coping Psychiatric Care Suicide, Attempted Drug Therapy Psychotropic Drugs Therapeutic Use Adolescent Behavior Health Services Accessibility Spirituality Relaxation Recreation Adolescent: 13-18 years Male Female ab: Suicide attempts (SAs) are a public health concern in adolescence. A brief hospitalization is recommended, but access to inpatient wards is often not available. In addition, numerous risk factors for SA recurrence have been identified, but few studies have explored protective factors. Here, we aimed to assess the role of both risk and protective factors on SA relapse in a context of free access to inpatient services. We performed a prospective follow-up study of 320 adolescents who were hospitalized for an SA between January 2011 and December 2014 in France. Assessments at baseline included socio-demographics, clinical characteristics, temperament, reasons for living, spirituality, and coping. Patients were re-evaluated at 6 months and 12 months for depression severity and SA relapse. A total of 135 and 91 patients (78 girls, 12 boys, aged 13–17) were followed up at 6 and 12 months, respectively. At the 12-month follow-up, 28 (30%) subjects had repeated an SA. Adolescents who either had a history of SA or were receiving psychotropic treatment at baseline were at higher risk of recurrence. Several variables had a protective effect: (1) productive coping skills, namely, working hard and achieving, physical recreation, and seeking relaxing diversions; (2) a particular temperament trait, namely, cooperativeness; and (3) having experienced more life events. We also found a significant interaction: the higher the depression score during follow-up, the lower the protective effect of productive coping. Our findings confirm that a history of SA and seeking psychiatric care with medication are risk factors for SA relapse. However, productive coping strategies and cooperativeness are protective factors, and the improvement of such strategies as well as treatment of persisting depression should be a goal of psychotherapy treatment offered to suicidal adolescents. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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