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Cañón Buitrago SC, Pérez Agudelo JM, Narváez Marín M, Montoya Hurtado OL, Bermúdez Jaimes GI. Predictive model of suicide risk in Colombian university students: quantitative analysis of associated factors. Front Psychiatry 2024; 15:1291299. [PMID: 38855643 PMCID: PMC11157033 DOI: 10.3389/fpsyt.2024.1291299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 04/11/2024] [Indexed: 06/11/2024] Open
Abstract
Introduction The risk of suicide and completed suicides among young university students presents critical challenges to mental and public health in Colombia and worldwide. Employing a quantifiable approach to comprehend the factors associated with these challenges can aid in visualizing the path towards anticipating and controlling this phenomenon. Objective Develop a predictive model for suicidal behavior in university students, utilizing predictive analytics. Method We conducted an observational, retrospective, cross-sectional, and analytical research study at the University of Manizales, with a focus on predictive applicability. Data from 2,436 undergraduate students were obtained from the research initiative "Building the Future: World Mental Health Surveys International College Students." Results The top ten predictor variables that generated the highest scores (ranking coefficients) for the sum of factors were as follows: history of sexual abuse (13.21), family history of suicide (11.68), medication (8.39), type of student (7.4), origin other than Manizales (5.86), exposure to cannabis (4.27), exposure to alcohol (4.42), history of physical abuse (3.53), religiosity (2.9), and having someone in the family who makes you feel important (3.09). Discussion Suicide involves complex factors within psychiatric, medical, and societal contexts. Integrated detection and intervention systems involving individuals, families, and governments are crucial for addressing these factors. Universities also play a role in promoting coping strategies and raising awareness of risks. The predictive accuracy of over 80% in identifying suicide risk underscores its significance. Conclusion The risk factors related to suicidal behavior align with the findings in specialized literature and research in the field. Identifying variables with higher predictive value enables us to take appropriate actions for detecting cases and designing and implementing prevention strategies.
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Affiliation(s)
- Sandra Constanza Cañón Buitrago
- Medical Research Group - Medicine Program - Faculty of Health Sciences, University of Manizales, Manizales, Caldas, Colombia
| | - Juan Manuel Pérez Agudelo
- Medical Research Group - Medicine Program - Faculty of Health Sciences, University of Manizales, Manizales, Caldas, Colombia
| | - Mariela Narváez Marín
- Clinical Psychology and Health Processes Group, Psychology Program, Faculty of Social and Human Sciences, Manizales University, Manizales, Caldas, Colombia
| | - Olga Lucia Montoya Hurtado
- Human Abilities, Health, and Inclusion Group - Physiotherapy - Research Department, Colombian School of Rehabilitation, Manizales, Caldas, Colombia
| | - Gloria Isabel Bermúdez Jaimes
- Human Abilities, Health, and Inclusion Group - Research Department, Colombian School of Rehabilitation, Manizales, Caldas, Colombia
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Kartal E, Demir U, Hekimoglu Y, Keskin S, Asirdizer M. Suicides in Turkey: 25-year trend (1995-2019). J Forensic Sci 2022; 67:1858-1866. [PMID: 35754207 DOI: 10.1111/1556-4029.15086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Revised: 06/09/2022] [Accepted: 06/13/2022] [Indexed: 12/01/2022]
Abstract
The assessment of national suicide risks is considered critical in many countries for the establishment of suicide prevention initiatives aimed at considerably lowering suicide rates. The aim of this study is to identify at-risk suicide populations by reviewing the suicides in Turkey over a 25-year period. The Turkish Statistical Institute's suicide statistics for 1995-2019 in Turkey was retrospectively reviewed in current article. The data collected in the study was statistically analyzed using the MINITAB vn 14 software. Between 1995 and 2019, the total number of suicides in Turkey was 66,819, and suicide rates, especially in males, showed an increasing trend in this period. Males comprised 68.3% of the total cases, and most (27.2%) were aged 15-24 years. Suicides mostly occurred between May and July (27.7%), of individuals with a primary school level of education (51.7%) and who were married (6.0 per 100,000). Illness was most important risk factor for suicide (36.8%) and hanging (47.5%) was the leading suicide method in all age groups and in both genders. Despite the fact that Turkey's suicide rate is lower than many other countries, the growth in male suicide rates is concerning. Suicides are likely to become a severe problem in Turkey in the near future unless measures like education, psychiatric evaluations, the reactivation of psychological counseling service phone lines, and the establishment of youth counseling centers, as described in this paper, are taken.
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Affiliation(s)
- Erhan Kartal
- Department of Forensic Medicine, Medical Faculty of Van Yuzuncu Yil University, Van, Turkey
| | - Ugur Demir
- Forensic Medicine Unit, Tokat State Hospital, Tokat, Turkey
| | - Yavuz Hekimoglu
- Forensic Medicine Unit, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Siddik Keskin
- Department of Biostatistics, Medical School of Van Yuzuncu Yil University, Van, Turkey
| | - Mahmut Asirdizer
- Department of Forensic Medicine, Medical School of Bahcesehir University, Istanbul, Turkey
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Grendas LN, Rojas SM, Rodante DE, Puppo S, Vidjen P, Portela A, Daray FM. Differential Impact of Child Sexual Abuse and Family History of Suicidal Behavior in High-Risk Suicidal Patients. Arch Suicide Res 2020; 24:S251-S263. [PMID: 30955484 DOI: 10.1080/13811118.2019.1592040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The current study aimed to compare suicide-related variables as a function of 1) family history of suicidal behavior and 2) child sexual abuse among patients hospitalized for a suicide attempt or active suicidal ideation. Family history of suicidal behavior and child sexual abuse were examined independently and in combination as a diathesis for a high-risk suicidal phenotype. A multicenter cross-sectional study was designed to compare data obtained from 292 patients hospitalized for suicidal behavior. Demographic and clinical variables were compared among Group 1 (patients who reported both family history of suicidal behavior and child sexual abuse), Group 2 (patients who reported only family history of suicidal behavior), Group 3 (patients who reported only child sexual abuse), and Group 4 (patients who did not report family history of suicidal behavior or childhood sexual abuse). A multinomial logistic regression was used to examine suicide-related variables associated with each group and to compare differences between groups. Group 1 and 3 endorsed a higher number of previous suicide attempts and were more likely to be younger at the first suicide attempt compared to Group 4. Group differences remained after adjustment in a multinomial regression model. The current findings suggest that child sexual abuse may be more strongly related to suicide risk among high risk patients than family history of suicidal behavior.
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Affiliation(s)
- Leandro N Grendas
- Institute of Pharmacology, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.,"Dr. Teodoro Álvarez" General Hospital. Dr. Juan Felipe Aranguren 2701, Buenos Aires, Argentina
| | - Sasha M Rojas
- Department of Psychological Science, University of Arkansas, Fayetteville, Arkansas, USA
| | - Demián E Rodante
- Institute of Pharmacology, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.,"Dr. Braulio A. Moyano" Neuropsychiatric Hospital, Buenos Aires, Argentina
| | - Soledad Puppo
- "José de San Martín" Hospital, Buenos Aires, Argentina
| | | | | | - Federico M Daray
- Institute of Pharmacology, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.,"Dr. Braulio A. Moyano" Neuropsychiatric Hospital, Buenos Aires, Argentina.,National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
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Rodante DE, Grendas LN, Puppo S, Vidjen P, Portela A, Rojas SM, Chiapella LC, Daray FM. Predictors of short- and long-term recurrence of suicidal behavior in borderline personality disorder. Acta Psychiatr Scand 2019; 140:158-168. [PMID: 31155713 DOI: 10.1111/acps.13058] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2019] [Revised: 05/23/2019] [Accepted: 05/28/2019] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To evaluate the incidence of suicidal outcomes and risk factors for short- and long-term recurrence of suicidal behavior (SB) among high-risk borderline personality disorder (BPD) patients during a 24-month prospective follow-up period. METHODS A multicenter prospective cohort study was designed to compare data obtained from 136 patients admitted to the emergency department for current suicidal ideation (SI) or a recent suicide attempt (SA). Subjects were clinically evaluated and monitored for a new SA or suicide. RESULTS The incidence of a new SA was 25.63 events/100 persons-year, and one patient died by suicide. Child sexual abuse (CSA) was the only significant predictor throughout the complete follow-up period. The absence of prior psychiatric treatment predicts the recurrence of SB in the first 6 months of follow-up. Patient age, poor psychosocial functioning before hospitalization, age at first SA, and having multiple suicide attempts increased risk of SB recurrence at the long-term period (24th months). In addition, there was an interaction between CSA and poor psychosocial functioning that increased risk of SB. CONCLUSION The risk of recurrence was higher during the first 6 months. Risk factors at 6 and 24 months vary. These findings are important for implementing suicide strategies.
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Affiliation(s)
- D E Rodante
- School of Medicine, Institute of Pharmacology, University of Buenos Aires, Buenos Aires, Argentina.,Braulio A. Moyano Neuropsychiatric Hospital, Buenos Aires, Argentina
| | - L N Grendas
- School of Medicine, Institute of Pharmacology, University of Buenos Aires, Buenos Aires, Argentina.,Teodoro Alvarez Hospital, Buenos Aires, Argentina
| | - S Puppo
- School of Medicine, Institute of Pharmacology, University of Buenos Aires, Buenos Aires, Argentina.,Hospital de Clínicas José de San Martín, Buenos Aires, Argentina
| | - P Vidjen
- José Tiburcio Borda Hospital, Buenos Aires, Argentina
| | - A Portela
- José Tiburcio Borda Hospital, Buenos Aires, Argentina
| | - S M Rojas
- Department of Psychological Science, University of Arkansas, Fayetteville, AR, USA
| | - L C Chiapella
- Pharmacology Area, Faculty of Biochemical and Pharmaceutical Sciences, National University of Rosario, Rosario, Argentina.,National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
| | - F M Daray
- School of Medicine, Institute of Pharmacology, University of Buenos Aires, Buenos Aires, Argentina.,National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
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Sales AP, Santana da Silva TP, Sougey EB, Saraiva Câmara Filho JW. Psychopathological and Psychosocial Repercussions of Suicide in the Family. CURRENT PSYCHIATRY RESEARCH AND REVIEWS 2019. [DOI: 10.2174/1573400515666190114155014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background:
Although the relationship between the occurrence of suicide and the
presence of psychosocial suffering in bereaved relatives is clear, there are still few studies that deal
with the detail of these repercussions and the therapeutic conduction given to them for the suicide.
Objective:
to carry out an integrative review on the psychopathological and psychosocial
repercussions of suicide in the family, with emphasis on the detail of the main psychopathological
characteristics presented by the individuals and the psychosocial impacts of mourning.
Method:
An integrative review was performed. The guiding question considered Population
Intervention Comparator Outcome Setting and the revision protocol is in agreement with Preferred
Reporting Items for Systematic Reviews and Meta-Analyzes. The search occurred in the bases:
Periodicals CAPES, PsycINFO and PubMed. Original articles were included, without language
restriction that emphasized psychopathological and psychosocial aspects of the mourners after
suicide. We excluded review studies, clinical cases, editorials and retrospectives.
Results:
The process of suicide mourning for family members is a complex event, marked by stigma
and can predispose patients to mental illness and suicidal behavior, especially in the early years of
mourning. In addition, it is necessary to expand the scope of evidence on the effectiveness of
support and intervention with this population.
Conclusion:
Bereaved families need specialized preventive support insofar as the complexity of
bereavement becomes a vulnerability factor for mental illness.
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Affiliation(s)
- Amanda Patricia Sales
- Doctorate in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Recife, Brazil
| | | | - Everton Botelho Sougey
- Doctorate in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Recife, Brazil
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Younès N, Rivière M, Plancke L, Leroyer A, Blanchon T, Azevedo Da Silva M, Melchior M. Work intensity in men and work-related emotional demands in women are associated with increased suicidality among persons attending primary care. J Affect Disord 2018; 235:565-573. [PMID: 29698918 DOI: 10.1016/j.jad.2018.04.075] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Revised: 04/06/2018] [Accepted: 04/10/2018] [Indexed: 10/17/2022]
Abstract
BACKGROUND A large proportion of persons died by suicide are employed at the time of death and work-related factors partly contribute to suicide risk. Our aim was to examine the association between multiple aspects of work organization and suicidal ideation in a study conducted in primary care. METHODS Data came from a study of 2027 working patients attending a GP representative of patients in the Nord Pas-de-Calais region in France (April-August 2014). Suicidality was assessed using the MINI (Mini International Neuropsychiatric Interview). Six emergent worked-related factors were explored (work intensity, emotional demands, autonomy, social relationships at work, conflict of values, insecurity of work). Several covariates were considered: patient's and GP's characteristics, and area-level data (material and social deprivation, psychiatrist and GPs' density, suicide attempts and suicide rates). RESULTS 8.0% of participants reported suicidal ideation in the preceding month (7.5% of men and 8.6% of women, p = .03). In multivariate analyses adjusted for covariates, suicidality was significantly associated with work intensity (OR = 1.65; 95%CI [1.18-2.31]) in men and with work-related emotional demands (OR = 1.35; 95%CI [1.01-1.80]) in women. Area-level data were not associated. LIMITATIONS Our cross-sectional study cannot assess the direction of the relationships under study. CONCLUSION Our results emphasise a central role for GPs in suicide prevention among workers and highlight the importance of work-related factors with regard to suicidality in primary care.
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Affiliation(s)
- N Younès
- EA 40-47 University of Versailles Saint-Quentin, Versailles, France; Academic Unit of Psychiatry for Adults, Versailles Hospital, Versailles, France.
| | - M Rivière
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013 Paris, France; Department of Infectious Diseases, Centre Hospitalier Régional, Orléans, France
| | - L Plancke
- Fédération régionale de recherche en psychiatrie et santé mentale Hauts-de-France, Lille, France
| | - A Leroyer
- Univ. Lille, CHU Lille, Institut Pasteur de Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, F-59000 Lille, France
| | - T Blanchon
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013 Paris, France
| | - M Azevedo Da Silva
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013 Paris, France; EA 40-47 University of Versailles Saint-Quentin, Versailles, France
| | - M Melchior
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013 Paris, France
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