Abstract
Objectives
In the current study, we investigated the general characteristics of suicide attempters and attempted to determine factors contributing to suicide attempt by analyzing severe suicide ideation and intent.
Methods
This study analyzed medical records of suicide attempters who visited the emergency departments. Data were collected from 7 university hospitals nationwide. As an evaluation measure of suicide intent, we used Suicide Intent Scale (SIS). Colombia Suicide Severity Rating Scale (C-SSRS) was applied for assessment of severity and intensity of suicide idea and lethality of suicide behavior.
Results
Male gender, old age and living alone group showed higher SIS score. Male gender, low income, and having psychiatric diagnosis or suicide history group showed a high score on the severity subscale of suicide ideation of C-SSRS. Old age, low income, and having psychiatric diagnosis showed a high score on the intensity subscale of suicide ideation of C-SSRS. Actual lethality scale of C-SSRS was high in male gender and old age group. Severity and intensity of suicide ideation and suicide intent showed positive correlation with actual lethality of suicide behavior.
References
1. Statistics Korea [homepage on the Internet]. Causes of death statistics in 2013. cited 2014 Dec 29. Available from: http://kosis.kr/gen_etl/start.jsp?orgId=101&tblId=DT_1B34E01&conn_path=I2&path=보건?사회?복지 - 보건 - 사망원인 - 사망원인(103항목)/성/연령(5세)별 사망자수.
2. Crump C, Sundquist K, Sundquist J, Winkleby MA. Sociodemographic, psychiatric and somatic risk factors for suicide: a Swedish national cohort study. Psychol Med. 2014; 44:279–289.
3. Harris EC, Barraclough B. Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry. 1997; 170:205–228.
4. Bolton JM, Spiwak R, Sareen J. Predicting suicide attempts with the SAD PERSONS scale: a longitudinal analysis. J Clin Psychiatry. 2012; 73:e735–e741.
5. Cavanagh JT, Carson AJ, Sharpe M, Lawrie SM. Psychological autopsy studies of suicide: a systematic review. Psychol Med. 2003; 33:395–405.
6. Owens D, Horrocks J, House A. Fatal and non-fatal repetition of self-harm. Systematic review. Br J Psychiatry. 2002; 181:193–199.
7. O'Carroll PW, Berman AL, Maris RW, Moscicki EK, Tanney BL, Silverman MM. Beyond the Tower of Babel: a nomenclature for suicidology. Suicide Life Threat Behav. 1996; 26:237–252.
8. Korea Suicide Prevention Center. 2012 National Survey on Suicide. 2013.
9. Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA, et al. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011; 168:1266–1277.
10. Beck AT. Suicide intent scale (for attempters). In : Blumenthal SJ, Kuper DJ, editors. Suicide over the life cycle: Risk factors, assessment and treatment of suicidal patients. Washington, DC: American Psychiatric Press;1990. p. 769–773.
11. Freedenthal S. Assessing the wish to die: a 30-year review of the suicide intent scale. Arch Suicide Res. 2008; 12:277–298.
12. Lim M, Lee SU, Park JI. Difference in suicide methods used between suicide attempters and suicide completers. Int J Ment Health Syst. 2014; 8:54.
13. Lim M, Kim SW, Nam YY, Moon E, Yu J, Lee S, et al. Reasons for desiring death: examining causative factors of suicide attempters treated in emergency rooms in Korea. J Affect Disord. 2014; 168:349–356.
14. Lee CA, Choi SC, Jung KY, Cho SH, Lim KY, Pai KS, et al. Characteristics of patients who visit the emergency department with self-inflicted injury. J Korean Med Sci. 2012; 27:307–312.
15. Yamada T, Kawanishi C, Hasegawa H, Sato R, Konishi A, Kato D, et al. Psychiatric assessment of suicide attempters in Japan: a pilot study at a critical emergency unit in an urban area. BMC Psychiatry. 2007; 7:64.
16. Seoul National University College of Medicine. The Epidemiological Survey of Mental Disorders in Korea. Seoul: Ministry of Health and Welfare;2012.
17. Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999; 56:617–626.
18. DeJong TM, Overholser JC, Stockmeier CA. Apples to oranges?: a direct comparison between suicide attempters and suicide completers. J Affect Disord. 2010; 124:90–97.
19. Fushimi M, Sugawara J, Saito S. Comparison of completed and attempted suicide in Akita, Japan. Psychiatry Clin Neurosci. 2006; 60:289–295.
20. Giner L, Blasco-Fontecilla H, Mercedes Perez-Rodriguez M, Garcia-Nieto R, Giner J, Guija JA, et al. Personality disorders and health problems distinguish suicide attempters from completers in a direct comparison. J Affect Disord. 2013; 151:474–483.
21. Iribarren C, Sidney S, Jacobs DR Jr, Weisner C. Hospitalization for suicide attempt and completed suicide: epidemiological features in a managed care population. Soc Psychiatry Psychiatr Epidemiol. 2000; 35:288–296.
22. Marttunen MJ, Henriksson MM, Aro HM, Heikkinen ME, Isometsä ET, Lönnqvist JK. Suicide among female adolescents: characteristics and comparison with males in the age group 13 to 22 years. J Am Acad Child Adolesc Psychiatry. 1995; 34:1297–1307.
23. World Health Organization [homepage on the Internet]. Evolution of global suicide rates 150-000 (per 100000). cited 2014 Dec 29. Available from: http://www.who.int/mental_health/prevention/suicide/evolution/en/.