Repetition of suicide-related behavior: a study of the characteristics, psychopathology, suicidality and negative life events in Iran.
OBJECTIVE
Repetition of suicide-related behavior (SRB) is a risk factor for further suicidal behavior and death. The purpose of this study was to compare characteristics of patients with and without repeated episodes of SRB to determine whether characteristics of suicide attempt, psychopathology, and psychiatric comorbidity differ between groups, and if specific aspects of core suicidality may help guide screening of individuals at risk of further suicidal behaviors.


METHODS
Thirty-five patient with repeated episodes of SRB and 49 with a single episode who came to the emergency room of two Qazvin referral hospitals after an episode of SRB were compared on demographic and background characteristics, the circumstances of the suicide attempts, levels of suicidality (i.e., ideation), and psychological characteristics.


RESULTS
Patients with repeated episodes were more depressed, hopeless, and impulsive, had higher scores on factors associated with expected outcome and planning activities of the Suicide Intent Scale. They displayed greater suicidality, psychiatric comorbidity, and reported more negative life events, dissatisfaction with life, and poorer perceive social support.


CONCLUSIONS
Some of the characteristics of patients with repeated suicide-related behavior propose major clinical challenges that should be addressed in an endeavor to reduce suicide risk.
Sheikholeslami
Homayoun
H
Department of Internal Medicine, Boali Sina Hospital, Qazvin University of Medical Sciences, Qazvin, Iran. bsrcqi@hotmail.com
Kani
Camellia
C
Kani
Kayvan
K
Ghafelebashi
Hossein
H
D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology; D003906:Developing Countries / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007492:Iran; D008016:Life Change Events; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D011599:Psychopathology; D012008:Recurrence; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology / Q000208:ethnology* / Q000523:psychology; D013406:Suicide, Attempted / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult