title: The predictors of suicidality in previous suicide attempters following case management services.
abstract: Suicide attempts constitute a serious clinical problem. People who have attempted suicide are at an elevated risk for additional suicide attempts, but there is limited evidence regarding the predictors of suicidality of suicide attempters following case management services. In the present study the indicators of suicidality after case management were examined. A total of 1,056 subjects who had recently attempted suicide were recruited from January 1, 2011, to June 30, 2011. The suicide prevention center of Kaohsiung City in Taiwan provided case management services and followed up on suicide attempt cases for 6 months. The salient factors for repeat suicide attempts were estimated using a logistic regression analysis. The results showed that multiple factors, including a "willingness to receive mental health services during a crisis," "social support," "a history of mental disorders," and "a history of suicide," could predict repeat suicide attempts with hazard ratios (0.58, 0.54, 3.84, 1.51) and 95% confidence interval (0.39-0.86, 0.36-0.83, 2.41-6.10, 1.03-2.21). The four factors mentioned above were the most accurate predictors of subsequent suicidality when case management services were utilized after 6 months of follow-up. The findings of our study could help clarify future strategies for suicide prevention.
authors: Kaohsiung City Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; Graduate Institute of Counseling psychology and Rehabilitation counseling, National Kaohsiung Normal University, Kaohsiung, Taiwan.
authors: Wei-Jen
authors: WJ
authors: Chen
authors: Shi-Sen
authors: SS
authors: Shyu
authors: Guei-Ging
authors: GG
authors: Lin
authors: Cheng-Chung
authors: CC
authors: Chen
authors: Chi-Kung
authors: CK
authors: Ho
authors: Ming-Been
authors: MB
authors: Lee
authors: Frank Huang-Chih
authors: FH
authors: Chou
mesh_terms: D000328:Adult; D019090:Case Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012307:Risk Factors; D055502:Secondary Prevention; D012944:Social Support; D059020:Suicidal Ideation; D013405:Suicide / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000517:prevention & control* / Q000523:psychology; D000092864:Suicide Prevention