title: Method of suicide attempt and reaction to survival as predictors of repeat suicide attempts: a longitudinal analysis.
abstract: OBJECTIVE
  To evaluate whether reaction to survival of a suicide attempt and method of the index attempt predicted repeat suicide attempts within 6 months.
  
  
  METHODS
  Data came from the Suicide Assessment Form in Emergency Psychiatry (SAFE) Database Project, which contains information on all presentations to emergency psychiatric services at the 2 tertiary hospitals in Manitoba, Winnipeg, Canada (N = 7,007). During a 4-year period (2009-2012), 922 individuals presented with suicide attempts. Logistic regressions were used to examine whether a person's reaction to attempt survival and the method of attempt predicted repeat suicide attempt within 6 months.
  
  
  RESULTS
  Of the 922 participants, 82 (8.8%) presented with another suicide attempt within 6 months. Ambivalence about attempt survival (adjusted odds ratio [OR] = 2.84; 95% CI, 1.45-5.54; P < .01) and wishing to be dead (adjusted OR = 2.68; 95% CI, 1.17-6.17; P < .05) predicted future attempts even when adjusted for age, sex, depression, substance abuse, and method of the initial attempt. Method of the index attempt did not predict future suicide attempts in adjusted models (adjusted OR = 0.66; 95% CI, 0.35-1.25; P > .05).
  
  
  CONCLUSIONS
  Assessment of the patient's reaction to survival, regardless of method of attempt, is important to identify risk of repeat attempts.
authors.affiliation: Department of Psychology.
authors.forename: Joanna
authors.initials: J
authors.lastname: Bhaskaran
authors.forename: Yunqiao
authors.initials: Y
authors.lastname: Wang
authors.forename: Leslie
authors.initials: L
authors.lastname: Roos
authors.forename: Jitender
authors.initials: J
authors.lastname: Sareen
authors.forename: Kurt
authors.initials: K
authors.lastname: Skakum
authors.forename: James M
authors.initials: JM
authors.lastname: Bolton
mesh_terms: D000328:Adult; D002170:Canada; D016208:Databases, Factual; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology*; D017741:Survivors / Q000523:psychology*