title: Predictors of suicide attempts in 3.322 patients with affective disorders and schizophrenia spectrum disorders.
abstract: This study explores risk factors for suicide attempts using the electronic health records of 3322 patients with either schizophrenia spectrum disorders or affective disorders who underwent a comprehensive psychiatric evaluation at the Emergency Department at the Long Island Jewish Medical Center or the Hillside Evaluation Center at The Zucker Hillside Hospital from August 3rd 2011 to July 5th 2012. Multivariate regression analyses showed, after adjusting for sex, that previous suicidal attempts and financial or relationship losses were significantly associated with a current suicidal attempt. Additionally, higher odds of having a suicidal attempt were also found in those subjects with a diagnosis of an affective disorder, compared to a schizophrenia spectrum diagnosis, and those patients in the children/adolescent group compared to those in the adult/elderly group. Our study results confirm and expand results from prior studies. Therefore, physicians should be alert for the presence of any or all of these factors upon evaluation of psychiatric patients, and if present, either psychiatric hospitalization or a close psychiatric follow up in collaboration with family and a therapist would be key in reducing the risk of potential suicidal behavior.
authors.affiliation: The Zucker Hillside Hospital, North Shore - Long Island Jewish Health System, Glen Oaks, New York, USA.|The Feinstein Institute for Medical Research, Manhasset, New York, USA.|Hofstra North Shore LIJ School of Medicine, Hempstead, NY, USA.
authors.forename: Juan A
authors.initials: JA
authors.lastname: Gallego
authors.affiliation: Mid-Atlantic Wellness Institute, Bermuda.
authors.forename: Vivekananda
authors.initials: V
authors.lastname: Rachamallu
authors.affiliation: State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
authors.forename: Eunice Y
authors.initials: EY
authors.lastname: Yuen
authors.affiliation: Albert Einstein College of Medicine, Bronx, NY, USA.
authors.forename: Sabina
authors.initials: S
authors.lastname: Fink
authors.affiliation: Fundación Salamandra, Cali, Valle del Cauca, COLOMBIA.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Duque
authors.affiliation: The Zucker Hillside Hospital, North Shore - Long Island Jewish Health System, Glen Oaks, New York, USA.|The Feinstein Institute for Medical Research, Manhasset, New York, USA.|Hofstra North Shore LIJ School of Medicine, Hempstead, NY, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Kane
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis* / Q000523:psychology*; D015999:Multivariate Analysis; D009518:New York; D012008:Recurrence; D018570:Risk Assessment / Q000706:statistics & numerical data; D012559:Schizophrenia / Q000175:diagnosis*; D012565:Schizophrenic Psychology; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult
keywords: Bipolar; Depression; Electronic records; Psychosis; Self-harm