title: Recurrence of suicide attempt in adolescents lost to contact early by clinicians: The 10-year REPEATERS cohort of French adolescents.
abstract: Losing contact with adult suicide attempters in the year after the suicide attempt (SA) increases the risk of recurrence. The situation with adolescents is unknown. We aimed to determine whether being lost to contact early (LCE) by clinicians is a risk factor of long-term SA recurrence among adolescents and the associated factors. Data were collected 10 years after an index SA and a Cox model was used for analysis. Among the 249 SA patients included, 59 (24%) were LCE, the most important risk factor of SA recurrence up to 10 years (hazard ratio [HR] = 2.8 [95% confidence interval (95% CI) 1.4-5.5]; p = .016). Risk factors of being LCE were female sex (odds ratio [OR] = 2.9 [95% CI 1.1-8.2]; p = .009), a psychiatric comorbidity (OR = 2.2 [1.1-4.3]; p = .023) and no family history of suicide (OR = 2.1 [1.1-4.3]; p = .047). These results support the development of preventive actions early after an SA in an adolescent to maintain contact and care.
authors.affiliation: Université de Lorraine, Université Paris Descartes, EA 4360 APEMAC, Nancy - CHU de Nancy, Hôpital d'enfants, Service de Psychiatrie pour enfants et adolescents, Nancy, France. Electronic address: fabienne.ligier@cpn-laxou.com.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Ligier
authors.affiliation: Université de Lorraine, Université Paries Descartes, EA 4360 APEMAC, Nancy - INSERM CIC-EC 1433 - CHU de Nancy, Service d'épidémiologie et évaluation cliniques, Nancy, France.
authors.forename: Francis
authors.initials: F
authors.lastname: Guillemin
authors.affiliation: CHU de Nancy, Hôpital d'enfants, Service de Psychiatrie pour enfants et adolescents, Nancy, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Angot
authors.affiliation: Service Médico-Psychologique Régional, Centre Hospitalier de Lorquin, Lorquin, France.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Bourion
authors.affiliation: CHU de Nancy, Hôpital d'enfants, Service de Psychiatrie pour enfants et adolescents, Nancy, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Kabuth
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D011369:Professional-Patient Relations; D012008:Recurrence; D012307:Risk Factors; D012737:Sex Factors; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology* / Q000706:statistics & numerical data*; D013997:Time Factors; D055815:Young Adult
keywords: Adolescent; Long-term outcome; Lost to contact; Recurrence; Suicide attempt