title: The Risk of Repetition of Attempted Suicide Among Iranian Women with Psychiatric Disorders as Quantified by the Suicide Behaviors Questionnaire.
abstract: OBJECTIVE
  The factors associated with repetition of attempted suicide are poorly categorized in the Iranian population. In this study, the prevalence of different psychiatric disorders among women who attempted suicide and the risk of repetition were assessed.
  
  
  METHODS
  Participants were women admitted to the Poisoning Emergency Hospital, Kermanshah University of Medical Sciences following failed suicide attempts. Psychiatric disorders were diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) symptom checklist. Risk of repetition was evaluated using the Suicide Behaviors Questionnaire-Revised (SBQ-R).
  
  
  RESULTS
  About 72% of individuals had a SBQ-R score >8 and were considered to be at high risk for repeated attempted suicide. Adjustment disorders were the most common psychiatric disorders (40.8%). However, the type of psychiatric disorder was not associated with the risk of repetition (p=0.320). Marital status, educational level, employment, substance use, history of suicide among family members, and motivation were not determinant factors for repetition of suicide attempt (p=0.220, 0.880, 0.220, 0.290, 0.350 and 0.270, respectively). Younger women were associated with violent methods of attempted suicide, such as self-cutting, whereas older individuals preferred consumption of poison (p<0.001). Drug overdose was more common among single and married women whereas widows or divorcees preferred self-burning (p=0.004).
  
  
  CONCLUSIONS
  About 72% of patients with failed suicide attempts were at high risk for repeated attempts. Age, marital status, and type of psychiatric disorder were the only determinants of suicide method. Adjustment disorders were the most common psychiatric disorders among Iranian women. However, this did not predict the risk of further attempts.
authors.affiliation: Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Jalal
authors.initials: J
authors.lastname: Shakeri
authors.affiliation: Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Farnia
authors.affiliation: Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Nasrin
authors.initials: N
authors.lastname: Abdoli
authors.affiliation: Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Mohammad R
authors.initials: MR
authors.lastname: Akrami
authors.affiliation: Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Farid
authors.initials: F
authors.lastname: Arman
authors.affiliation: Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Hania
authors.initials: H
authors.lastname: Shakeri
keywords: Iran; Psychiatry; Suicide; Suicide, Attempted