title: Reasons for Attempted Suicide in Europe: Prevalence, Associated Factors, and Risk of Repetition.
abstract: To examine the prevalence of specific reasons for attempted suicide, factors associated with them, and whether reasons for attempted suicide influence risk of repetition. As part of the Monitoring Suicide in Europe (MONSUE) project, data on 4,683 suicide attempters from nine European countries were collected. Independence tests were used to study the influence of age, gender, and other factors on reported reasons. We examined risk of repetition using logistic regression analysis. Interpersonal conflict was common for all patients except those widowed, living alone, or retired. Mental health problems were prevalent among over 45 year-olds, patients unable to work, and patients with a history of at least three suicide attempts. Financial difficulties were cited more often by patients who were 45-64 years old, divorced or separated, living with children only, and unemployed. Close bereavement/serious illness and own physical illness were associated with those over 65 years of age. Two reasons for suicide attempt, interpersonal conflict and mental health problems, were associated with increased risk of repetition independent of other factors. Suicide attempters have a multitude of problems of varying prevalence depending on age, gender, and other factors. They present a range of clinical profiles that require a multidisciplinary response.
authors.forename: P
authors.initials: P
authors.lastname: Burón
authors.forename: L
authors.initials: L
authors.lastname: Jimenez-Trevino
authors.forename: P A
authors.initials: PA
authors.lastname: Saiz
authors.forename: M P
authors.initials: MP
authors.lastname: García-Portilla
authors.forename: P
authors.initials: P
authors.lastname: Corcoran
authors.forename: V
authors.initials: V
authors.lastname: Carli
authors.forename: S
authors.initials: S
authors.lastname: Fekete
authors.forename: G
authors.initials: G
authors.lastname: Hadlaczky
authors.forename: U
authors.initials: U
authors.lastname: Hegerl
authors.forename: K
authors.initials: K
authors.lastname: Michel
authors.forename: M
authors.initials: M
authors.lastname: Sarchiapone
authors.forename: S
authors.initials: S
authors.lastname: Temnik
authors.forename: A
authors.initials: A
authors.lastname: Värnick
authors.forename: P
authors.initials: P
authors.lastname: Verbanck
authors.forename: D
authors.initials: D
authors.lastname: Wasserman
authors.forename: A
authors.initials: A
authors.lastname: Schmidtke
authors.forename: J
authors.initials: J
authors.lastname: Bobes
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001601:Bereavement; D034462:Dissent and Disputes; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data*; D005060:Europe / Q000453:epidemiology; D054541:Family Conflict / Q000523:psychology; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D016015:Logistic Models; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data*; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D008875:Middle Aged; D015995:Prevalence; D012008:Recurrence; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012179:Retirement / Q000523:psychology / Q000706:statistics & numerical data*; D012307:Risk Factors; D012737:Sex Factors; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: MONSUE; prevention; repetition; risk factors; suicide attempt