Patterns of Comorbidity of Suicide Attempters: An Update.
Between 10 and 20 million people attempt suicide every year worldwide, and suicide attempts represent a major economic burden. Suicide attempters suffer from high rates of comorbidity, and comorbidity is the rule in suicide re-attempters. Comorbidity complicates treatment and prognosis and causes a more protracted course. In the present narrative review, we included these patterns of comorbidity: intra-Axis I disorders, intra-Axis II disorders, Axis I with Axis II disorders, and psychiatric with physical illnesses. We also briefly reviewed the patterns of comorbidity in suicide re-attempters. We concluded that comorbidity at different levels appears to be the rule in suicide attempters, particularly in those who re-attempt. However, several issues deserve further research regarding the patterns of comorbidity in suicide attempters.
Department of Psychiatry, IDIPHIM-Puerta de Hierro University Hospital, Majadahonda, Spain. hmblasco@yahoo.es.|Consulting Asistencial Sociosanitario, Madrid, Spain. hmblasco@yahoo.es.|Madrid Autonoma University, Madrid, Spain. hmblasco@yahoo.es.|CIBERSAM, Madrid, Spain. hmblasco@yahoo.es.
Hilario
H
Blasco-Fontecilla
Department of Psychiatry, IDIPHIM-Puerta de Hierro University Hospital, Majadahonda, Spain.
Maria
M
Rodrigo-Yanguas
Department of Psychiatry, University of Seville, Seville, Spain.
Lucas
L
Giner
Department of Psychiatry, IDIPHIM-Puerta de Hierro University Hospital, Majadahonda, Spain.
Maria Jose
MJ
Lobato-Rodriguez
Mental Health Research Center at Eastern State Hospital, Lexington, KY, USA.|Psychiatry and Neurosciences Research Group (CTS-549), Institute of Neurosciences, University of Granada, 18971, Granada, Spain.|Biomedical Research Centre in Mental Health Net (CIBERSAM), Santiago Apóstol Hospital, University of the Basque Country, 01004, Vitoria, Spain.
Jose
J
de Leon
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000523:psychology*; D008875:Middle Aged; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data*
Comorbidity; Major repetition; Re-attempters; Suicide attempters