Risk of suicide attempt repetition after an index attempt: A systematic review and meta-analysis

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  • dc.contributor.author De la Torre-Luque, Alejandro
  • dc.contributor.author Toll Privat, Alba
  • dc.contributor.author Pérez Solá, Victor
  • dc.contributor.author SURVIVE Consortium
  • dc.date.accessioned 2024-03-19T07:33:48Z
  • dc.date.available 2024-03-19T07:33:48Z
  • dc.date.issued 2023
  • dc.description.abstract Objectives: To estimate the risk of suicide attempt repetition among individuals with an index attempt. It also aims to study the role of risk factors and prevention programme in repetition. Methods: This systematic review and meta-analysis was conducted in keeping with the PRISMA 2020 guidelines. Studies on attempt repetition (both cohort studies and intervention studies) were searched from inception to 2022. Results: A total of 110 studies comprising 248,829 attempters was reviewed. The overall repetition rate was 0.20 (0.17, 0.22). Repetition risk linearly increased over time. A higher risk of attempt repetition was associated with female sex and index attempts in which self-cutting methods were used. Moreover, a mental disorder diagnosis was associated with an increasing repetition risk (OR = 2.02, p < .01). The delivery of a preventive programme reduced the repetition risk, OR = 0.76, p < .05; however, this effect was significant for psychotherapy interventions, OR = 0.38, p < .01. Conclusion: One in five suicide attempters will engage in a new suicide attempt. An elevated repetition risk is associated with being female, more severe index methods and psychiatric disorder diagnosis. Preventive programmes, particularly psychotherapy, may contribute to reducing repetition risk and eventually save lives.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation de la Torre-Luque A, Pemau A, Ayad-Ahmed W, Borges G, Fernandez-Sevillano J, Garrido-Torres N, et al. Risk of suicide attempt repetition after an index attempt: A systematic review and meta-analysis. Gen Hosp Psychiatry. 2023 Mar-Apr;81:51-6. DOI: 10.1016/j.genhosppsych.2023.01.007
  • dc.identifier.doi http://dx.doi.org/10.1016/j.genhosppsych.2023.01.007
  • dc.identifier.issn 0163-8343
  • dc.identifier.uri http://hdl.handle.net/10230/59480
  • dc.language.iso eng
  • dc.publisher Elsevier
  • dc.relation.ispartof Gen Hosp Psychiatry. 2023 Mar-Apr;81:51-6
  • dc.rights © 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
  • dc.subject.keyword Meta-analysis
  • dc.subject.keyword Repetition risk
  • dc.subject.keyword Risk factors
  • dc.subject.keyword Suicide attempt
  • dc.subject.keyword Suicide prevention
  • dc.title Risk of suicide attempt repetition after an index attempt: A systematic review and meta-analysis
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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