Department of Community Medicine and Public Health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Community Medicine and Public Health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Email:
J Inj Violence Res. 2021 Jan;13(1):47-54. doi: 10.5249/jivr.v13i1.1556. Epub 2021 Jan 30.
The aim of this study was to identify the characteristics of suicidal ideation (SI), suicidal plan (SP), and suicide attempt (SA) in patients who had survived suicide attempts.
In a one-year cross-sectional design in Khorasan Razavi province, all suicide attempters who were referred to urban and rural health care centers, hospital's emergency rooms and agreed to participate in the study were included. The previous twelve-month SI, SP and lifelong SA (prior to the current suicide attempt) were obtained.
The mean age of 856 included individuals was 24.2±8.3 years. The majority (652,76.4%) were females. Half of them were first-time suicide attempters. The mean age of first SI was 22±7.7; SP 22±7.9; and SA 22.2±8 years. The twelve-month prevalence of SI and SP prior to the current suicide attempt was 30% and 26.7%, respectively. Males, unlettered, wedded, and employees were significantly older at their first time SI, SP, and SA (all p less than 0.001). SI (25,44.6%), SP(25,47.2%) and SA(34,75.6%) were more prevalent in widow/divorced individuals(all p-values less than 0.02). SI (OR=53.4,CI95%=33.6-85) increased the risk of SP, and SP(OR=6.7,CI95%=4.5-9.9) increased the risk of SA.
SI seems to be a more important predictor of suicide compared to SP, however, the fact that a significant number of attempters had not any previous detectable suicidal ideation or plan, indicates particular clinical considerations. We need to have some presuppositions about the factors leading to unplanned and unthoughtful suicide attempts.
本研究旨在确定自杀意念（SI）、自杀计划（SP）和自杀未遂（SA）在自杀未遂患者中的特征。
在一个跨越一年的时间，在霍拉桑省的横断面设计中，所有被转诊到城乡保健中心、医院急诊室并同意参与研究的自杀未遂者都被纳入研究。获得了前 12 个月的 SI、SP 和终生 SA（在当前自杀未遂之前）。
包括的 856 人平均年龄为 24.2±8.3 岁。其中大多数（652 人，占 76.4%）为女性。其中一半是首次自杀未遂者。首次 SI 的平均年龄为 22±7.7；SP 为 22±7.9；SA 为 22.2±8 岁。在当前自杀未遂前的 12 个月 SI 和 SP 的患病率分别为 30%和 26.7%。首次 SI、SP 和 SA 时，男性、文盲、已婚和员工的年龄明显较大（所有 p 值均小于 0.001）。在丧偶/离异者中，SI（25，44.6%）、SP（25，47.2%）和 SA（34，75.6%）的发生率均较高（所有 p 值均小于 0.02）。SI（OR=53.4，CI95%=33.6-85）增加了 SP 的风险，SP（OR=6.7，CI95%=4.5-9.9）增加了 SA 的风险。
与 SP 相比，SI 似乎是自杀的更重要预测因素，但实际上，相当一部分未遂者以前没有任何可察觉的自杀意念或计划，这表明需要对导致无计划和无意识的自杀未遂的因素进行特别的临床考虑。我们需要对导致无计划和无意识的自杀未遂的因素有一些假设。
