@misc{10481/102684,
year = {2019},
month = {11},
url = {https://hdl.handle.net/10481/102684},
abstract = {Introduction: Suicide is a global public health problem, with a suicide attempt being the only predictive behaviour, especially in clinical subpopulations. Classic studies have focused exclusively on transverse risk variables. This field needs transdiagnostic studies since the evaluation of risk variables has not led to hopeful results for the prevention of repeated re-use or completed suicide. Objective: To assess which protective variables are more predictive of a greater or lesser lethality of a previous suicide attempt, implementing a higher level of resilience to possible retries at 6 and 12 months after the first attempt. Method: The sample was comprised of 166 people who had been admitted to the emergency services due to an attempt of suicide (122–73.5% women), with ages between 18 and 76 years (M = 36 and SD = 14.1). The sample was divided into three groups, defined according to the level of lethality of the previous suicide attempt (Lethality Rating Scale-LRS). Self-efficacy, hope, optimism, impulse control, social support, and resilience were measured. Results: The regression analysis shows that self-efficacy (outcome expectations) (OR = -3.23, 95% CI = -3.17–4.11, p < 0.01), hope (future subdimension)
(OR = -6.67, 95% CI = -6.11–7.23; p < 0.01), social support (emotional type) (OR = -2.12; 95% CI = -2.02-2.98; p < 0.05), and optimism (OR = -2.31, 95% CI = -2.17–3.11; p < 0.05) are the protective psychosocial variables in the face of the highest suicide lethality, modulating greater resilience as a result (OR = 6.14, 95% CI = 6.10–7.01; p < 0.01) at six months but only self-efficacy (outcome expectations) (OR = -1.58, 95% CI = -1.12–2.66, p < 0.01) and hope (future subdimension) ( OR = -3.22, 95% CI = -2.12–4.27, p < 0.01) were protective factors at 12 months. Conclusion: Specific policies should be
put in place to prevent future suicide attempts in clinical subpopulations after the first attempt, based on protection factors that measure the level of
resilience, to avoid future suicide re-attempts of greater severity or lethality.},
publisher = {Nova Science Publishers, Inc},
title = {Transdiagnosis of the repeated suicide attempt: a longitudinal study},
author = {Sánchez Teruel, David and Robles Bello, Maria Auxiliadora},
}