Suicide Precipitants Differ Across the Lifespan but Are Not Significant in Predicting Medically Severe Attempts.

Carol C Choo, Peter K H Chew, Roger C Ho
Author Information
  1. Carol C Choo: College of Healthcare Sciences, James Cook University, Singapore 387380, Singapore. carol.choo@jcu.edu.au. ORCID
  2. Peter K H Chew: College of Healthcare Sciences, James Cook University, Singapore 387380, Singapore. peter.chew@jcu.edu.au. ORCID
  3. Roger C Ho: Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119007, Singapore. pcmrhcm@nus.edu.sg.

Abstract

An important risk factor for suicide assessment is the suicide precipitant. This study explores suicide attempt precipitants across the lifespan. Three years of medical records related to suicide attempters who were admitted to the emergency department of a large teaching hospital in Singapore were subjected to analysis. These cases were divided into three age groups: Adolescence, Early Adulthood, and Middle Adulthood. A total of 540 cases were examined (70.9% females; 63.7% Chinese, 13.7% Malays, 15.9% Indians), whose ages ranged from 12 to 62. There were eight cases above the age of 65 years which were excluded from the analysis. Significant differences were found in precipitants for suicide attempts across the lifespan. Middle adults had relatively fewer relationship problems, and adolescents had comparatively fewer financial and medical problems. The models to predict medically severe attempts across the age groups using suicide precipitants were not significant. The findings were discussed in regards to implications in suicide assessment and primary prevention in Singapore, as well as limitations and recommendations for future research.

Keywords

References

  1. J Gen Intern Med. 2001 Sep;16(9):606-13 [PMID: 11556941]
  2. J Psychosoc Nurs Ment Health Serv. 2008 Jul;46(7):45-52 [PMID: 18686596]
  3. Omega (Westport). 2017 Jan 1;:30222817725182 [PMID: 28828921]
  4. Aging Ment Health. 2016;20(2):131-8 [PMID: 26094783]
  5. J Affect Disord. 2016 Jan 15;190:143-149 [PMID: 26519633]
  6. J Affect Disord. 2017 Mar 15;211:12-19 [PMID: 28081432]
  7. JMIR Mhealth Uhealth. 2018 Feb 13;6(2):e18 [PMID: 29439946]
  8. Curr Pharm Des. 2012;18(32):5165-87 [PMID: 22716157]
  9. Arch Suicide Res. 2008;12(1):74-81 [PMID: 18240037]
  10. Ethn Health. 1998 Nov;3(4):255-63 [PMID: 10403107]
  11. Asian J Psychiatr. 2014 Apr;8:38-42 [PMID: 24655624]
  12. Acta Psychiatr Scand. 1985 Mar;71(3):227-9 [PMID: 3984765]
  13. PLoS One. 2017 Apr 20;12 (4):e0175752 [PMID: 28426687]
  14. J Sch Nurs. 2013 Apr;29(2):113-22 [PMID: 23008186]
  15. Br J Psychiatry. 1996 Oct;169(4):495-500 [PMID: 8894202]
  16. Ann Acad Med Singapore. 2003 Jan;32(1):12-8 [PMID: 12625092]
  17. Crisis. 2016 Mar;37(2):130-9 [PMID: 27232428]
  18. Int J Soc Psychiatry. 2006 Nov;52(6):561-70 [PMID: 17294601]
  19. Asian J Psychiatr. 2017 Oct;29:136-141 [PMID: 29061412]
  20. Singapore Med J. 2000 May;41(5):218-20 [PMID: 11063171]
  21. Community Ment Health J. 2016 Jul;52(5):574-81 [PMID: 26308835]
  22. Arch Suicide Res. 2012;16(2):174-82 [PMID: 22551047]

MeSH Term

Adolescent
Adult
Age Factors
Asian People
Female
Humans
Longevity
Malaysia
Male
Mental Disorders
Middle Aged
Predictive Value of Tests
Risk Factors
Sex Factors
Singapore
Socioeconomic Factors
Suicide, Attempted
Young Adult

Word Cloud

Created with Highcharts 10.0.0suicideprecipitantsacrosslifespanmedicalcasesageassessmentyearsSingaporeanalysisAdulthoodMiddle9%7%SignificantattemptsfewerproblemsimportantriskfactorprecipitantstudyexploresattemptThreerecordsrelatedattemptersadmittedemergencydepartmentlargeteachinghospitalsubjecteddividedthreegroups:AdolescenceEarlytotal540examined70females63Chinese13Malays15Indianswhoseagesranged1262eight65excludeddifferencesfoundadultsrelativelyrelationshipadolescentscomparativelyfinancialmodelspredictmedicallyseveregroupsusingsignificantfindingsdiscussedregardsimplicationsprimarypreventionwelllimitationsrecommendationsfutureresearchSuicidePrecipitantsDifferAcrossLifespanPredictingMedicallySevereAttemptsseverity

Similar Articles

Cited By