Mayo Clinic study: Suicide attempt a stronger predictor of completed suicide than previously thought

24 Sep

People of all ages may have feelings of profound sadness, loss, and depression. There is no one on earth, despite what the ads attempt to portray, who lives a perfect life. Every life has flaws and blemishes; it is just that some cope better than others. For every person who lives to a ripe old age, during the course of that life they may encounter all types of loss from loss of a loved one through death, divorce or desertion, loss of job, financial reverses, illness, dealing with A-holes and twits, plagues, pestilence, and whatever curse can be thrown at a person. The key is that they lived THROUGH whatever challenges they faced AT THAT MOMENT IN TIME. Woody Allen said something like “90% of life is simply showing up.” Let moi add a corollary, one of the prime elements of a happy life is to realize that whatever moment you are now in, it will not last forever and that includes moments of great challenge. A person does not have to be religious to appreciate the story of Job. The end of the story is that Job is restored. He had to endure much before the final victory, though.

Science Daily reported in Suicide attempt a stronger predictor of completed suicide than previously thought:

While a prior history of suicide attempt is one of the strongest predictors of completed suicide, a Mayo Clinic study finds it is more lethal than previously known.

Researchers find that suicide risk was nearly 60 percent higher than previously reported when based on a population-based cohort focusing on individuals making first lifetime attempts and including those whose first attempts were fatal. This risk was dramatically higher for attempts using firearms. The population sample was identified through the Rochester Epidemiology Project.

“We hoped to address the shortcomings of earlier studies by including two groups previously overlooked by other studies,” says J. Michael Bostwick, M.D., a psychiatrist on Mayo Clinic’s Rochester campus and the lead author of the study published in the American Journal of Psychiatry. “Our study enrolled individuals whose first-ever suicide attempt presented to medical attention. Not only did we include those who survived this initial attempt, but we also included those who died on their first attempt and ended up on the coroner’s slab rather than in the emergency room. These are large groups that have been routinely ignored in calculation of risk.” Since suicide is one of the 10 most common causes of death in the U.S., it is a major public health concern. The study found that nearly 60 percent of people who attempted suicide died on their first attempt….                                                                                                                                https://www.sciencedaily.com/releases/2016/09/160912161259.htm

Citation:

Suicide attempt a stronger predictor of completed suicide than previously thought

Date:         September 12, 2016

Source:     Mayo Clinic

Summary:

While a prior history of suicide attempt is one of the strongest predictors of completed suicide, a new study finds it is more lethal than previously known.

Journal Reference:

  1. J. Michael Bostwick, Chaitanya Pabbati, Jennifer R. Geske, Alastair J. McKean. Suicide Attempt as a Risk Factor for Completed Suicide: Even More Lethal Than We Knew. American Journal of Psychiatry, 2016; appi.ajp.2016.1 DOI: 10.1176/appi.ajp.2016.15070854

Here is the press release from the Mayo Clinic:

  • By Duska Anastasijevic

Suicide attempt a stronger predictor of completed suicide than previously thought

September 12, 2016

ROCHESTER, Minn. — While a prior history of suicide attempt is one of the strongest predictors of completed suicide, a Mayo Clinic study finds it is more lethal than previously known.

Researchers find that suicide risk was nearly 60 percent higher than previously reported when based on a population-based cohort focusing on individuals making first lifetime attempts and including those whose first attempts were fatal. This risk was dramatically higher for attempts using firearms. The population sample was identified through the Rochester Epidemiology Project.

“We hoped to address the shortcomings of earlier studies by including two groups previously overlooked by other studies,” says J. Michael Bostwick, M.D., a psychiatrist on Mayo Clinic’s Rochester campus and the lead author of the study published in the American Journal of Psychiatry. “Our study enrolled individuals whose first-ever suicide attempt presented to medical attention. Not only did we include those who survived this initial attempt, but we also included those who died on their first attempt and ended up on the coroner’s slab rather than in the emergency room. These are large groups that have been routinely ignored in calculation of risk.”

Since suicide is one of the 10 most common causes of death in the U.S., it is a major public health concern. The study found that nearly 60 percent of people who attempted suicide died on their first attempt.

“Almost no other study in the literature includes individuals who die on that first attempt,” Dr. Bostwick adds. “A large part of the reason that such a high proportion of the total suicides occurred on first attempt can be attributed to firearm usage. The results show that it is a 140 time more likely for firearms to cause suicide, compared to all other methods. That means nearly three-fourths of all deaths at first suicide attempt were caused by using firearms. This shows that guns are, unfortunately, but not surprisingly, remarkably effective.”

The study also revealed that the male-female ratio was higher (1.7-to-1) among those making their attempts than what other studies previously purported. Older age in men also is associated with higher suicide risk. Nearly one-third of men over 65 in the study killed themselves.

MEDIA CONTACT: Duska Anastasijevic, Mayo Clinic Public Affairs, 507-284-5005, newsbureau@mayo.edu

The Rochester Epidemiology Project diagnostic index was searched electronically to identify 1,490 Olmsted County residents whose first suicide attempt came to medical attention between Jan. 1, 1986, and Dec. 31, 2007. The study included 555 males and 935 females followed for three to 25 years.

While the study confirmed previous findings that the risk decreased in survivors given a follow-up psychiatry appointment, the vast majority of survivors, irrespective of gender, killed themselves within a year after the index attempt. This underscores how important it is that survivors have psychiatric follow-up scheduled after the first attempt and how the first year following a suicide attempt is a critical window for a repeat fatal attempt.

Other authors include: Alastair J. McKean, M.D. and Jennifer R. Geske, M.S., of Mayo Clinic, and Chaitanya Pabbati, M.D., Department of Psychiatry, University of California, San Diego;

###

About Mayo Clinic
Mayo Clinic is a nonprofit organization committed to medical research and education, and providing expert, whole-person care to everyone who needs healing. For more information, visit http://www.mayoclinic.org/about-mayo-clinic or http://newsnetwork.mayoclinic.org/.

What Should You Do if You Know Someone Who Thinking About Suicide?

If you are thinking of suicide or you know someone who is thinking about suicide, GET HELP, NOW!!!! The Suicide Prevention Resource Center http://www.sprc.org/basics/roles-suicide-prevention has some excellent advice about suicide prevention http://www.sprc.org/basics/roles-suicide-prevention

Resources:

Suicide Prevention
http://www.cdc.gov/violenceprevention/pub/youth_suicide.html

Teen Suicide Overview
http://www.teensuicidestatistics.com/

Teen’s Health’s Suicide
http://kidshealth.org/teen/your_mind/feeling_sad/suicide.html

American Academy of Adolescent Psychiatry http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/Teen_Suicide_10.aspx

Suicide Prevention Resource Center
http://www.sprc.org/basics/roles-suicide-prevention

Teen Depression
http://helpguide.org/mental/depression_teen.htm

Jared Story.Com
http://www.jaredstory.com/teen_epidemic.html

CNN Report about suicide                                                                                                     http://www.cnn.com/2009/LIVING/10/20/lia.latina.suicides/index.html

American Foundation for Suicide Prevention
http://www.afsp.org This group is dedicated to advancing the knowledge of suicide and the ability to prevent it.

A\VE – Suicide Awareness\Voices of Education
http://www.save.org SA\VE offers information on suicide prevention. Call (800) SUICIDE

About.Com’s Depression In Young Children                                                                http://depression.about.com/od/child/Young_Children.htm

Psych Central’s Depression In Young Children                                          http://depression.about.com/od/child/Young_Children.htm

Psychiatric News’ Study Helps Pinpoint Children With Depression
http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=106034

Family Doctor’s What Is Depression?
http://familydoctor.org/familydoctor/en/diseases-conditions/depression.html

WebMD’s Depression In Children
http://www.webmd.com/depression/guide/depression-children

Healthline’s Is Your Child Depressed?
http://www.healthline.com/hlvideo-5min/how-to-help-your-child-through-depression-517095449

Medicine.Net’s Depression In Children                                                                http://www.onhealth.com/depression_in_children/article.htm

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Where information leads to Hope. © Dr. Wilda.com

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http://drwildareviews.wordpress.com/

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