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Unplanned versus planned suicide attempters, precipitants, methods, and an association with mental disorders in a Korea-based community sample

Cited 69 time in Web of Science Cited 72 time in Scopus
Authors
Jeon, Hong Jin; Lee, Jun-Young; Lee, Young Moon; Hong, Jin Pyo; Cho, Seong-Jin; Chang, Sung Man; Cho, Maeng Je; Lee, Hae Woo; Kim, Jin-Yeong; Won, Seung-Hee
Issue Date
2010-12
Publisher
ELSEVIER SCIENCE BV
Citation
JOURNAL OF AFFECTIVE DISORDERS; Vol.127 1-3; 274-280
Keywords
UnplannedKoreaSuicidal ideationSuicidal attempt
Abstract
Background: Studies have consistently reported that a considerable proportion of suicidal attempts are unplanned. We have performed the first direct comparison between planned and unplanned attempts including associated methods and precipitants. Method: A total of 6510 adults, who had been randomly selected through a one-person-per-household method, completed interviews (response rate 81.7%). All were interviewed using the K-CIDI and a questionnaire for suicide. Results: Two hundred and eight subjects reported a suicide attempt in their lifetime, one-third of which had been unplanned. These individuals exhibited a lower level of education; however, no significant differences were found with regard to age, gender, marital and economic status. Further, 84.0% of unplanned attempters experienced previous suicidal ideation, experiencing their first attempt 1.9 years before ideation. Additionally, 94.4% of unplanned attempters had precipitants for attempts such as familial conflict and it was also found that methods such as the use of chemical agents or falling were three times more common in unplanned than planned attempters. With respect to unplanned attempters, they exhibited a significant association with alcohol use disorder, major depressive disorder, posttraumatic stress disorder, and bipolar disorder. In particular, bipolar disorder was found to be 3.5 times higher in these individuals. Conclusions: Results have revealed that unplanned suicide attempters experience suicidal ideation and precipitants prior to their attempt. Further, attempts were associated with affective and alcohol use disorders. Therefore, in order to reduce the number of suicidal attempts, it may be useful to evaluate suicidal ideation concurrent to the treatment of existing mental disorders. (C) 2010 Elsevier B.V. All rights reserved.
ISSN
0165-0327
Language
English
URI
http://hdl.handle.net/10371/78415
DOI
https://doi.org/10.1016/j.jad.2010.05.027
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Psychiatry (정신과학전공)Journal Papers (저널논문_정신과학전공)
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