Physical illness and parasuicide: evidence from the European Parasuicide Study Interview Schedule (EPSIS/WHO-EURO) - PubMed (original) (raw)
Multicenter Study
doi: 10.2190/E87K-FG03-CHEE-UJD3.
P Scocco, P Marietta, A Schmidtke, U Bille-Brahe, A J Kerkhof, J Lonnqvist, P Crepet, E Salander-Renberg, D Wasserman, K Michel, T Bjerke
Affiliations
- PMID: 10587812
- DOI: 10.2190/E87K-FG03-CHEE-UJD3
Multicenter Study
Physical illness and parasuicide: evidence from the European Parasuicide Study Interview Schedule (EPSIS/WHO-EURO)
D De Leo et al. Int J Psychiatry Med. 1999.
Abstract
Objective: The aim of this research was to identify psychosocial characteristics which might predict future suicidal behavior in parasuicidal subjects in Europe.
Method: The interview utilized for the survey (European Parasuicide Study Interview Schedule--EPSIS) was administered to 1269 parasuicides aged fifteen years and over, within one week of hospital admission after a suicide attempt, and is part of a longitudinal multicenter study. EPSIS included a brief medical questionnaire, scales rating depression, hopelessness, self-esteem, suicide intention, questions on sociodemographic characteristics, an interview on life events and social support, a description of the parasuicidal act, and an evaluation of factors precipitating the index parasuicide.
Results: Physical illness proved to be very frequent among suicide attempters. One in two subjects suffered from an acute, chronic, or chronic disorder in relapse at the time of the parasuicide. Subjects with a physical illness were significantly more depressed, particularly subjects from the intermediate age band and ones affected by a chronic physical disease in relapse. Forty-two percent of patients with physical illness rated their somatic problem as a factor precipitating the attempt and 22 percent judged it to be major one. Furthermore, subjects with physical illnesses considered psychiatric symptoms and disorders to be relevant factors in triggering suicidal behavior, to a greater extent than non-sufferers. The importance of physical illness in contributing to suicidal behavior increased with advancing age.
Conclusions: More careful attention to somatic conditions and their subjective implications would probably augment chances of effectively preventing suicide.
Similar articles
- A repetition-prediction study of European parasuicide populations: a summary of the first report from part II of the WHO/EURO Multicentre Study on Parasuicide in co-operation with the EC concerted action on attempted suicide.
Bille-Brahe U, Kerkhof A, De Leo D, Schmidtke A, Crepet P, Lonnqvist J, Michel K, Salander-Renberg E, Stiles TC, Wasserman D, Aagaard B, Egebo H, Jensen B. Bille-Brahe U, et al. Acta Psychiatr Scand. 1997 Feb;95(2):81-6. doi: 10.1111/j.1600-0447.1997.tb00378.x. Acta Psychiatr Scand. 1997. PMID: 9065670 - [Physical illness and suicidal behavior. Review of results at the Pécs Center of the WHO/EURO Multicenter Study of Parasuicide].
Osváth P, Fekete S, Abrahám I. Osváth P, et al. Orv Hetil. 2001 Jan 21;142(3):127-31. Orv Hetil. 2001. PMID: 11217161 Hungarian. - A repetition-prediction study on European parasuicide populations. Part II of the WHO/Euro Multicentre Study on Parasuicide in cooperation with the EC Concerted Action on Attempted Suicide.
Bille-Brahe U, Kerkhof A, De Leo D, Schmidtke A, Crepet P, Lönnqvist J, Michel K, Salander-Renberg E, Stiles TC, Wasserman D, Egebo H. Bille-Brahe U, et al. Crisis. 1996;17(1):22-31. doi: 10.1027/0227-5910.17.1.22. Crisis. 1996. PMID: 8768403 - ["Suicidal intentions": literature review and perspectives].
Gatelet R, Hardy P, Bungener C. Gatelet R, et al. Encephale. 2012 Apr;38(2):118-25. doi: 10.1016/j.encep.2011.06.002. Epub 2011 Aug 11. Encephale. 2012. PMID: 22516269 Review. French. - The epidemiology of suicide and parasuicide.
Diekstra RF. Diekstra RF. Acta Psychiatr Scand Suppl. 1993;371:9-20. doi: 10.1111/j.1600-0447.1993.tb05368.x. Acta Psychiatr Scand Suppl. 1993. PMID: 8517187 Review.
Cited by
- Parasuicide and drug self-poisoning: analysis of the epidemiological and clinical variables of the patients admitted to the Poisoning Treatment Centre (CAV), Niguarda General Hospital, Milan.
Mauri MC, Cerveri G, Volonteri LS, Fiorentini A, Colasanti A, Manfré S, Borghini R, Pannacciulli E. Mauri MC, et al. Clin Pract Epidemiol Ment Health. 2005 Apr 28;1(1):5. doi: 10.1186/1745-0179-1-5. Clin Pract Epidemiol Ment Health. 2005. PMID: 15967050 Free PMC article. - Change in access to prescribed medication following an episode of deliberate self-poisoning: a multilevel approach.
Gjelsvik B, Heyerdahl F, Lunn D, Hawton K. Gjelsvik B, et al. PLoS One. 2014 May 22;9(5):e98086. doi: 10.1371/journal.pone.0098086. eCollection 2014. PLoS One. 2014. PMID: 24854351 Free PMC article. - Self-harm During Visits to the Emergency Department: A Qualitative Content Analysis.
Lawrence RE, Fuchs B, Krumheuer A, Perez-Coste M, Loh R, Simpson SA, Stanley B. Lawrence RE, et al. J Acad Consult Liaison Psychiatry. 2022 May-Jun;63(3):225-233. doi: 10.1016/j.jaclp.2021.10.003. Epub 2021 Oct 22. J Acad Consult Liaison Psychiatry. 2022. PMID: 34695618 Free PMC article. - Self harm and attempted suicide in adults: 10 practical questions and answers for emergency department staff.
Mitchell AJ, Dennis M. Mitchell AJ, et al. Emerg Med J. 2006 Apr;23(4):251-5. doi: 10.1136/emj.2005.027250. Emerg Med J. 2006. PMID: 16549567 Free PMC article. Review. - Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study.
Fairweather-Schmidt AK, Anstey KJ, Salim A, Rodgers B. Fairweather-Schmidt AK, et al. BMC Psychiatry. 2010 Jun 9;10:41. doi: 10.1186/1471-244X-10-41. BMC Psychiatry. 2010. PMID: 20529373 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources