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Comprehensive psychiatry v.80, 2018년, pp.150 - 154   SCI SCIE SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Factors associated with suicide: Case-control study in South Tyrol

Giupponi, Giancarlo    (Department of Psychiatry, Bolzano, Italy   ); Innamorati, Marco    (European University of Rome, Italy   ); Baldessarini, Ross J.    (International Consortium for Mood & Psychotic Disorders Research, Mailman Research Center, McLean Hospital, Belmont, MA, USA   ); De Leo, Diego    (Australian Institute of Suicide Research and Prevention and Griffith University, Mt Gravatt, Qld, Australia   ); de Giovannelli, Francesca    (Department of Psychiatry, Bolzano, Italy   ); Pycha, Roger    (Department of Psychiatry, Brunico, Italy   ); Conca, Andreas    (Department of Psychiatry, Bolzano, Italy   ); Girardi, Paolo    (Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy   ); Pompili, Maurizio    (International Consortium for Mood & Psychotic Disorders Research, Mailman Research Center, McLean Hospital, Belmont, MA, USA  );
  • 초록  

    Abstract Background As suicide is related to many factors in addition to psychiatric illness, broad and comprehensive risk-assessment for risk of suicide is required. This study aimed to differentiate nondiagnostic risk factors among suicides versus comparable psychiatric patients without suicidal behavior. Methods We carried out a pilot, case-control comparison of 131 cases of suicide in South Tyrol matched for age and sex with 131 psychiatric controls, using psychological autopsy methods to evaluate differences in clinically assessed demographic, social, and clinical factors, using bivariate conditional Odds Risk comparisons followed by conditional regression modeling controlled for ethnicity. Results Based on multivariable conditional regression modeling, suicides were significantly more likely to have experienced risk factors, ranking as: [a] family history of suicide or attempt≥[b] recent interpersonal stressors≥[c] childhood traumatic events≥[d] lack of recent clinician contacts≥[e] previous suicide attempt≥[f] non-Italian ethnicity, but did not differ in education, marital status, living situation, or employment, nor by psychiatric or substance-abuse diagnoses. Conclusions Both recent and early factors were associated with suicide, including lack of recent clinical care, non-Italian cultural subgroup-membership, familial suicidal behavior, and recent interpersonal distress.


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