Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity
Abstract Background One of the most relevant risk factors for suicide is the presence of previous attempts. The symptomatic profile of people who reattempt suicide deserves attention. Network analysis is a promising tool to study this field. Objective To analyze the symptomatic network of patien...
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Cambridge University Press
2025-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933824018078/type/journal_article |
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| author | Andres Pemau Alejandro de la Torre-Luque Carolina Marin-Martin Marina Diaz-Marsa Jorge Andreo-Jover Wala Ayad-Ahmed Maria Fe Bravo Ortiz Maria Teresa Bobes-Bascarán Manuel Canal-Rivero Irene Canosa García Ana Isabel Cebrià Benedicto Crespo-Facorro María Ángeles Boti Matilde Elices Ana González-Pinto Iria Grande Luis Jiménez-Treviño Diego J. Palao Angela Palao-Tarrero Carla Pérez-Guerra Natalia Roberto Miguel Ruiz Veguilla Pilar A. Sáiz The SURVIVE Consortium Víctor Pérez |
| author_facet | Andres Pemau Alejandro de la Torre-Luque Carolina Marin-Martin Marina Diaz-Marsa Jorge Andreo-Jover Wala Ayad-Ahmed Maria Fe Bravo Ortiz Maria Teresa Bobes-Bascarán Manuel Canal-Rivero Irene Canosa García Ana Isabel Cebrià Benedicto Crespo-Facorro María Ángeles Boti Matilde Elices Ana González-Pinto Iria Grande Luis Jiménez-Treviño Diego J. Palao Angela Palao-Tarrero Carla Pérez-Guerra Natalia Roberto Miguel Ruiz Veguilla Pilar A. Sáiz The SURVIVE Consortium Víctor Pérez |
| author_sort | Andres Pemau |
| collection | DOAJ |
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Abstract
Background
One of the most relevant risk factors for suicide is the presence of previous attempts. The symptomatic profile of people who reattempt suicide deserves attention. Network analysis is a promising tool to study this field.
Objective
To analyze the symptomatic network of patients who have attempted suicide recently and compare networks of people with several attempts and people with just one at baseline.
Methods
1043 adult participants from the Spanish cohort “SURVIVE” were part of this study. Participants were classified into two groups: single attempt group (n = 390) and reattempt group (n = 653). Different network analyses were carried out to study the relationships between suicidal ideation, behavior, psychiatric symptoms, diagnoses, childhood trauma, and impulsivity. A general network and one for each subgroup were estimated.
Results
People with several suicide attempts at baseline scored significantly higher across all clinical scales. The symptomatic networks were equivalent in both groups of patients (p > .05). Although there were no overall differences between the networks, some nodes were more relevant according to group belonging.
Conclusions
People with a history of previous attempts have greater psychiatric symptom severity but the relationships between risk factors show the same structure when compared with the single attempt group. All risk factors deserve attention regardless of the number of attempts, but assessments can be adjusted to better monitor the occurrence of reattempts.
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| format | Article |
| id | doaj-art-6fac0075cfb2480b97c098eb453aab40 |
| institution | OA Journals |
| issn | 0924-9338 1778-3585 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj-art-6fac0075cfb2480b97c098eb453aab402025-08-20T01:49:26ZengCambridge University PressEuropean Psychiatry0924-93381778-35852025-01-016810.1192/j.eurpsy.2024.1807Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidityAndres Pemau0https://orcid.org/0000-0002-5835-507XAlejandro de la Torre-Luque1https://orcid.org/0000-0003-0595-6127Carolina Marin-Martin2https://orcid.org/0000-0001-6628-9669Marina Diaz-Marsa3https://orcid.org/0000-0003-1364-3163Jorge Andreo-Jover4Wala Ayad-Ahmed5https://orcid.org/0000-0002-0786-0076Maria Fe Bravo Ortiz6https://orcid.org/0000-0001-7969-9245Maria Teresa Bobes-Bascarán7https://orcid.org/0000-0002-5279-504XManuel Canal-Rivero8https://orcid.org/0000-0002-5818-5103Irene Canosa García9https://orcid.org/0000-0003-1485-0797Ana Isabel Cebrià10https://orcid.org/0000-0002-2632-8130Benedicto Crespo-Facorro11https://orcid.org/0000-0003-0033-7132María Ángeles Boti12https://orcid.org/0000-0003-2963-6929Matilde Elices13Ana González-Pinto14Iria Grande15Luis Jiménez-Treviño16https://orcid.org/0000-0002-9551-8587Diego J. Palao17https://orcid.org/0000-0002-3323-6568Angela Palao-Tarrero18https://orcid.org/0000-0003-2717-5807Carla Pérez-Guerra19https://orcid.org/0009-0007-9891-9072Natalia Roberto20https://orcid.org/0000-0002-5391-2711Miguel Ruiz Veguilla21https://orcid.org/0000-0002-5790-7346Pilar A. Sáiz22https://orcid.org/0000-0002-5705-4523The SURVIVE ConsortiumVíctor Pérez23https://orcid.org/0000-0002-5825-2337Departamento de Personalidad, Evaluación y Psicología Clínica, Universidad Complutense de Madrid, Madrid, SpainDepartamento de Medicina Legal, Psiquiatría y Patología, Universidad Complutense de Madrid, Madrid, Spain Centre for Biomedical Research in Mental Health (CIBERSAM), SpainDepartamento de Personalidad, Evaluación y Psicología Clínica, Universidad Complutense de Madrid, Madrid, SpainDepartamento de Medicina Legal, Psiquiatría y Patología, Universidad Complutense de Madrid, Madrid, Spain Centre for Biomedical Research in Mental Health (CIBERSAM), Spain San Carlos University Clinic Hospital, Madrid, SpainHospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, SpainSan Carlos University Clinic Hospital, Madrid, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Department of Psychology, Universidad de Oviedo, Oviedo, Spain Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, Spain Servicio de Salud del Principado de Asturias (SESPA), Oviedo, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Hospital Virgen del Rocio, IBIS, Seville, Spain Universidad de Sevilla, Seville, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Hospital del Mar Medical Research Institute (IMIM), Barcelona, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Mental Health Service, Hospital Universitari Parc Taulí, Unitat Mixta de Neurociència Traslacional, Barcelona, Spain Department of Clinical and Health Psychology, Faculty of Psychology, Universitat Autònoma de Barcelona, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Hospital Virgen del Rocio, IBIS, Seville, Spain Universidad de Sevilla, Seville, SpainDepartament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona (UB), Barcelona, Spain Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainHospital del Mar Medical Research Institute (IMIM), Barcelona, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Department of Psychiatry, Hospital Universitario Alava, BIOARABA, UPV/EHU, Vitoria, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona (UB), Barcelona, Spain Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Department of Psychology, Universidad de Oviedo, Oviedo, Spain Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, Spain Servicio de Salud del Principado de Asturias (SESPA), Oviedo, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Mental Health Service, Hospital Universitari Parc Taulí, Unitat Mixta de Neurociència Traslacional, Barcelona, Spain Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona, SpainHospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, SpainDepartamento de Medicina Legal, Psiquiatría y Patología, Universidad Complutense de Madrid, Madrid, SpainDepartament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona (UB), Barcelona, Spain Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Hospital Virgen del Rocio, IBIS, Seville, Spain Universidad de Sevilla, Seville, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Department of Psychology, Universidad de Oviedo, Oviedo, Spain Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, Spain Servicio de Salud del Principado de Asturias (SESPA), Oviedo, SpainCentre for Biomedical Research in Mental Health (CIBERSAM), Spain Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain Instituto de Salud Mental, Hospital del Mar, Barcelona, Spain Abstract Background One of the most relevant risk factors for suicide is the presence of previous attempts. The symptomatic profile of people who reattempt suicide deserves attention. Network analysis is a promising tool to study this field. Objective To analyze the symptomatic network of patients who have attempted suicide recently and compare networks of people with several attempts and people with just one at baseline. Methods 1043 adult participants from the Spanish cohort “SURVIVE” were part of this study. Participants were classified into two groups: single attempt group (n = 390) and reattempt group (n = 653). Different network analyses were carried out to study the relationships between suicidal ideation, behavior, psychiatric symptoms, diagnoses, childhood trauma, and impulsivity. A general network and one for each subgroup were estimated. Results People with several suicide attempts at baseline scored significantly higher across all clinical scales. The symptomatic networks were equivalent in both groups of patients (p > .05). Although there were no overall differences between the networks, some nodes were more relevant according to group belonging. Conclusions People with a history of previous attempts have greater psychiatric symptom severity but the relationships between risk factors show the same structure when compared with the single attempt group. All risk factors deserve attention regardless of the number of attempts, but assessments can be adjusted to better monitor the occurrence of reattempts. https://www.cambridge.org/core/product/identifier/S0924933824018078/type/journal_articleimpulsivitynetwork analysissuicidesuicide reattempttrauma |
| spellingShingle | Andres Pemau Alejandro de la Torre-Luque Carolina Marin-Martin Marina Diaz-Marsa Jorge Andreo-Jover Wala Ayad-Ahmed Maria Fe Bravo Ortiz Maria Teresa Bobes-Bascarán Manuel Canal-Rivero Irene Canosa García Ana Isabel Cebrià Benedicto Crespo-Facorro María Ángeles Boti Matilde Elices Ana González-Pinto Iria Grande Luis Jiménez-Treviño Diego J. Palao Angela Palao-Tarrero Carla Pérez-Guerra Natalia Roberto Miguel Ruiz Veguilla Pilar A. Sáiz The SURVIVE Consortium Víctor Pérez Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity European Psychiatry impulsivity network analysis suicide suicide reattempt trauma |
| title | Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity |
| title_full | Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity |
| title_fullStr | Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity |
| title_full_unstemmed | Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity |
| title_short | Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity |
| title_sort | symptomatic networks in suicide attempt and reattempt relevance of psychiatric comorbidity |
| topic | impulsivity network analysis suicide suicide reattempt trauma |
| url | https://www.cambridge.org/core/product/identifier/S0924933824018078/type/journal_article |
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