Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study

IntroductionThis Hungarian cross-sectional study examined patterns and differences in suicide risk factors across various suicidality groups, including individuals with single or multiple suicide attempts, as well as gender-specific variations. Additionally, it explored these risk factors within a b...

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Main Authors: Noemi Monika Szeifert, Barnabás Oláh, Barbara Sebok, Xenia Gonda
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1626808/full
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author Noemi Monika Szeifert
Noemi Monika Szeifert
Barnabás Oláh
Barnabás Oláh
Barbara Sebok
Xenia Gonda
Xenia Gonda
Xenia Gonda
author_facet Noemi Monika Szeifert
Noemi Monika Szeifert
Barnabás Oláh
Barnabás Oláh
Barbara Sebok
Xenia Gonda
Xenia Gonda
Xenia Gonda
author_sort Noemi Monika Szeifert
collection DOAJ
description IntroductionThis Hungarian cross-sectional study examined patterns and differences in suicide risk factors across various suicidality groups, including individuals with single or multiple suicide attempts, as well as gender-specific variations. Additionally, it explored these risk factors within a biopsychosocial framework to offer a comprehensive understanding of their interconnected effects.Materials and methodsA total of 300 psychiatric inpatients were recruited from Péterfy Sandor Hospital in Budapest, Hungary, including 146 individuals (48.67%) with a history of suicide attempts and 154 (51.33%) without such a history. Participants ranged in age from 18 to 85 years, with a mean age of 37.98 years (SD = 12.80 for suicide attempters, 13.72 for non-attempters). The overall sample comprised 83 males (27.7%) and 217 females (72.3%). Logistic regression analysis was conducted to assess the influence of demographic characteristics, life history variables, and psychiatric diagnoses on suicide risk, aiming to identify significant predictors of suicide attempts within a biopsychosocial framework.ResultsDepression was the most prevalent psychiatric diagnosis in the sample. Significant predictors of suicide attempts included family history of suicide (OR = 2.283, p = 0.015), prescription drug misuse (OR = 1.900, p = 0.047), and nicotine dependence (OR = 1.869, p = 0.035). In repeated suicide attempts, bipolar disorder (OR = 5.761, p = 0.006), borderline personality disorder (OR = 5.132, p = 0.003), depression (OR = 4.064, p = 0.004), and job loss (OR = 4.348, p = 0.031) emerged as the strongest predictors. Among men, job loss (OR = 4.074, p = 0.014) was a prominent risk factor, while among women, having two or more children (OR = 2.740, p = 0.036) and a family history of suicide (OR = 2.459, p = 0.028) significantly increased suicide risk. Relationship conflict was also associated with higher risk in women (OR = 0.382, p = 0.035).ConclusionsOur research supports the notion that suicide risk factors interact with one another, and in certain cases, their effects may be synergistic—mutually reinforcing—rather than antagonistic. Similarly, protective factors also appear to amplify each other’s impact, suggesting a cumulative and interactive model of both risk and resilience.
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spelling doaj-art-a4a4a66dfd7148bba001bc7b91b3e9e72025-08-20T05:32:57ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.16268081626808Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional studyNoemi Monika Szeifert0Noemi Monika Szeifert1Barnabás Oláh2Barnabás Oláh3Barbara Sebok4Xenia Gonda5Xenia Gonda6Xenia Gonda7Doctoral School of Psychology, ELTE Eötvös Lóránd University, Budapest, HungaryDepartment of Sports Medicine, Semmelweis University, Budapest, HungaryDepartment of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, HungaryClinical Psychology Center of CC, Health Care Service Units, University of Debrecen Clinical Centre, Debrecen, HungarySemmelweis University School of PhD Studies Workgroup for Science Management, Dr. Manninger Jenő Trauma Center, Budapest, HungaryDepartment of Clinical Psychology, Semmelweis University, Budapest, HungaryDepartment of Psychiatry and Psychotherapy, Semmelweis University, Budapest, HungaryNAP3.0-SE Neuropsychopharmacology Research Group, Hungarian Brain Research Program, Semmelweis University, Budapest, HungaryIntroductionThis Hungarian cross-sectional study examined patterns and differences in suicide risk factors across various suicidality groups, including individuals with single or multiple suicide attempts, as well as gender-specific variations. Additionally, it explored these risk factors within a biopsychosocial framework to offer a comprehensive understanding of their interconnected effects.Materials and methodsA total of 300 psychiatric inpatients were recruited from Péterfy Sandor Hospital in Budapest, Hungary, including 146 individuals (48.67%) with a history of suicide attempts and 154 (51.33%) without such a history. Participants ranged in age from 18 to 85 years, with a mean age of 37.98 years (SD = 12.80 for suicide attempters, 13.72 for non-attempters). The overall sample comprised 83 males (27.7%) and 217 females (72.3%). Logistic regression analysis was conducted to assess the influence of demographic characteristics, life history variables, and psychiatric diagnoses on suicide risk, aiming to identify significant predictors of suicide attempts within a biopsychosocial framework.ResultsDepression was the most prevalent psychiatric diagnosis in the sample. Significant predictors of suicide attempts included family history of suicide (OR = 2.283, p = 0.015), prescription drug misuse (OR = 1.900, p = 0.047), and nicotine dependence (OR = 1.869, p = 0.035). In repeated suicide attempts, bipolar disorder (OR = 5.761, p = 0.006), borderline personality disorder (OR = 5.132, p = 0.003), depression (OR = 4.064, p = 0.004), and job loss (OR = 4.348, p = 0.031) emerged as the strongest predictors. Among men, job loss (OR = 4.074, p = 0.014) was a prominent risk factor, while among women, having two or more children (OR = 2.740, p = 0.036) and a family history of suicide (OR = 2.459, p = 0.028) significantly increased suicide risk. Relationship conflict was also associated with higher risk in women (OR = 0.382, p = 0.035).ConclusionsOur research supports the notion that suicide risk factors interact with one another, and in certain cases, their effects may be synergistic—mutually reinforcing—rather than antagonistic. Similarly, protective factors also appear to amplify each other’s impact, suggesting a cumulative and interactive model of both risk and resilience.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1626808/fullsuicide riskpsychiatric disordersgender differencessingle and multiple attempterssuicide prevention
spellingShingle Noemi Monika Szeifert
Noemi Monika Szeifert
Barnabás Oláh
Barnabás Oláh
Barbara Sebok
Xenia Gonda
Xenia Gonda
Xenia Gonda
Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study
Frontiers in Psychiatry
suicide risk
psychiatric disorders
gender differences
single and multiple attempters
suicide prevention
title Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study
title_full Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study
title_fullStr Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study
title_full_unstemmed Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study
title_short Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study
title_sort uncovering key biopsychosocial risk factors in non violent suicide attempts evidence from a hungarian cross sectional study
topic suicide risk
psychiatric disorders
gender differences
single and multiple attempters
suicide prevention
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1626808/full
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