TUESDAY, July 13 (HealthDay News) -- The method a person uses
for an attempted suicide helps predict the future chances of a
completed suicide, new research has found.
Swedish researchers looked at almost 49,000 people admitted to
hospital for attempted suicide between 1973 and 1982. During 21 to
31 years of follow-up, 5,740 of those people (12 percent) committed
suicide.
The highest risk for eventually committing suicide (54 percent
for men and 57 percent for women) was among people who'd previously
attempted to kill themselves by hanging, strangulation or
suffocation. More than 85 percent of them died within one year of
their prior suicide attempt, according to the report published in
the July 14 online edition of
BMJ.
Attempted deaths involving gassing, jumping from a height, use
of a firearm or explosive, or drowning were moderately associated
with later committing suicide, while poisoning or cutting were
associated with a lower likelihood of later suicide, the
investigators found.
"The method used at a suicide attempt predicts later completed suicide also when controlling for sociodemographic confounding and co-occurring psychiatric disorder. Intensified aftercare is warranted after suicide attempts involving hanging, drowning, firearms or explosives, jumping from a height, or gassing," Bo Runeson, psychiatry professor in the department of clinical neuroscience at Karolinska Institute in Stockholm, Sweden, and colleagues advised.
The findings may prove important in the assessment and follow-up
of patients who have attempted suicide, Keith Hawton, a professor
of psychiatry at Warneford Hospital in Oxford, U.K., noted in an
accompanying editorial.
However, "although use of more lethal methods of self-harm is an
important index of suicide risk, it should not obscure the fact
that self-harm in general is a key indicator of an increased risk
of suicide," Hawton wrote.
More information
The U.S. Centers for Disease Control and Prevention has more
about
suicide prevention.