Predicting Repetition of Suicide Attempt: A Prospective Study of 50Suicide Attempters

Abstract

The purpose of this study was to identify risk factors for repetition of suicide attempt by means of a prospective design. Fifty suicide attempters were interviewed shortly after their attempt and then 18 months later. During this time period, eight persons had repeated their suicide attempt. Logistic regression analyses showed that low self-appraised problem-solving capacity and general self-efficacy predicted repetition of attempt. No significant effects were found from depression, hopelessness or self-esteem. Moreover, self-appraised problem-solving capacity and self-efficacy retained their predictive power even when controlling for sex, age, previous suicide attempt, suicide intention and medical risk. The single most important predictor of repeated suicide attempt was found to be low self-efficacy; a change of one standard deviation yielded an odds ratio of 3.7.

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