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Shengnan Wei,
Li Liu,
Bo Bi,
Haiyan Li,
Jinglin Hou, Shanyong Tan,
Xu Chen,
Wei Chen,
Xiaoju Jia,
Guanghui Dong,
Xiaoxia Qin,
Ying Liu
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ABSTRACT: Background: Studies on the effects of interventions in patients who have attempted suicide in China have not reported so far. Aims: To describe the basic situation surrounding the interventions and follow-up of patients who have attempted suicide and to determine whether the interventions would be effective in reducing repeat suicide attempts. Method: 239 patients who had attempted suicide were evaluated in the emergency departments of four general hospitals. They were randomized into three groups: cognitive therapy group, telephone intervention group, and control group. Postintervention the participants were evaluated at 3, 6, and 12 months separately by the following measurements: a detailed structured questionnaire, Beck Suicide Ideation Scale (SIS), Hamilton Rating Scale for Depression (HAMD), and a quality-of-life scale. Results: After 12 months, the cumulative dropout rate was 69.5% (n = 57) for the cognitive therapy group, 55.0% (n = 44) for the telephone intervention group, and 64.9% (n = 50) for the control group. One patient (1.2%) in the cognitive therapy group, one patient (1.3%) in the telephone intervention group, and five patients (6.5%) in the control group made at least one subsequent suicide attempt. The rates of repeated attempted suicide among the three groups were not significantly different (χ² = 5.077, p = .08). Five patients (6.1%) received cognitive therapy, and 60 patients (75.0%) received telephone intervention. There were no differences regarding the score of HAMD, a quality-of-life scale, and the rates of subsequent suicide attempt and suicide ideation among the three groups at follow-up. Conclusions: The dropout rates were higher than those reported in developed countries. Most participants in the cognitive therapy group refused to receive cognitive therapy so that the effect of cognitive therapy for these patients cannot be evaluated. The participants in the telephone intervention group had good compliance, but the effect of telephone intervention could not be confirmed, so that more studies are needed in the future. Consequently, interventions cannot be evaluated accurately in their preventing suicide attempts for patients who have attempted suicide in China at present.
Crisis The Journal of Crisis Intervention and Suicide Prevention 12/2012; · 1.09 Impact Factor
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Shengnan Wei,
Li Liu,
Bo Bi,
Haiyan Li,
Jinglin Hou,
Wei Chen, Shanyong Tan,
Xu Chen,
Xiaoju Jia,
Guanghui Dong,
Xiaoxia Qin
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ABSTRACT: OBJECTIVE: The aim of the current study was to compare the sociodemographic and psychological characteristics of impulsive suicide attempters with those of nonimpulsive suicide attempters in the emergency departments of general hospitals in Shenyang, China. METHODS: A total of 239 consecutive suicide attempters, who were treated in the emergency departments of four randomly selected general hospitals from Shenyang city, were evaluated by the following measurements: a detailed structured questionnaire, Beck Suicide Ideation Scale, Hamilton Depression Rating Scale, a quality of life scale and the Structured Clinical Interview for DSM-IV Axis I Disorders. The patients were categorized as "impulsive suicide attempts" (≤2 h) and "nonimpulsive suicide attempts" (>2 h) based on the hours it takes for a patient to consider suicide before acting, and the characteristics of the two groups of patients were compared. RESULTS: One hundred seven (44.8%) patients were categorized as impulsive attempters. Compared to nonimpulsive suicide attempters, the impulsive suicide attempters had significantly more self-rescue ideation, their motive was more likely to threaten or express anger at others, and they scored much lower on the intensity of suicidal ideation and depression but higher on life quality; they also had a lower prevalence of psychiatric diagnosis but a higher rate of substance-related disorders. Multivariate logistic regression analysis identified the following independent predictors of impulsive suicide attempts among suicide attempters: having religious beliefs [odds ratio (OR)=4.435, 95% confidence interval (CI)=1.545-12.736], a lower score on the Suicide Ideation Scale (OR=0.952, 95% CI=0.936-0.969) and a lower score on the Hamilton Depression Rating Scale (OR=0.949, 95% CI=0.911-0.989). CONCLUSIONS: The characteristics of impulsive suicide attempters differed significantly with those of nonimpulsive suicide attempters in emergency departments of urban China. It is important to develop different kinds of interventions for the two types of suicide attempters to prevent more future suicide attempts.
General hospital psychiatry 12/2012; · 2.67 Impact Factor
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Shengnan Wei,
Hongfei Yan,
Wei Chen,
Li Liu,
Bo Bi,
Haiyan Li,
Jinglin Hou, Shanyong Tan,
Xu Chen,
Guanghui Dong,
Xiaoxia Qin
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ABSTRACT: OBJECTIVE: We aimed to identify gender-specific characteristics of suicide attempters admitted to general hospital emergency departments in urban China. METHODS: The Structured Clinical Interview for the DSM-IV, the Suicide Ideation Scale, the Hamilton Depression Rating Scale and a quality of life measure were administered to 239 suicide attempters who were treated consecutively in the emergency departments of four general hospitals randomly selected in Shenyang, China. RESULTS: Among the 239 enrolled subjects, 53 (22.2%) were men, and 186 (77.8%) were women. Compared to women, men were more likely to be a minority, live with their families and/or suffer from substance-related disorders. Men were less likely to be living alone or cohabitating. Women were more likely to express suicide ideation compared with men. Thirty-seven (69.8%) men and 129 (69.4%) women had mental illness. The prevalence of psychiatric diagnosis was not significantly different between men and women (χ(2)=.004, df=1, P=.95). CONCLUSION: The rate of attempted suicide is higher among women than among men in the emergency departments of urban China. Except for race, living situation and suicide ideation, there are few gender differences regarding socio-demographic and clinical characteristics in the current study that are not consistent with reports from other countries. However, similar to other studies, men are more likely to suffer from substance-related disorders than are women. The unique, gender-specific characteristics pertaining to suicide attempters in urban China emphasizes the need for gender-specific interventions in future clinical treatment.
General hospital psychiatry 11/2012; · 2.67 Impact Factor
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Bo Bi,
Jianhua Tong,
Li Liu,
Shengnan Wei,
Haiyan Li,
Jinglin Hou, Shanyong Tan,
Xu Chen,
Wei Chen,
Xiaoju Jia,
Ying Liu,
Guanghui Dong,
Xiaoxia Qin,
Michael R Phillips
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ABSTRACT: Compare the sociodemographic and psychological characteristics of suicide attempters admitted to emergency departments of general hospitals in China that do and do not meet diagnostic criteria for mental disorders.
The Structured Clinical Interview for DSM-IV, the Suicide Ideation Scale, the Hamilton Depression Rating Scale and a quality of life measure were administered to 239 consecutive suicide attempters who were treated in the emergency departments of four randomly selected general hospitals in Shenyang.
Among the enrolled subjects, 166 (69.5%) met diagnostic criteria for a current mental disorder. Among these 166 subjects, 62.7% had mood disorders, 14.5% had anxiety disorders, 10.8% had psychotic disorders and 3.6% had substance use disorders. The 73 suicide attempters without a mental disorder were younger, had higher levels of impulsiveness and were more likely to have ideas about being rescued. Multivariate logistic regression analysis identified the following independent predictors of having a current psychiatric disorder in the suicide attempters: female gender (OR=3.67, 95% CI=1.23-10.91), more than 6 years of formal education (OR=1.19, 95% CI=1.04-1.36), a higher score on the suicide ideation scale (OR=1.01, 95% CI=1.00-1.03), a higher score on Hamilton depression rating scale (OR=1.26, 95% CI=1.16-1.37) and a lower score on the quality of life scale (OR=0.75, 95% CI=0.63-0.90).
The prevalence of psychiatric disorders in suicide attempters in emergency departments of urban China is lower than that reported in most western countries. Suicide attempters with and without mental illnesses are distinct on a number of important dimensions. Mental health assessment and appropriate discharge planning for patients treated in emergency departments for suicide attempts are crucial components of comprehensive suicide prevention efforts.
General hospital psychiatry 32(5):549-55. · 2.67 Impact Factor
