What differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient study

Abstract Background History of suicide attempts is one of the strongest predictors of adolescent suicide death. Our aim was to improve the comprehension of behavioral and socio-demographical characteristics of adolescent who have attempted suicide which can accelerate preventive and therapeutical me...

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Main Authors: Diana Puzio, Ernest Jan Bobeff, Katarzyna Bliźniewska-Kowalska, Aleksandra Lewandowska, Piotr Gałecki
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Psychiatry
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Online Access:https://doi.org/10.1186/s12888-025-06505-z
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author Diana Puzio
Ernest Jan Bobeff
Katarzyna Bliźniewska-Kowalska
Aleksandra Lewandowska
Piotr Gałecki
author_facet Diana Puzio
Ernest Jan Bobeff
Katarzyna Bliźniewska-Kowalska
Aleksandra Lewandowska
Piotr Gałecki
author_sort Diana Puzio
collection DOAJ
description Abstract Background History of suicide attempts is one of the strongest predictors of adolescent suicide death. Our aim was to improve the comprehension of behavioral and socio-demographical characteristics of adolescent who have attempted suicide which can accelerate preventive and therapeutical measures. Methods We retrospectively analyzed medical data of 284 psychiatric inpatients aged 13–18. We performed an univariate and multivariate analyses for the whole group and female and male sex separately followed by a logistic regression analysis. The primary outcome measure was history of suicidal attempt (SA). Results 115 out of 284 analyzed patients (40.5%) – 91 girls (subgroup 1) and 24 boys (subgroup 2) - had a history of SA. In the whole group SA was associated with female gender, cigarette smoking, nonsuicidal self-injury (NSSI) and neglect of emotional or social needs. In the subgroup of girls the most significant association was found between SA and cigarette smoking, followed by neglect of emotional and social needs, NSSI and the older age of receiving psychiatric help. In boys, the history of SA was associated with two factors: cigarette smoking and family victimization. Conclusions The only factor that showed significant association with SA consequently throughout all our study was cigarette smoking, which implies that in the high risk adolescents population cigarette smoking might be a more specific characteristic of the history of SA than NSSI and thus should not be neglected during first examination.
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spelling doaj-art-7613f77161a24949b9149230c0fc9e7e2025-02-02T12:36:00ZengBMCBMC Psychiatry1471-244X2025-01-0125111010.1186/s12888-025-06505-zWhat differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient studyDiana Puzio0Ernest Jan Bobeff1Katarzyna Bliźniewska-Kowalska2Aleksandra Lewandowska3Piotr Gałecki4Department of Adult Psychiatry, Medical University of LodzDepartment of Sleep Medicine and Metabolic Disorders, Medical University of LodzDepartment of Adult Psychiatry, Medical University of LodzChildren Psychiatry Unit Specialized Psychiatric Health Care Centre in LodzDepartment of Adult Psychiatry, Medical University of LodzAbstract Background History of suicide attempts is one of the strongest predictors of adolescent suicide death. Our aim was to improve the comprehension of behavioral and socio-demographical characteristics of adolescent who have attempted suicide which can accelerate preventive and therapeutical measures. Methods We retrospectively analyzed medical data of 284 psychiatric inpatients aged 13–18. We performed an univariate and multivariate analyses for the whole group and female and male sex separately followed by a logistic regression analysis. The primary outcome measure was history of suicidal attempt (SA). Results 115 out of 284 analyzed patients (40.5%) – 91 girls (subgroup 1) and 24 boys (subgroup 2) - had a history of SA. In the whole group SA was associated with female gender, cigarette smoking, nonsuicidal self-injury (NSSI) and neglect of emotional or social needs. In the subgroup of girls the most significant association was found between SA and cigarette smoking, followed by neglect of emotional and social needs, NSSI and the older age of receiving psychiatric help. In boys, the history of SA was associated with two factors: cigarette smoking and family victimization. Conclusions The only factor that showed significant association with SA consequently throughout all our study was cigarette smoking, which implies that in the high risk adolescents population cigarette smoking might be a more specific characteristic of the history of SA than NSSI and thus should not be neglected during first examination.https://doi.org/10.1186/s12888-025-06505-zAdolescentsSuicide attemptNSSICigarette smoking
spellingShingle Diana Puzio
Ernest Jan Bobeff
Katarzyna Bliźniewska-Kowalska
Aleksandra Lewandowska
Piotr Gałecki
What differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient study
BMC Psychiatry
Adolescents
Suicide attempt
NSSI
Cigarette smoking
title What differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient study
title_full What differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient study
title_fullStr What differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient study
title_full_unstemmed What differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient study
title_short What differentiates adolescents who have attempted suicide from those without suicidal history? A retrospective psychiatric inpatient study
title_sort what differentiates adolescents who have attempted suicide from those without suicidal history a retrospective psychiatric inpatient study
topic Adolescents
Suicide attempt
NSSI
Cigarette smoking
url https://doi.org/10.1186/s12888-025-06505-z
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