Suicidal intent in deliberate self-harm and the risk of suicide: The predictive power of the Suicide Intent Scale

2005 ◽  
Vol 86 (2-3) ◽  
pp. 225-233 ◽  
Author(s):  
Louise Harriss ◽  
Keith Hawton
Keyword(s):  
Predictive Power ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
Suicide Intent ◽  
Self Harm

Concordance of clinical estimation of suicidal intent

2002 ◽  
Vol 19 (3) ◽  
pp. 84-85 ◽  
Author(s):  
Helen S Keeley ◽  
Carmel McAuliffe ◽  
Paul Corcoran ◽  
Ivan J Perry
Keyword(s):  
Multicentre Study ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
Statistical Comparison ◽  
Accident And Emergency ◽  
Psychometric Instruments ◽  
Suicide Intent ◽  
Self Harm ◽  
Clinical Records ◽  
Level Of Agreement

AbstractObjective: The aim of this paper is to assess the level of agreement between clinical estimates of suicidal intent based entirely on information recorded in the Accident and Emergency acute assessment and Beck's Suicide Intent Scale (SIS) scores.Method: As part of the WHO/EURO Multicentre Study of Parasuicide, cases of deliberate self-harm (DSH) in Cork city hospitals were monitored. Over the period 1995-1997, the information recorded in the Accident and Emergency acute assessment was examined by a psychiatrist and, if possible on the available evidence, clinical estimates were made at three levels of suicidal intent: minimal, moderate and definite. Seventy-nine of these cases had fully completed Beck's SIS. Statistical comparison was made between the results of the SIS and the clinical estimate of suicide intent.Results: The agreement (Kappa = 0.146, p = 0.046) and concordance (Lin's concordance coefficient = 0.330, p = 0.001) between the two ratings are statistically significant but both are low. The overlap between those identified as high or low intent is low.Conclusions: These findings indicate low agreement between a clinician's rating of suicide intent based on clinical records and Beck's SIS. This is especially relevant given the increasing reliance on psychometric instruments in assessment in psychiatry. However, further investigation is necessary to clarify which is the more valid method.

Impact of perceived social support and parental bonding in predicting suicidal intent among self-harm patients

2021 ◽  
pp. 1-11
Author(s):  
Naila Yaqoob ◽  
Sadaf Ahsan
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Perceived Social Support ◽  
Demographic Variable ◽  
Parental Bonding ◽  
Cross Sectional ◽  
Suicidal Intent ◽  
Suicide Intent ◽  
Self Harm ◽  
The Impact

Objective: The present study investigated the impact of perceived social-support and parental-bonding in predicting suicidal intent among self-harm patients.Methods: Cross-sectional research design was used in current study. Study was conducted at Foundation University, Rawalpindi from February, 2019 to September, 2019. A purposive sample of 50 self-harm patients was collected from different mental health departments of hospitals of Rawalpindi, Jhelum and Peshawar. Participants were administered Multidimensional Scale of Perceived Social Support (MSPSS), Parental-Bonding Instrument (PBI) and Beck Suicide Intention Scale (BSIS). Data was analyzed through SPSS using correlation, t test and regression. Differences on the basis of demographic variable were also studied.Results: The main results of the study specified that social support and parental bonding’ factor ‘care’ had significant negative correlation with suicide intent. Moreover, it negatively predicted suicide intent. Whereas, parental boding’ factor ‘overprotectiveness’ had significant positive correlation with suicide intent and significantly positively predicted suicide intent. Conclusion: The outcomes of present study emphasized that social-support and parental bonding both can play substantial roles in saving lives. Researchers and mental health experts will be able to start examine about the factors that distinguish deliberate self-harm from attempted suicide as well as the characteristics common to both conducts. Continuous...

Motives and Suicide Intent Underlying Hospital Treated Deliberate Self-Harm and Their Association with Repetition

2007 ◽  
Vol 37 (4) ◽  
pp. 397-408 ◽  
Author(s):  
Carmel McAuliffe ◽  
Ella Arensman ◽  
Helen S. Keeley ◽  
Paul Corcoran ◽  
Anthony P. Fitzgerald
Keyword(s):  
Deliberate Self Harm ◽  
Suicide Intent ◽  
Self Harm

scholarly journals An Exploration of Differences Between Deliberate Self-Harm with and without Suicidal Intent Amongst a Clinical Sample of Young People in Singapore: A Cross-Sectional Study

2020 ◽  
Vol 17 (4) ◽  
pp. 1429
Author(s):  
Ellaisha Samari ◽  
Shazana Shahwan ◽  
Edimansyah Abdin ◽  
YunJue Zhang ◽  
Rajeswari Sambasivam ◽  
...  
Keyword(s):  
Mental Illness ◽  
Young People ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Clinical Sample ◽  
Self Report ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
People With Mental Illness ◽  
Self Harm

This study examined differences between young people with mental illness who engage in deliberate self-harm with and without suicidal intent, as well as socio-demographic and clinical factors that are related to the increased likelihood of suicide attempt amongst self-harming young people. A total of 235 outpatients with mental illness who had engaged in deliberate self-harm were recruited from a tertiary psychiatric hospital in Singapore. Participants completed a self-report questionnaire which collected information on their socio-demographic background, self-harm history, diagnosis, depressive symptoms and childhood trauma. A total of 31.1% had reported a history of attempted suicide. Multiple logistic regression conducted found that engaging in self-harm ideation between 1 and 7 days (OR = 4.3, p = 0.30), and more than 1 week (OR = 10.5, p < 0.001) (versus no engagement in any self-harm ideation at all), were significantly associated with greater likelihood of attempted suicide. This study reports a relatively high prevalence rate of reported suicide attempts amongst young people with mental illness who engaged in self-harm. Identifying self-harm behaviors and treating it early could be the first step in managing potential suicidal behaviors among those who engage in self-harm.

Deliberate self-harm: a comparison of first-time cases and cases with a prior history

1995 ◽  
Vol 12 (4) ◽  
pp. 131-134 ◽  
Author(s):  
Kamal Gupta ◽  
Kandiah Sivakumar ◽  
Nigel Smeeton
Keyword(s):  
Physical Violence ◽  
Previous History ◽  
Structured Interview ◽  
Entire Group ◽  
Prior History ◽  
Deliberate Self Harm ◽  
Suicide Intent ◽  
Self Harm ◽  
Death Wishes ◽  
First Time

AbstractObjective: Eighty one patients admitted following deliberate self-harm were assessed using a semi-structured interview. The aim of the study was to compare clinical and social profiles of the 42 patients who had committed self harm for the first time with those of the 39 who had committed self harm in the past.Method: The patients were assessed jointly by a psychiatrist and either a community psychiatric nurse or a social worker. A description of past suicidal behaviour, socio demographic information, medical and psychiatric history were recorded. Suicide intent was assessed both from the clinical interview and rated objectively using Pierce's suicide intent scale. Psychiatric diagnoses were made using the ICD 9 classification.Results: The entire group had experienced difficulties in sustaining relationships. This problem was significantly more widespread in repeaters with increased use of physical violence in their relationship. More patients with a previous history claimed to have death wishes at the time of self harm, and asserted that they would harm themselves again compared with patients without a previous history. Clinical predictions regarding future self harming behaviour were in line with the patient's stated intentions.Conclusion: The persistent desire to commit self harm and more widespread relational difficulties amongst the patients with a previous history suggests a need for different treatment strategies and outcome measures for the two groups.

A Comparative Study of Young and Adult Deliberate Self-Harm Patients

Crisis ◽  
2005 ◽  
Vol 26 (2) ◽  
pp. 64-72 ◽  
Author(s):  
H. Hjelmeland ◽  
B. Grøholt
Keyword(s):  
Substance Abuse ◽  
Comparative Study ◽  
Older Persons ◽  
Self Esteem ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
To Receive ◽  
Psychiatric Problems

Abstract. Research has shown that the prevalence of deliberate self-harm (DSH) is higher in adolescents than in adults, but little is known about other differences. In this study we compare adolescent and adult DSH-patients regarding factors contributing to the suicidal act. In two regions in Norway, 98 persons under 20 years of age and 83 older persons were interviewed following an act of DSH. They were compared regarding intentions involved in the DSH, precipitating circumstances, level of suicidal intent, medical seriousness of the act, depression, hopelessness, and self-esteem. Few differences were found. The adults more often wanted to escape from unbearable thoughts or situations, or to receive care and attention. Adults also reported a slightly higher level of medical seriousness of the DSH act, more psychiatric problems, and substance abuse. The similarities between young and adult DSH-patients are striking. The differences found are most likely related to factors of age itself, such as cognitive immaturity, impulsivity, and lack of experience in enduring problems.

Deliberate self harm - correlates of suicidal intent and severity of depression

1987 ◽  
Vol 75 (5) ◽  
pp. 474-477 ◽  
Author(s):  
G. O'Brien ◽  
A. R. Holton ◽  
K. Hurren ◽  
L. Watt ◽  
F. Hassanyeh
Keyword(s):  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Severity Of Depression

scholarly journals Study on suicidal intent and its relationship with psychiatric morbidity in cases of deliberate self-harm

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
NitinD Bhoge ◽  
ShalakaS Pawar ◽  
PrasadK Tagad ◽  
AlkaV Pawar
Keyword(s):  
Psychiatric Morbidity ◽  
Suicidal Intent ◽  
Deliberate Self Harm ◽  
Self Harm

scholarly journals Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury

2005 ◽  
Vol 186 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Louise Harriss ◽  
Keith Hawton ◽  
Daniel Zahl
Keyword(s):  
Demographic Data ◽  
Patient Characteristics ◽  
Self Report ◽  
First Year ◽  
Suicidal Intent ◽  
Female Patients ◽  
Suicide Intent ◽  
Self Harm ◽  
Measuring Scale

BackgroundSelf-harm is associated with a high risk of suicide. It is unclear whether suicidal intent at the time of self-harm is a risk factor for future suicidal behaviour.AimsTo investigate the relationship between suicidal intent and patient characteristics, repetition of self-harm, and suicide.MethodClinical and demographic data on 4415 patients presenting to hospital following self-harm between 1993 and 2000 were analysed. Suicidal intent was measured using the Beck Suicide Intent Scale (SIS). Follow-up information on repetition of self-harm and suicide was investigated for 2489 patients presenting between 1993 and 1997.ResultsSuicidal intent at the time of self-harm was associated with risk of subsequent suicide, especially within the first year and among female patients. Suicide was more strongly associated with scores on the circumstances section of the SIS than the self-report section. The association between repetition of self-harm and SIS scores was different for male and female patients.ConclusionsThe measurement of suicidal intent in the assessment of self-harm patients is beneficial for the evaluation of future suicide risk. A shortened measuring scale might be useful in clinical practice.

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