Revista Colombiana de Psiquiatría
versão impressa ISSN 0034-7450
ARISTIZABAL GAVIRIA, Alejandro et al. Factors Associated with Suicide Attempts Lethality in Subjects with Mayor Depressive Disorder. rev.colomb.psiquiatr. [online]. 2009, vol.38, n.3, pp. 446-463. ISSN 0034-7450.
Objective: To identify the characteristics associated with high-lethality suicide attempts in a population sample IN Antioquia with major depressive disorder and suicidal behavior history. Method: A semi-structured diagnostic interview was used to assess 140 subjects diagnosed with major depressive disorder and who had made at least one suicide attempt. According to the characteristics of the most serious suicide attempt, the subjects were classified into two groups-low-lethality suicide attempters (low and moderate lethality) and high-lethality suicide attempters (high and very high lethality)-which were compared for clinical and demographic variables. Results: It was found that high- and very high-lethality suicide attempters lived alone more often, had made more than one suicide attempt, and exhibited greater dependence on nicotine and psychoactive substances, other than alcohol, than low-lethality attempters. The multivariate analysis established that living alone and being dependent on psychoactive substances were independently associated with very high- and high-lethality attempts. Conclusion: These findings confirm the clinical characteristics associated with high-lethality suicide attempts described in previous studies. The present results are proposed as factors to be taken into account for the assessment of suicidal risk in patients with major depressive disorder.
Palavras-chave : Major depressive disorder; suicide attempted; lethality.