Open Access
Diferencias entre los intentos de suicidio y otras urgencias psiquiátricas hospitalarias
(Fundación López Ibor, 2018) Goñi-Sarriés, Adriana; Janda-Galán, Lucía; Macaya-Aranguren, Patricia; Azcárate-Jiménez, Leire; López-Goñi, José Javier; Álvarez, Ignacio; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako Gobernua, 3036/2014
Introducción. No se han encontrado estudios en España que comparen el perfil de los pacientes atendidos en urgencias de psiquiatría por un intento de suicidio con los que acuden por otro motivo. El objetivo de este estudio era describir las diferencias entre ambos tipos de pacientes en relación a variables sociodemográficas, clínicas, la presencia de acontecimientos vitales adversos y la ideación de suicidio. Metodología. Estudio descriptivo, multicéntrico y caso-control realizado en urgencias de psiquiatría en el que se valoraron 207 pacientes que habían acudido por un intento de suicidio (casos) y 233 que habían acudido por otro motivo (controles). Resultados. Los casos presentaban una mayor proporción de intentos de suicidio previos (45,4% vs. 30,0%; p=,001), y menor de atenciones previas en urgencias (55,6% vs. 65,7%; p = ,030), de antecedentes de trastorno mental (77,8% vs. 86,7%; p = ,014) y de seguimiento en Salud Mental (57,0% vs. 65,7%; p = ,024). El 31,8% (n=74) de los controles mostraba ideación de suicidio en el momento de la atención y el 61,4% (n=143) verbalizó su deseo de morir. Conclusiones. No se ha obtenido un perfil sociodemográfico ni clínico específico entre quienes realizan un intento de suicidio, y sí se ha encontrado un alto porcentaje de pacientes con ideación de suicidio en las personas atendidas por otro motivo. Los resultados encontrados subrayan la necesidad de tener presente y valorar la ideación de muerte y el riesgo de suicidio en todos los pacientes que acuden a urgencias de psiquiatría.
Open Access
Suicidal attempts among patients with substance use disorders who present with suicidal ideation
(Elsevier, 2019) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Haro Escribano, Begoña; Ciencias de la Salud; Osasun Zientziak
Background and aims: Patients with addictions have a great risk of suicidal ideation and attempts. Suicidal behaviour is a continuum that begins with ideation and may continue with planning, attempts and suicide completion. Investigating the speciﬁc risk characteristics for suicidal attempts in patients with addiction pro- blems who present with suicidal ideation is crucial for developing prevention strategies. The main aims of this study were to determine the prevalence rate of suicide attempts among patients with lifetime suicidal ideation receiving treatment for addiction, and o explore the diﬀerential characteristics for suicide ideators with and without suicide attempts. Methods: A sample of 149 patients with suicidal ideation (110 male and 39 female) who sought treatment for addiction in a Spanish clinical centre was assessed. Measurements: Information concerning socio-demographic characteristics, addiction severity, and psycho- pathological symptoms was obtained. Results: In total, 39.6% of the patients had attempted suicide (95% Conﬁdence Interval: 32.1%–47.6%). Although all patients with suicidal behaviours presented a high severity in their addiction, patients with both suicidal ideation and suicide attempts showed a more severe addiction proﬁle and more maladjustment to ev- eryday life than patients with only suicidal ideation. Speciﬁcally, three psychopathological variables were re- lated to suicide attempts: worse psychiatric state, previous hospitalization for psychological problems, and history of delirium. Conclusions: According to the results, a systematic screening of suicidal risk in patients seeking treatment for addiction problems is recommended. Addiction treatment centres should develop treatment strategies to prevent suicidal ideators from attempting suicide, mainly in those cases with a worse lifetime psychiatric condition.
Open Access
Suicidal ideation and attempts among patients with lifetime physical and/or sexual abuse in treatment for substance use disorders
(Taylor & Francis, 2019) Fernández-Montalvo, Javier; López-Goñi, José Javier; Arteaga Olleta, Alfonso; Haro Escribano, Begoña; Ciencias de la Salud; Osasun Zientziak
Background: Several studies indicate that lifetime abuse is a relevant risk factor for suicidal ideation and/or attempts. However, little is known about this phenomenon in patients seeking treatment for substance use disorder. The prevalence rate of suicidal ideation and/or suicide attempts was explored among lifetime physically and/or sexually abused patients receiving treatment for drug addiction. The differential characteristics between these patients and those without suicidal behaviours were studied. Method: Three hundred and seventy-five patients were assessed. Socio-demographic characteristics, addiction severity, lifetime abuse, suicidal ideation and attempts, and psychopathological symptoms were explored. Results: Eighty-two patients (21.9%) presented with a history of lifetime abuse and were included in the study (37 men and 45 women). Sixty-two per cent of them presented with lifetime suicidal ideation (12.2% in the last month), and 30.5% with suicide attempts (1.2% in the last month). Patients with suicidal ideation or attempts showed a more severe addiction profile (assessed by the EuropASI) and more psychopathological symptoms (assessed by the SCL-90-R). Conclusion: This study highlights the relationship between previous traumatic experiences and suicidal behaviours. According to these results, systematic screening of suicidal risk in patients seeking treatment in addiction centres with histories of abuse is recommended.
Open Access
Lifetime suicidal-related behaviour among patients in treatment for substance use disorder: a cross-sectional study
(Elsevier, 2022) Siria Mendaza, Sandra; Leza González, Leire; López-Goñi, José Javier; Fernández-Montalvo, Javier; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Suicidal-related behaviours are an important concern in individuals who present with substance use disorders (SUDs). The distinction among the specific characteristics of the different patients might help to improve prevention strategies. We describe and compare the sociodemographic characteristics, severity of addiction, and psychopathology of the participants depending on the severity of their lifetime suicidal behaviour. In addition, we examine whether the number of suicide attempts can be estimated based on the variables that differentiate the groups. A sample of 318 men and 86 women who sought treatment for addiction were assessed. The sample was divided into: no ideation or attempts, suicidal ideation, one suicide attempt, and two or more suicide attempts. The group with two or more suicide attempts exhibited a greater severity in the addiction profile. The group with one suicide attempt presented a higher psychopathological symptomatology at the time of the assessment. The severity of the Psychiatric area was related to the group with two or more attempts and to the number of suicide attempts. The presence of any number of attempts is associated with greater severity of addiction. Providing specific intervention strategies for SUD patients depending on their suicidal behaviours is promising for clinical application.

López-Goñi, José Javier

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