Clinical Features Associated with Suicide Attempts versus Suicide Gestures in an Inpatient Sample

• Published in: Archives of suicide research Vol. 18; no. 4; pp. 419 - 431
• Main Authors: García-Nieto, Rebeca, Blasco-Fontecilla, Hilario, de León-Martinez, Victoria, Baca-García, Enrique
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis Group 02.10.2014; Taylor & Francis Ltd
• Subjects: Adult; Antisocial personality disorder; Borderline personality disorder; Comorbidity; Emergency Services, Psychiatric - methods; Emergency Services, Psychiatric - organization & administration; Female; Gestures; Humans; Impulsive Behavior; Impulsivity; Inpatient care; Inpatients - psychology; Inpatients - statistics & numerical data; Male; Middle Aged; Motivation; Narcissism; Narcissistic personality disorder; Patients; Personality disorders; Personality Disorders - classification; Personality Disorders - complications; Personality Disorders - diagnosis; Personality Disorders - psychology; Regression analysis; Retrospective Studies; Risk Assessment; Risk Factors; Self destructive behavior; Self injury; Self-Injurious Behavior - diagnosis; Self-Injurious Behavior - epidemiology; Self-Injurious Behavior - etiology; Self-Injurious Behavior - psychology; Self-Injurious Behavior - therapy; Social psychology; Spain - epidemiology; Suicidal Ideation; Suicide; suicide attempts; Suicide, Attempted - prevention & control; Suicide, Attempted - psychology; Suicide, Attempted - statistics & numerical data; Suicides & suicide attempts; Spain; Spain, Castilla, Madrid; impulsivity; personality disorders; suicide attempts; motivation; suicide; gestures
• ISSN: 1381-1118; 1543-6136; 1543-6136
• DOI: 10.1080/13811118.2013.845122

The objective of this study was to test whether suicide attempters and suicide gesturers can be clinically differentiated. A total of 150 subjects who had attempted suicide at least once, had made a suicide gesture, had suicidal ideation, and/or had engaged in non-suicidal self-injury were recruited from the inpatient service of the Jiménez Díaz Foundation (Madrid, Spain). A multinomial regression analysis was conducted. Histrionic and antisocial personality disorders were risk factors specific to suicide gestures. Narcissistic personality disorder was specifically associated with suicide attempts. Borderline personality disorder was associated with both suicide gestures and attempts. A high level of impulsiveness was a risk factor specific to suicide attempts. Conclusion: Suicide attempters and suicide gesturers are two distinct, although partially overlapping, populations.