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This study was supported by the Instituto de Salud CarlosIII-FIS research grants (PI16/00187, PI19/00236, PI19/00569, PI19/00685,PI19/00941, PI19/00954, PI19/01027, PI19/01256, PI19/01484, PI20/00229,PI23/01277, PI23/00822), co-funded by the European Regional DevelopmentFund (ERDF)"A Way to Build Europe"integrated into the Plan Nacional deI + D + I and cofinanced by the ISCIII-Subdireccion General de Evaluacion yconfinanciado por la Union Europea (FEDER, FSE, Next Generation EU/Plan deRecuperacion Transformacion y Resiliencia_PRTR); the Instituto de Salud CarlosIII; the CIBER of Mental Health (CIBERSAM); and the Secretaria d'Universitats iRecerca del Departament d'Economia i Coneixement (2021 SGR 01358), CERCAProgramme/Generalitat de Catalunyaas well as the FundacioClinic per la RecercaBiomedica (Pons Bartran 2022-FRCB_PB1_2022); the Government of the Prin-cipality of Asturias (grant ref.: PCTI-2018-2022 IDI/2018/235). It was alsosupported by an FPU grant (FPU20/01651) from the Spanish Ministry of Uni-versities and a Universidad Complutense de Madrid Predoctoral contract forresearch staff in training (CT82/20-CT83/20)

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Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity

Publicated to:European Psychiatry. 68 (1): e4- - 2025-01-10 68(1), DOI: 10.1192/j.eurpsy.2024.1807

Authors: Pemau, Andres; de la Torre-luque, Alejandro; Marin-Martin, Carolina; Diaz-Marsa, Marina; Andreo-Jover, Jorge; Ayad-Ahmed, Wala; Bravo Ortiz, Maria Fe; Bobes-Bascaran, Maria Teresa; Canal-Rivero, Manuel; Garcia, Irene Canosa; Cebria, Ana Isabel; Crespo-Facorro, Benedicto; Elices, Matilde; Gonzalez-Pinto, Ana; Grande, Iria; Jimenez-Trevino, Luis; Palao, Diego J; Palao-Tarrero, Angela; Perez-Guerra, Carla; Roberto, Natalia; Ruiz Veguilla, Miguel; Saiz, Pilar A; Perez, Victor

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Abstract

Background One of the most relevant risk factors for suicide is the presence of previous attempts. The symptomatic profile of people who reattempt suicide deserves attention. Network analysis is a promising tool to study this field. Objective To analyze the symptomatic network of patients who have attempted suicide recently and compare networks of people with several attempts and people with just one at baseline. Methods 1043 adult participants from the Spanish cohort "SURVIVE" were part of this study. Participants were classified into two groups: single attempt group (n = 390) and reattempt group (n = 653). Different network analyses were carried out to study the relationships between suicidal ideation, behavior, psychiatric symptoms, diagnoses, childhood trauma, and impulsivity. A general network and one for each subgroup were estimated. Results People with several suicide attempts at baseline scored significantly higher across all clinical scales. The symptomatic networks were equivalent in both groups of patients (p > .05). Although there were no overall differences between the networks, some nodes were more relevant according to group belonging. Conclusions People with a history of previous attempts have greater psychiatric symptom severity but the relationships between risk factors show the same structure when compared with the single attempt group. All risk factors deserve attention regardless of the number of attempts, but assessments can be adjusted to better monitor the occurrence of reattempts.

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