Introduction <p>Hypomentalizing has been related with an increased risk of suicide attempt (SA). Although certain studies have identified an association between hypomentalizing and suicidal behavior, research on follow-up remains limited. This study aims to examine the relationship between hypomentalizing and suicide reattempt within 12-months after SA.</p> Methods <p>This longitudinal study encompassed a cohort of 1373 patients who have survived a SA. Assessments were conducted at the baseline and at a 12-month follow-up. We measured hypomentalizing using the RFQ-8, and we used the CSRSS to evaluate suicidal ideation and behavior. We compared demographic and clinical variables with Student’s <i>t</i>-tests and chi-square. Regression models were employed to investigate the relationship between hypomentalizing and the suicide reattempt.</p> Results <p>A total of 310 participants reattempted suicide in the follow-up period. After controlling for study variables, our results showed that age (aOR = 0.977, 95% CI 0.961–0.994), follow-up suicidal ideation (aOR = 3.165, 95% CI 1.578–6.349), baseline and follow-up suicide plan (aOR = 0.549, 95% CI 0.312–0.967; aOR = 2.417, 95% CI = 1.261–4.632), and the lifetime number of SA (aOR = 1.286, 95% CI 1.199–1.379), were associated with an increased risk of reattempt within the 12-month follow-up. Univariate regression analyses showed an association between baseline and follow-up hypomentalizing and suicide reattempt (OR = 1.160, 95% CI = 1.050–1.281; OR = 1.484, 95% CI = 1.259–1.750).</p> Conclusions <p>Social cognition may play a crucial role in the risk of suicide reattempt. Future research on the association between mentalizing and suicidal behavior could help identify comorbid risk factors and design effective therapeutic strategies.</p>

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Association between hypomentalizing and suicide reattempt: a 12-month follow-up study

  • Jorge Andreo-Jover,
  • Eduardo Fernández-Jiménez ,
  • Wala Ayad-Ahmed,
  • María Teresa Bobes-Bascarán,
  • María Ángeles Botí,
  • María Fe Bravo-Ortiz,
  • Benedicto Crespo-Facorro,
  • Ana Isabel Cebria Meca,
  • Alejandro De la Torre-Luque,
  • Marina Díaz-Marsa,
  • Matilde Elices,
  • Adriana García-Ramos,
  • Ana González-Pinto,
  • María Cristina Gosling,
  • Iria Grande,
  • Luis Jiménez-Treviño,
  • Angela Palao-Tarrero,
  • Diego Jose Palao Vidal,
  • Natalia Roberto,
  • Miguel Ruiz-Veguilla,
  • Pilar Alejandra Sáiz-Martínez,
  • Víctor Pérez-Sola

摘要

Introduction

Hypomentalizing has been related with an increased risk of suicide attempt (SA). Although certain studies have identified an association between hypomentalizing and suicidal behavior, research on follow-up remains limited. This study aims to examine the relationship between hypomentalizing and suicide reattempt within 12-months after SA.

Methods

This longitudinal study encompassed a cohort of 1373 patients who have survived a SA. Assessments were conducted at the baseline and at a 12-month follow-up. We measured hypomentalizing using the RFQ-8, and we used the CSRSS to evaluate suicidal ideation and behavior. We compared demographic and clinical variables with Student’s t-tests and chi-square. Regression models were employed to investigate the relationship between hypomentalizing and the suicide reattempt.

Results

A total of 310 participants reattempted suicide in the follow-up period. After controlling for study variables, our results showed that age (aOR = 0.977, 95% CI 0.961–0.994), follow-up suicidal ideation (aOR = 3.165, 95% CI 1.578–6.349), baseline and follow-up suicide plan (aOR = 0.549, 95% CI 0.312–0.967; aOR = 2.417, 95% CI = 1.261–4.632), and the lifetime number of SA (aOR = 1.286, 95% CI 1.199–1.379), were associated with an increased risk of reattempt within the 12-month follow-up. Univariate regression analyses showed an association between baseline and follow-up hypomentalizing and suicide reattempt (OR = 1.160, 95% CI = 1.050–1.281; OR = 1.484, 95% CI = 1.259–1.750).

Conclusions

Social cognition may play a crucial role in the risk of suicide reattempt. Future research on the association between mentalizing and suicidal behavior could help identify comorbid risk factors and design effective therapeutic strategies.