A multivariate study of predictors of repeat parasuicide

Acta Psychiatr Scand. 2004 Apr;109(4):306-12. doi: 10.1111/j.1600-0447.2003.00282.x.


Objective: To identify variables which differentiate future repeaters of parasuicide from non-repeaters in a multivariate analysis.

Method: Interviews were conducted with 507 parasuicide cases; data were collected on precipitating factors for the index parasuicide, psychiatric and medical history, stressful life events, prior history of parasuicide, hopelessness, anger, self-esteem and social adjustment. Individuals were followed for 1-2 years to determine if a repeat parasuicide occurred.

Results: A logistic regression model identified four significant predictors of repeat parasuicide: prior history of parasuicide, a history of depression, a history of schizophrenia and poor physical health. A risk factor scale constructed from these four variables showed that the risk of repeat parasuicide increases as the number of risk factors increases.

Conclusion: This study identifies four key predictors of repeat parasuicide, and provides evidence that the risk of repeat parasuicide increases when multiple risk factors are present.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Demography
  • Depressive Disorder, Major / epidemiology
  • Female
  • Health Status
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Recurrence
  • Risk Factors
  • Schizophrenia / epidemiology
  • Suicide, Attempted / statistics & numerical data*
  • Surveys and Questionnaires