A five-year follow-up study was undertaken of a previously reported 1968 cohort of 886 people who had attempted suicide. The working hypothesis that those who had seriously attempted suicide (21%) would have a higher suicide rate on long-term follow-up was confirmed. During the five-year follow-up period, a total of 34 suicides were found, which represented 3.84% of the total number at risk. Of those who had seriously attempted suicide, 12 (6.45%) of 186 succeeded later; of the other (nonserious or less serious) attempters, 22 (3.1%) of 700 succeeded. The serious-attempter suicide rate was 2.1 times that of the others, and this difference was statistically significant (P <.05). In addition, patients who made attempts that were judged serious on medical but not on psychiatric grounds were found to have a suicide rate significantly higher (P <.05) than patients who had made suicide attempts that were not a serious medical threat.
(JAMA 235:2105-2109, 1976)
Rosen DH. The Serious Suicide Attempt: Five-Year Follow-up Study of 886 Patients. JAMA. 1976;235(19):2105–2109. doi:10.1001/jama.1976.03260450017021
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