Past Issues
Analysis of Multiple Suicide Risk Factors of Psychiatric Inpatients by
Severity Using the SAD PERSONS and Modifi ed SAD PERSONS
Scale in Taiwan
Te-Chang Changchien, Yung-Chih Chiang,Yung-Chieh Yen, Shiou-Lan Dou, Mei-Ting Chi, Ti Lu
Background: Suicide risk evaluation is a public health priority in Taiwan. In
this preliminary study, we intended to do a correlation study between 13 individual
items derived from the Modifi ed SAD PERSONS scale and the SAD PERSONS
scale relative to suicide among ethnic Chinese subjects. Methods: We retrospectively
reviewed 210 inpatient medical records and classifi ed patients’ suicidal severity
into three groups: (A) non-suicide group, (B) suicidal ideation group, and
(C) attempted suicide group for analysis. Results: Seven items -- age (p < 0.01),
depression (p < 0.001), previous attempt (p < 0.001), rational thought loss (p <
0.001), organized plan (p < 0.001), stated future intent (p < 0.001), and current life
stressor (p < 0.001) were signifi cant, indicating that these seven risk factors are
distinctly important among these groups. Further group-to-group relationships
showed that the “the proportion of the suicidal ideation group or attempted suicide
group was always signifi cantly greater than that of the non-suicide group” in most
factors, except those correlated to “age” and “rational thought loss” factors. Conclusion:
Five factors -- depression (p < 0.05), previous attempt (p < 0.01), organized
plan (p < 0.01), stated future intent (p < 0.01), and current life stressor (p <
0.01) were signifi cantly to be strongly associated with suicide in our study. Among
the factors,“organized plan” and “previous attempt” were strongest signifi cant
predictors.
this preliminary study, we intended to do a correlation study between 13 individual
items derived from the Modifi ed SAD PERSONS scale and the SAD PERSONS
scale relative to suicide among ethnic Chinese subjects. Methods: We retrospectively
reviewed 210 inpatient medical records and classifi ed patients’ suicidal severity
into three groups: (A) non-suicide group, (B) suicidal ideation group, and
(C) attempted suicide group for analysis. Results: Seven items -- age (p < 0.01),
depression (p < 0.001), previous attempt (p < 0.001), rational thought loss (p <
0.001), organized plan (p < 0.001), stated future intent (p < 0.001), and current life
stressor (p < 0.001) were signifi cant, indicating that these seven risk factors are
distinctly important among these groups. Further group-to-group relationships
showed that the “the proportion of the suicidal ideation group or attempted suicide
group was always signifi cantly greater than that of the non-suicide group” in most
factors, except those correlated to “age” and “rational thought loss” factors. Conclusion:
Five factors -- depression (p < 0.05), previous attempt (p < 0.01), organized
plan (p < 0.01), stated future intent (p < 0.01), and current life stressor (p <
0.01) were signifi cantly to be strongly associated with suicide in our study. Among
the factors,“organized plan” and “previous attempt” were strongest signifi cant
predictors.
| Key Word | attempted suicide, risk factors, severity, suicidal ideation |
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