ArticlesCompleted Versus Attempted Suicide in Psychiatric Patients: a Psychological Autopsy StudyINNAMORATI, MARCO PsyD; POMPILI, MAURIZIO MD; MASOTTI, VITTORIA MD; PEARSONÉI, FEDERICO MD; LESTER, DAVID PhD; TATARELLI, ROBERTO PhD; GIRARDI, PAOLO MD; AMORE, MARIO MDAuthor Information INNAMORATI, TATARELLI, and GIRARDI: Sant'Andrea Hospital, Sapienza University of Rome, Italy; POMPILI: McLean Hospital and Harvard Medical School, Boston, and Sant'Andrea Hospital, Sapienza University of Rome; MASOTTI, PERSONÉ, and AMORE: University of Parma, Italy; LESTER: The Richard Stockton College of New Jersey, Pomona. Please send correspondence and reprint requests to: Maurizio Pompili, MD, Sant'Andrea Hospital, Dept. of Psychiatry, Via di Grottarossa 1035, Roma Italia 00189. [email protected], [email protected] Journal of Psychiatric Practice: July 2008 - Volume 14 - Issue 4 - p 216-224 doi: 10.1097/01.pra.0000327311.04153.01 Buy Metrics Abstract The aims of this study were to identify specific risk factors associated with completed suicide in a sample of suicide victims diagnosed with mental illness and to discriminate completed suicides from attempted suicide in individuals who did not kill themselves for at least the next 2 years after the index attempt. Ninety-four adults (34 women; 60 men; mean age = 50.81 [SD = 18.08]) admitted to the Division of Psychiatry of the Department of Neurosciences of the University of Parma who died by suicide between 1994-2004 were matched for sex and age (± 2 years) with 94 outpatients (mean age = 50.70 [SD = 18.08]) who made at least one suicide attempt during the years of the study. Data were gathered by proxy-based interviews with referring psychiatrists and general practitioners and from examination of medical records. Suicide victims were more likely to be not married, have poor social support (OR = 5.28), and have more voluntary and compulsory admissions to hospitals (1 admission: OR = 5.44; > 1 admissions: OR= 8.84) than suicide attempters. Suicide victims were also less likely to have had stressful life events during their childhood and adolescence (OR = 0.09) and to be divorced or widowed than were the attempters. Copyright © 2008 Wolters Kluwer Health, Inc. All rights reserved.