Al. Beautrais et al., PRECIPITATING FACTORS AND LIFE EVENTS IN SERIOUS SUICIDE ATTEMPTS AMONG YOUTHS AGED 13 THROUGH 24 YEARS, Journal of the American Academy of Child and Adolescent Psychiatry, 36(11), 1997, pp. 1543-1551
Objective: Precipitating factors and life events associated with medic
ally serious suicide attempts were examined in young people making ser
ious suicide attempts and control subjects. Method: Using a case-contr
ol design, the authors contrasted 129 young people making serious suic
ide attempts with 153 randomly selected community controls on a series
of life event occurrences within the preceding year. Precipitating fa
ctors for serious suicide attempts were also examined. Results: The mo
st common precipitants of serious suicide attempts were relationship b
reakdowns, other interpersonal problems, and financial difficulties. H
owever, one third of those attempting suicide were unable to describe
any precipitating factor. Individuals who made serious suicide attempt
s had elevated rates of life events which were associated principally
with interpersonal difficulties, work issues, financial difficulties,
and legal problems. When due allowance was made for intercorrelations
between life event measures and antecedent social, family, and persona
lity factors, interpersonal losses and conflicts and legal problems re
mained significant risk factors for serious suicide attempts. Conclusi
ons: Important proximal occurrences for serious suicide attempts among
young people include a series of life events associated principally w
ith interpersonal conflicts, relationship difficulties, and legal prob
lems.