{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T06:38:48Z","timestamp":1790491128009,"version":"4.1.0"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"unspecified","delay-in-days":5525,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S092493380006733X_abs1\" sec-type=\"other\"><jats:title>Background<\/jats:title><jats:p>After parasuicide there is a high risk of reattempts. However, it seems that patients who survived severe suicidal trauma recover well. Therefore, the outcome of patients with severe multiple blunt trauma as a result of a suicide attempt was investigated with respect to psychiatric and somatic health, quality of life (QOL) and suicide reattempt rates.<\/jats:p><\/jats:sec><jats:sec id=\"S092493380006733X_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Patients who underwent a suicide attempt were isolated from a prospectively collected sample of trauma patients from a level I University Trauma Centre. Follow-up examination was performed 6.1 \u00b1 3\u00a0years after the trauma. A physical and psychiatric examination was performed, using established psychiatric scales.<\/jats:p><\/jats:sec><jats:sec id=\"S092493380006733X_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Twelve percent of severely injured patients were identified as suicide attempters (male\/female: 37\/28, mean age 38 \u00b1 18\u00a0years, mean Injury Severity Score (ISS) 40 \u00b1 15 points). A psychiatric diagnosis was present in 90% at the time of the suicide attempt. Twenty-one patients died during the hospital stay (32%) and six subjects died thereafter, none due to suicide. Thirty-five individuals were eligible for examination. None of them had reattempted suicide. Seventeen (48%) had good outcomes reflected by absent or ambulatory psychiatric treatment, employment, normal psychiatric findings and good psychosocial ability. An indeterminate outcome was determined in 24%. Predictive variables for an adverse outcome (10 patients, 28%) were found to be a diagnosis of schizophrenia, continued psychiatric treatment and being without employment.<\/jats:p><\/jats:sec><jats:sec id=\"S092493380006733X_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Despite the seriousness of the suicide attempt, survivors recovered well in about half the cases with no further suicide attempt in any patient. An early psychiatric consultation already on the Intensive Care Unit (ICU) is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2004.10.003","type":"journal-article","created":{"date-parts":[[2005,1,25]],"date-time":"2005-01-25T19:49:35Z","timestamp":1106682575000},"page":"115-120","source":"Crossref","is-referenced-by-count":25,"title":["Long-term follow-up after severe suicide attempt by multiple blunt trauma"],"prefix":"10.1017","volume":"20","author":[{"given":"Frank-Gerald","family":"Pajonk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Ruchholtz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Waydhas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Schneider-Axmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"S092493380006733X_bib27","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199209000-00021"},{"key":"S092493380006733X_bib22","first-page":"37","article-title":"Suicides and suicide attempts in Germany","volume":"25","author":"Schmidtke","year":"1998","journal-title":"Suizidprophylaxe"},{"key":"S092493380006733X_bib30","volume-title":"International classification of psychic disorders: ICD-10 Chapter V (F). 3rd ed","year":"1999"},{"key":"S092493380006733X_bib19","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-001-0374-3"},{"key":"S092493380006733X_bib15","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1176\/ajp.142.6.680","article-title":"Development of a clinical instrument to estimate suicide risk","volume":"142","author":"Motto","year":"1985","journal-title":"Am. 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