{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T03:09:26Z","timestamp":1787972966246,"version":"build-2784847793"},"reference-count":41,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:00:00Z","timestamp":1657152000000},"content-version":"unspecified","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec id=\"S2056472422005245_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Factors associated with single suicide attempts (SSA) and multiple suicide attempts (MSA) may differ.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422005245_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>The study aimed to assess the factors associated with MSA in adolescents with a history of suicide attempts during the past 12 months in Argentina.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422005245_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>National cross-sectional data from the Global School-based Student Health Survey in Argentina in 2018 were analysed. Students who reported having a history of suicide attempts in the past 12 months were included in the final sample (<jats:italic>n<\/jats:italic> = 8507). Students with MSA were compared with students with an SSA through multiple logistic regression.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422005245_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>In a subsample of adolescents attending school (mean age 14.8 years, s.d. = 1.3), 59.4% had an SSA and 40.6% had MSA in the past 12 months. In the final adjusted logistic regression model, compared with participants with SSA, both male and female students with MSA more frequently had no close friends, reported feeling more lonely and had more anxiety-induced sleep disturbances. Furthermore, among female participants, having been physically attacked, having participated in physical fights, low parental support, current tobacco use and lifetime amphetamine use were associated with MSA. Among male students, multiple sexual partners were associated with MSA. Furthermore, among both boys and girls, compared with participants without psychosocial distress, participants with one, two, three or more psychosocial distress factors had higher odds of MSA. Compared with students with one or two social or environmental risk factors, students with seven or eight social or environmental risk factors had higher odds of MSA; compared with students who had zero or one health risk behaviours, students with six or more health risk behaviours had higher odds of MSA.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422005245_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Psychosocial distress (anxiety-induced sleep disturbance, having no close friends and loneliness) increased the odds of MSA among both sexes. The odds of MSA were increased by interpersonal violence, low parental support and substance use among girls, and by having multiple sexual partners among boys. This suggests the potential relevance of these variables in identifying multiple suicide attempters among adolescents attending school in Argentina.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2022.524","type":"journal-article","created":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T06:52:59Z","timestamp":1657176779000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Factors associated with single and multiple suicide attempts in adolescents attending school in Argentina: national cross-sectional survey in 2018"],"prefix":"10.1192","volume":"8","author":[{"given":"Supa","family":"Pengpid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5980-0876","authenticated-orcid":false,"given":"Karl","family":"Peltzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2022,7,7]]},"reference":[{"key":"S2056472422005245_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.07.012"},{"key":"S2056472422005245_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.01.130"},{"key":"S2056472422005245_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.07.085"},{"key":"S2056472422005245_ref12","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2019.1635931"},{"key":"S2056472422005245_ref39","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-018-1196-1"},{"key":"S2056472422005245_ref10","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2000.00712.x"},{"key":"S2056472422005245_ref35","volume-title":"Global School-based Student Health Survey (GSHS)","year":"2019"},{"key":"S2056472422005245_ref17","first-page":"347","article-title":"Impact of bullying victimization on suicide and negative health behaviors among adolescents in Latin America","volume":"40","author":"Romo","year":"2016","journal-title":"Rev Panam Salud Publica"},{"key":"S2056472422005245_ref40","volume-title":"International Family Change: Ideational perspectives","author":"Binstock","year":"2007"},{"key":"S2056472422005245_ref24","first-page":"24","article-title":"Identification of risk factors in suicide attempt in children and adolescents","volume":"1","author":"Bella","year":"2010","journal-title":"Rev Argent Public Health"},{"key":"S2056472422005245_ref26","first-page":"228","article-title":"Indicadores de riesgo de conducta suicida en una muestra de adolescentes. 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Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e128"}}