Patterns of Presentation for Attempted Suicide: Analysis of a Cohort of Individuals Who Subsequently Died by Suicide

All suicides and related prior attempts occurring in Northern Ireland over two years were analyzed, focusing on number and timing of attempts, method, and mental health diagnoses. Cases were derived from coroner's records, with 90% subsequently linked to associated general practice records. Of those included, 45% recorded at least one prior attempt (with 59% switching from less to more lethal methods between attempt and suicide). Compared with those recording one attempt, those with 2+  attempts were more likely to have used less lethal methods at the suicide (OR = 2.77: 95% CI = 1.06, 7.23); and those using less lethal methods at the attempts were more likely to persist with these into the suicide (OR = 3.21: 0.79, 13.07). Finally, those with preexisting mental problems were more likely to use less lethal methods in the suicide: severe mental illness (OR = 7.88: 1.58, 39.43); common mental problems (OR = 3.68: 0.83, 16.30); and alcohol/drugs related (OR = 2.02: 0.41, 9.95). This analysis uses readily available data to highlight the persisting use of less lethal methods by visible and vulnerable attempters who eventually complete their suicide. Further analysis of such conditions could allow more effective prevention strategies to be developed.     

Family Smoking Patterns and Smoking among Eighth and Tenth Grade Students

Les families de fumeurs ont étéétudiées à partir du comportement tabagique d'un grand échantillon représentatif des lycéens des 8* et 10* niveaux du centre de la Floride ( n = 1416). Des analyses multivariées ont révélé que le tabagisme de la mère, du père, de la soeur ou du frère aînés rendait compte de 12% de la variance de la décision de se mettre à fumer. Des analyses de régression multiple ont montré qu'une grande soeur fumeuse expliquait la plus grande part de la variance des fumeurs, suivie par la mère et par le père. L'influence du frère aîné n'est pas significative. La famille n'est pas significativement liée au maintien du tabagisme chez les lycéens.
Family smoking habits were examined as they related to the behaviour of a broad, representative sample of eighth and tenth grade students from central and south-central Florida ( n =1416). Multivariate analyses of variance revealed that 12% of the variance for smoking initiation (smoker) was accounted for by the smoking habits of mother, father, older sister, and older brother. Multiple regression analyses showed that older sister's smoking accounted for the greatest independent proportion of smoker variance, followed by mother's and father's smoking. Older brother's smoking habits did not contribute significant unique variance. Family smoking habits were not significantly related to the maintenance of students' smoking behaviour.