Authors
Jennifer Fernandez-Fernandez, Luis Jimenez-Trevino, Jorge Andreo-Jover, Teresa Bobes Bascaran, Maria Angeles Boti, Manuel Canal-Rivero, Ana Isabel Cebria, Marina Diaz-Marsa, Veronica Fernández-Rodrigues, Ainoa Garcia Fernandez, Sandra Gomez-Vallejo, Ana Gonzalez-Pinto, Iria Grande, Noelia Iglesias, Purificacion Lopez-Pena, Francisco Ortin, Diego Palao, Angela Palao-Tarrero, Ana Pedrola-Pons, Miguel Ruiz-Veguilla, Elizabeth Suarez-Soto, Alejandro De la Torre-Luque, Iñaki Zorrilla, Victor Perez-Sola, SURVIVE Consortium, Pilar Alejandra Saiz
Published in
European psychiatry : the journal of the Association of European Psychiatrists. Volume 69. Issue 1. Pages e90. Sep 14, 2026. Epub Sep 14, 2026.
Abstract
Suicide is a serious public health issue and the leading non-accidental cause of death among adolescents in Spain. Although a previous suicide attempt is the strongest risk factor for a new attempt, studies focused specifically on adolescent reattempters remain scarce. This study aims to identify modulating factors for suicide reattempts in a clinical adolescent population following an index attempt, using network analysis.
We recruited a total of 287 adolescents aged 12 to 17, treated in emergency services after a recent suicide attempt. Data collection involved structured clinical interviews and validated self-report questionnaires assessing sociodemographic, psychopathological, and behavioral variables. Our network analysis explored significant correlations (r ≥ 0.2) between variables and their relative influence on suicidal behavior, with a particular focus on reattempts (1-year follow-up).
Variables related to emotional and behavioral difficulties, childhood trauma, and depressive symptoms were the most central and influential within the network. In contrast, suicide reattempts and their frequency appeared as peripheral nodes with no significant direct associations. Emotional abuse was associated with a higher total number of suicide attempts, and the Self-Awareness of Mental Health intervention was linked to a longer time before reattempt.
This study highlights the complexity of suicide reattempt risk factors in adolescents, emphasizing the importance of indirect interactions rather than isolated predictors. Incorporating standardized self-report tools may enhance clinical assessment and prevention strategies. Through network analysis, this research offers an innovative perspective to understand the multivariate nature of suicide risk in adolescent populations.
PMID:
42734150
Bibliographic data and abstract were imported from PubMed on 14 Sep 2026.
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