Association between hypomentalizing and suicide reattempt: a 12-month follow-up study

Introduction Hypomentalizing has been related with an increased risk of suicide attempt (SA). Although certain studies have identified an association between hypomentalizing and suicidal behavior, research on follow-up remains limited. This study aims to examine the relationship between hypomentaliz...

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Detalles Bibliográficos
Autores: Andreo-Jover, J, Fernández-Jiménez, E, Ayad-Ahmed, W, Bobes-Bascarán, MT, Botí, MA, Bravo-Ortiz, MF, Crespo-Facorro, B, Meca, AIC, de la Torre-luque, A, Díaz-Marsa, M, Elices, M, García-Ramos, A, González-Pinto, A, Gosling, MC, Grande, I, Jiménez-Treviño, L, Palao-Tarrero, A, Vidal, DJP, Roberto, N, Ruiz-Veguilla, M, Sáiz-Martínez, PA, Pérez-Sola, V
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:dnet:r-i3pt______::5446945a9777eb6ac285b3fe570aa97b
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/7155
Access Level:acceso abierto
Palabra clave:Suicide attempt
Follow-up
Social cognition
Hypomentalizing
Descripción
Sumario:Introduction Hypomentalizing has been related with an increased risk of suicide attempt (SA). Although certain studies have identified an association between hypomentalizing and suicidal behavior, research on follow-up remains limited. This study aims to examine the relationship between hypomentalizing and suicide reattempt within 12-months after SA. Methods This longitudinal study encompassed a cohort of 1373 patients who have survived a SA. Assessments were conducted at the baseline and at a 12-month follow-up. We measured hypomentalizing using the RFQ-8, and we used the CSRSS to evaluate suicidal ideation and behavior. We compared demographic and clinical variables with Student's t-tests and chi-square. Regression models were employed to investigate the relationship between hypomentalizing and the suicide reattempt. Results A total of 310 participants reattempted suicide in the follow-up period. After controlling for study variables, our results showed that age (aOR = 0.977, 95% CI 0.961-0.994), follow-up suicidal ideation (aOR = 3.165, 95% CI 1.578-6.349), baseline and follow-up suicide plan (aOR = 0.549, 95% CI 0.312-0.967; aOR = 2.417, 95% CI = 1.261-4.632), and the lifetime number of SA (aOR = 1.286, 95% CI 1.199-1.379), were associated with an increased risk of reattempt within the 12-month follow-up. Univariate regression analyses showed an association between baseline and follow-up hypomentalizing and suicide reattempt (OR = 1.160, 95% CI = 1.050-1.281; OR = 1.484, 95% CI = 1.259-1.750). Conclusions Social cognition may play a crucial role in the risk of suicide reattempt. Future research on the association between mentalizing and suicidal behavior could help identify comorbid risk factors and design effective therapeutic strategies.

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