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Mentalizing and suicide reattempt: a 12-months follow-up study

Published online by Cambridge University Press:  26 August 2025

J. Andreo-Jover*
Affiliation:
Department of Psychiatry, Universidad Autónoma de Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ),
B. Orgaz Alvarez
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
E. Suárez-Soto
Affiliation:
Departamento de Medicina Legal, Psiquiatría y Patología, Universidad Complutense de Madrid, Madrid
P. Saiz Martinez
Affiliation:
Department of Psychiatry, Universidad de Oviedo, Oviedo
A. González Pinto
Affiliation:
Hospital Santiago de Araba, Alava
M. Ruiz Veguilla
Affiliation:
Hospital Virgen del Rocio, Sevilla
A. Cebria
Affiliation:
Hospital Parc Tauli
N. Roberto
Affiliation:
Bipolar Disorders Unit, Hospital Clinic, Institute of Neurosciences, University of Barcelona, IDIBAPS, Barcelona
M. Diaz Marsa
Affiliation:
Hospital Clinico San Carlos
M. F. Bravo Ortiz
Affiliation:
Department of Psychiatry, Universidad Autónoma de Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ), Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid
A. Palao-Tarrero
Affiliation:
Department of Psychiatry, Universidad Autónoma de Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ), Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
V. Perez-Sola
Affiliation:
Institut de Neuropsiquiatria i Addiccions (INAD), Parc de Salut Mar, Barcelona, Spain
*
*Corresponding author.

Abstract

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Introduction

Hypomentalizing may contribute to heightened social withdrawal and it has been related with an increased risk of and suicide attempt (SA). Although certain studies have identified a relationship between hypomentalizing and suicidal behavior, research on follow-up remains limited.

Objectives

This study aims to examine the relationship between suicide reattempt and the progression of mentalizing within 12-months.

Methods

Our study included a cohort of 1,374 patients who committed a SA. We conducted assessments at the baseline and at a 12-months follow-up. We measured mentalizing using the RFQ-8, and evaluations of suicidal ideation and behavior employing the CSRSS. Demographics, clinical characteristics, and mentalizing were subjected to comparative analysis using the T-student and Chi-square tests.

Results

A total of 310 participants committed a suicide reattempt in the follow-up period. Our results showed that reattempt group were significantly younger, more presence of female gender, suicidal ideation and planning, more previous SA, and higher hypomentalizing means.

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Conclusions

Social cognition may play a crucial role in the suicide reattempt risk. Future research on the association between social cognition and suicidal behavior could help elucidate the associated factors and identify potential therapeutic actions.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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