Demographic and Clinical Baseline Characteristics from the Spanish SURVIVE Prospective Cohort Study on Suicide Attempts

Background: Cohort studies of individuals with a suicide attempt are crucial for identifying risk and protective factors to prevent recurrence.The SURVIVE prospective cohort study aims to investigate the demographic and clinical profiles of individuals presenting with suicidal behaviour.Methods: A total of 1,741 individuals (289 adolescents aged 12-17 and 1,443 adults aged 18 and older) were recruited from emergency departments at eight hospitals across five Spanish regions following a suicide attempt.Baseline data were collected using structured clinical interviews and validated self-report instruments.Sociodemographic and psychiatric variables were analysed.Results: Most participants were female and approximately 20% were migrants.Religious affiliation was reported by 35.6% of adolescents and 48.4% of adults.Depression and anxiety were the most prevalent psychiatric diagnoses, while traumarelated and eating disorders were more frequent in adolescents, and substance use disorders in adults.Non-suicidal self-injury was reported by 76.6% of adolescents and 40.1% of adults.The most common method of attempt was self-poisoning in both groups.Psychotropic medication use was widespread, with both groups receiving a similar number of prescriptions. Conclusions:The SURVIVE study provides a detailed characterization of suicide attempters in Spain, highlighting age-specific clinical patterns and contextual risk factors such as migration and religion.These findings underscore the need for tailored prevention strategies that consider developmental stage, psychiatric comorbidity, and social vulnerability.

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Publication Details

Journal
European Psychiatry
Published
2026-04-28
DOI
https://doi.org/10.1192/j.eurpsy.2025.10143
Primary Topic
Suicide and Self-Harm Studies
Type
article
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article

Demographic and Clinical Baseline Characteristics from the Spanish SURVIVE Prospective Cohort Study on Suicide Attempts

Carlos Schmidt, Andrés Pemau, Irene Canosa, Jennifer Fernández Fernández et al.
European Psychiatry
Suicide and Self-Harm Studies
article

Demographic and Clinical Baseline Characteristics from the Spanish SURVIVE Prospective Cohort Study on Suicide Attempts

Carlos Schmidt, Andrés Pemau, Irene Canosa, Jennifer Fernández Fernández, Ana Isabel Cebrià Meca, Ainoa García-Fernández, Iván Pérez-Díez, Natalia Roberto, B. Orgaz, Ángela Palao-Tarrero, Pilar Alejandra Saiz, María Ángeles Botí, Victor Perez, María Teresa Bobes-Bascarán, Wala Ayad-Ahmed, Matilde Elices, Jorge Andreo-Jover, Ana González-Pinto, Manuel Canal-Rivero, Diego J Palao Vidal, Iria Grande, Luis Jiménez-Treviño, Benedicto Crespo-Facorro, Marina Díaz-Marsá, Alejandro de la Torre-Luque
article en

Abstract

Background: Cohort studies of individuals with a suicide attempt are crucial for identifying risk and protective factors to prevent recurrence.The SURVIVE prospective cohort study aims to investigate the demographic and clinical profiles of individuals presenting with suicidal behaviour.Methods: A total of 1,741 individuals (289 adolescents aged 12-17 and 1,443 adults aged 18 and older) were recruited from emergency departments at eight hospitals across five Spanish regions following a suicide attempt.Baseline data were collected using structured clinical interviews and validated self-report instruments.Sociodemographic and psychiatric variables were analysed.Results: Most participants were female and approximately 20% were migrants.Religious affiliation was reported by 35.6% of adolescents and 48.4% of adults.Depression and anxiety were the most prevalent psychiatric diagnoses, while traumarelated and eating disorders were more frequent in adolescents, and substance use disorders in adults.Non-suicidal self-injury was reported by 76.6% of adolescents and 40.1% of adults.The most common method of attempt was self-poisoning in both groups.Psychotropic medication use was widespread, with both groups receiving a similar number of prescriptions. Conclusions:The SURVIVE study provides a detailed characterization of suicide attempters in Spain, highlighting age-specific clinical patterns and contextual risk factors such as migration and religion.These findings underscore the need for tailored prevention strategies that consider developmental stage, psychiatric comorbidity, and social vulnerability.

European Psychiatry
Universidad Complutense de Madrid (ES), Universitat Autònoma de Barcelona (ES), International Federation of Library Associations and Institutions (NL), Universidad de Oviedo (ES), Universitat Pompeu Fabra (ES), Gobierno del Principado de Asturias (ES), Hospital Universitario La Paz (ES), Instituto de Salud Carlos III (ES), Hospital Clínico San Carlos (ES), Hospital La Paz Institute for Health Research (ES), Hospital Universitario Araba (ES), Hospital Clínic de Barcelona (ES), Hospital Del Mar (ES), Hospital Universitario Virgen del Rocío (ES), Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES), Instituto de Investigación Sanitaria del Principado de Asturias (ES), Universidad Autónoma de Madrid (ES), Universitat de Barcelona (ES), Universidad de Sevilla (ES)
Good health and well-being
Openalex Percentile: Top 10%
Suicide and Self-Harm Studies
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