Ritu Lakhtakia, Farah Otaki, Laila Alsuwaidi, Nabil Zary
Assessment as Learning in Medical Education: Feasibility and Perceived Impact of Student-Generated Formative Assessments
JMIR medical education
individuals presenting hospital due suicide attempt high risk repeated suicidal act yet meager data extent repeated suicidal acts result death retrospective cohort study based general hospital selfharm register system rural county china identified individuals attempted suicide contacted followed 8 years main outcomes followup 1 suicide death 2 nonlethal suicide attempt 3 suicidal acts including suicide death nonlethal attempt incidence densities correlates case fatality repeated suicidal acts estimated total 1086 individuals twothirds females mean age 406 years suicide attempt presenting hospital index attempt identified followed index attempts pesticide ingestion 79 followup 116 suicidal acts carried 108 individuals 69 females 39 males including 34 suicide deaths 21 females 13 males yielding high casefatality 293 followup suicide death rates also high overall first year followup 8467 17872 per 100000 person years followup pesticide common method 47116 repeated suicidal act yielded higher casefatality methods 468 vs 174 2 1168 p 0001 incidence densities repeated suicidal acts nonlethal attempts low compared rates reported previous literature incidence densities repeated suicidal acts rural china cohort low compared previous studies however rates suicide deaths followup high result driven high casefatality suicidal acts attributable common use pesticides reducing suicidal acts pesticides key target suicide prevention rural china beijing municipal high rank public health researcher training program beijing hospitals authority clinical medicine development special funding support beijing hospitals authoritys ascent plan