Multidimensional Recovery-Related Profiles After Suicide Attempt: A 3-Year Surveillance-Based Study in Colombia

BackgroundSuicide attempt surveillance commonly focuses on event notification, recurrence and acute risk, while longer-term psychosocial outcomes receive less attention. Recovery-oriented perspectives consider clinical burden together with positive mental health, relational resources and mental health service conditions.AimsThis study aimed to characterise multidimensional recovery-related profiles among adults reported to the suicidal behaviour surveillance system in Caldas, Colombia, after suicide attempts occurring between 2023 and 2025.MethodThis surveillance-based cross-sectional study included 1,044 unique adults with a documented suicide attempt. Recovery-related conditions were represented through three indicators: positive mental health and well-being, clinical-psychosocial risk and mental health service conditions. These indicators included depressive symptoms, loneliness, adverse childhood experiences, subjective well-being, resilience, sense of community, healthy habits, continuity of care, adherence, rights-related experiences, coercive practices and out-of-pocket expenditure. A global recovery-related index was constructed on a 0 to 100 scale. Latent profile analysis was used to identify multidimensional profiles.ResultsThe mean global recovery-related score was 64.08. The index showed a strong positive correlation with positive mental health and well-being and a strong negative correlation with clinical-psychosocial risk. Four profiles were identified: high recovery with favourable services, high recovery with stronger positive resources, intermediate recovery with elevated risk and low recovery with high risk. The low-recovery profile concentrated the highest proportion of persistent suicidal ideation.ConclusionsThe identified profiles describe multidimensional recovery-related configurations after suicide attempt rather than a validated measure of personal recovery. Post-attempt care may benefit from monitoring positive resources, clinical-psychosocial risk and service conditions alongside acute suicide risk.