Following the 1977 Europeans, the Romanian Gymnastics Federation removed Comăneci from her longtime coaches, the Károlyis, and sent her to Bucharest on August 23 to train at the sports complex. She did not find this change positive and was struggling with bodily changes as she grew older. Her gymnastics skills suffered, and she was unhappy to the point of losing the desire to live. After surviving a suicide attempt, Comăneci competed in the 1978 World Championships in Strasbourg "seven inches taller and a stone and a half [21 pounds] heavier" than she was in the 1976 Olympics. A fall from the uneven bars resulted in a fourth-place finish in the all-around behind Soviets Elena Mukhina, Nellie Kim, and Natalia Shaposhnikova. Comăneci did win the world title on beam, and a silver on vault.