Characteristics of Attempted Suicide Patients Presenting to a Greek Emergency Department (original) (raw)
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Profile of suicide attempts and risk factors among psychiatric patients: A case-control study
PloS one, 2018
Suicidal behaviour remains challenging for clinicians to predict, with few established risk factors and warning signs among psychiatric patients. We aimed to describe characteristics and identify risk factors for suicide attempts among patients with psychiatric disorders. Multivariable logistic regression analysis, adjusted for clinically important confounders, was employed to determine risk factors for suicide attempts within a psychiatric patient population. The case (n = 146) and control groups (n = 104) did not differ significantly with regards to sociodemographic characteristics. The majority of the participants who had attempted suicide did so with high intent to die, and expected to die without medical intervention. The primary method of attempt was pharmaceutical overdose among the case participants (73.3%). Results showed impulsivity (odds ratio [OR] = 1.15, 95% confidence interval [CI] = 1.03-1.30) and borderline personality symptoms (OR = 1.07, 95% CI = 1.01-1.13) were si...
Purpose: Determine the differences between those attempting the suicide for the first time and those having the recurrent suicide attempts. Material & method: The consecutive 144 patients applied to the emergency department with the suicide attempt reason were prospectively evaluated. The patients attempting the suicide in previous years were grouped as the Recurrent Suicide Attempt (RSA) and patients attempting the suicide for the first time were grouped as the First Suicide Attempt (FSA), and their results were analyzed. Results: 144 patients, whose ages were between 18 and 74 years old and age averages were 28.03 ± 9.9/ years, were included in our study. 67% (n ¼ 97) of the patients was female and 32.6% (n ¼ 47) of them was male, and the female/male rate was 2.06. It was determined that the recurrent suicide attempts were more risky as 8.45 fold (p ¼ 0.001, S.E ¼ 0.650, HR: 8.45 (1.361e30.219.9)) in the smokers and 2.66 fold (S.E. ¼ 0.476, p ¼ 0.04, HR ¼ 2.66 (1.047e6.765)) in the alcohol abusers with reference to the logistic regression analysis. Conclusion: There are many risk factors depending on the individual and social environment in the RSA attempts. It was determined in our study that just the smoking and drinking alcohol increased the recurrent suicide attempt risk.
The objective of this study was to characterize admissions to an emergency hospital due to suicide attempts and verify outcomes in 2 years. Data were collected from medical records and were analyzed using descriptive statistics and logistic regression. The sample consisted of 412 patients (58.7% women; mean age ¼ 32.6 years old, SD ¼ 14.3). Self-poisoning was the most frequent method (84.0%), and they were diagnosed mainly as depressive (40.3%) and borderline personality disorders (19.1%). Previous suicide attempts and current psychiatric treatment were reported by, respectively, 32.0% and 28.4%. Fifteen patients (3.6%, 9 males) died during hospitalization. At discharge, 79.3% were referred to community-based psychiatric services. Being male (OR ¼ 2.11; 95% CI ¼ 1.25-3.55), using violent methods (i.e., hanging, firearms, and knives) (OR ¼ 1.96; 95% CI ¼ 1.02-3.75) and psychiatric treatment history (OR ¼ 2.58; 95% CI ¼ 1.53-4.36) were predictors for psychiatric hospitalization. Of 258 patients followed for 2 years, 10 (3.9%) died (3 suicide), and 24 (9.3%) undertook new suicide attempts. Patients with a history of psychiatric treatment had higher risks of new suicide attempts (OR ¼ 2.46, 95% CI ¼ 1.07-5.65). Suicide attempters admitted to emergency hospitals exhibit severe psychiatric disorders, and despite interventions, they continue to present high risks for suicide attempts and death.
Determination of sociodemographic characteristics and etiological factors of suicide attempters
Pakistan Journal of Medical Sciences, 2010
Objectives: To investigate the demographic and socio-cultural properties, as well as the etiological factors in suicide attempters in Turkey. Methodology: A standard questionnaire form was used to collect information on gender, age, education level, employment status, marital status, method and reason of the suicidal attempt, prior suicidal attempts, psychiatric diagnosis, family history of psychiatric disorders and the season. Eleven hundred twenty (1120) suicide attempters who were admitted to the Emergency Department of Kayseri Training and Research Hospital, between 1 June 2006 and 31 December 2006, were enrolled in this study. Results: Suicide attempts were mostly observed in females (81%, p<0.005), and in the age range of 15-24 years (64.6%, p=0.300). The highest rate of suicide attempts were observed in patients with primary school education (59.8%, p=0.424), in housewifes (p<0.001), and in married women (p=0.001). The most common method used to attempt suicide was into...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2012
To determine the frequency and distribution of suicide attempts relating to the manner of execution and other demographic an clinical characteristics, as well as to point to possible risk factors. A retrospective anamnestic study was conducted covering a twenty-year period (1990 to 2010) which included 715 patients (310 males and 405 females), who were hospitalized and treated at the Psychiatric Clinic of the Clinical Center in Kragujevac following a suicide attempt. The incidence rate of suicide attempts was 19.5 per 100,000 citizens. The number of suicide attempts was found to be greater in females, 405 (56.5%). The greatest number of individuals was younger (25 to 34 years of age), 149 (20.9%) and the average age of the population attempting suicide was 42.6 years. The predominant mental disorder preceding the suicide attempt was depression, 346 (48.4%). The method most frequently used in the attempt was poisoning in both genders, 395 (55.3%) often by benzodiazepine overdose. The...
The Professional Medical Journal, 2015
Objective: To determine the demographic details (gender, age, marital status,level of education, and occupation) of suicide attempters attending the tertiary care hospitalservices at Hyderabad, Pakistan. Study Design: Cross sectional study. Setting: Liaquat universityhospital Hyderabad and Sir Cowasjee Jahangir Institute of psychiatry (CIJP) Hyderabad.Period: Twelve months from the 1st January 2011 to 31st December 2011. Methodology:The aim of the study was. Patients with a history of attempted suicide. Two hundred (200)consecutive cases were recruited and selected according to the inclusion criteria. An informedconsent was obtained from patients for being included in the study. A specially designed semistructuredProforma was used to record demographic details of the patients. Data were enteredinto and analyzed through statistical software SPSS version 20. Results: Total 200 hundredcases were included in the study. Males 78.5 % (N=157) outnumbered female patients 21.5% (N= 43). The ...
Journal of Affective Disorders, 2016
Background: This study examined the role of mental pain, communication difficulties, and suicide history in predicting the medical severity of follow-up suicide attempts. Methods: The cohort included 153 consecutive psychiatric in-patients who participated in earlier studies 1-9 years previously. Fifty-three had a history of a medically serious suicide attempt (MSSA), 64 had a history of a medically non-serious suicide attempt (MNSSA), and 36 had no history of suicide. A MSSA was defined as a suicide attempt that warranted hospitalization for at least 24 h and extensive medical treatment. Participants completed a battery of instruments measuring mental pain and communication difficulties. Findings were analyzed in relation to follow-up suicide attempts and their severity. Results: Fifty-three patients (35.5%) had attempted suicide: 15 (9.9%) a MSSA (including 5 fatalities) and 38 (25%) a MNSSA. The medical severity of the index attempt and level of hopelessness at the index attempt were significantly correlated with medical severity of the follow-up attempt. In younger patients, high levels of depression and self-disclosure predicted the medical severity of the follow-up attempt. In patients with relatively low hopelessness, the medical severity of the attempt increased with the level of self-disclosure. Limitations: (i) Possibly incomplete patient information, as some of the patients who participated in the index studies could not be located. (ii) Relatively small group of patients with an index MSSA. Conclusions: Patients who have made a suicide attempt should be assessed for medical severity of the attempt, hopelessness, and communication difficulties, which are important factors in follow-up attempts.
Risk factors associated with attempted suicide : a case control study
PubMed, 2004
This study was conducted to identify the risk factors associated with attempted suicide among people living in and around Pondicherry. Using a case control study design, 137 consecutive cases of attempted suicide admitted to Jawaharlal Institute of Postgraduate Medical Education and Research, a teaching hospital in Pondicherry and an equal number of controls, matched individually with cases for age and sex, from the relatives and friends of the other patients, were studied. Variables related to socio demographic characteristics, family background, recent stressful life events, physical and psychiatric morbidity were analysed. The strength of association with the risk of attempt was calculated using odds ratio with 95% confidence interval. Odds ratios for the factors identified to be significantly associated with increased risk of suicide attempt were 15.82(95% CI 6.55-40) for unemployment, 3.02 (95%CI 1.78-5.14) for lack of formal education, 3.95 (95% CI 2.02-7.79) for the presence of stressful life events in the last six months, 3.12 (95%CI 1.37-7.24) for suffering from physical disorders and 6.78 (95% CI 2.39-2070) for suffering from idiopathic pain. Significant association was not revealed in respect to marital status, type of family, early parental losses, family history of suicide and presence of psychiatric morbidity.
Variables Linked to Attempted Suicide in the Psychiatric Field: A Case Control Study
British Journal of Medicine and Medical Research, 2013
This work was carried out in collaboration between all authors. Author EG designed the study, managed the literature searches performed the statistical analysis, wrote the protocol, managed the analyses of the study and wrote the first draft of the manuscript. Author EDG designed the study, managed the literature searches performed the statistical analysis, managed the analyses of the study and wrote the protocol; and author MC managed the analyses of the study. All authors read and approved the final manuscript.