Description of clinical factors for suicide attempts in a tertiary care hospital of northern part of India (original) (raw)
Related papers
Journal of Evolution of Medical and Dental Sciences, 2016
Suicide is one of the commonest psychiatric emergencies. According to WHO report, 1999 suicide was one of the top three leading causes of death among people aged 15-34 years in all countries. In recent years, attempted suicide has become the focus of research as it has been found to be the predictor of suicide. Psychiatric factors are one of the important determinants in attempted suicide. OBEJCTIVES The aim of the present study was to analyse the psychiatric factors in attempted suicide. METHODS The present study was conducted in the Department of Medicine and Department of Psychiatry, Gandhi Medical College and associated Hamidia Hospital Bhopal. Study based on the patients admitted in Medicine/Psychiatry ward or attending Out Patients Department with history of suicidal attempts, during the period December 2006 to November 2007. RESULTS Psychiatric disorders were present in 74.25%, while no psychiatric disorder was present in rest of 25.75%. CONCLUSION Major depressive disorder accounting for 34.69% cases, was the most common concurrent psychiatric illness among the study group.
Open Journal of Psychiatry and Allied Sciences, 2018
Context: Suicide is a rapidly evolving public health problem affecting people worldwide and is the second leading cause of death among 15-29 year olds globally in 2012. It is a multidimensional and multifactorial phenomenon in terms of the cause and the effect. Objectives: To find out sociodemographic profiles, modes of attempting suicide, and prevalence of depression among the subjects with suicide attempt, and to find any association between them. Methods: One hundred and eight cases of attempted suicide were selected consecutively who were attending the hospital irrespective of the department and were evaluated to find out various sociodemographic variables, methods of attempting suicide, and if they fulfilled ICD-10 criteria for depressive disorder. Results: Higher prevalence of suicide was seen in cases with age <35 years (77.6%), female gender (54.62%), from rural background (69.44%), living in nuclear family (64.81%), who were unmarried/single (60.18%), illiterate or havin...
IOSR Journal of Dental and Medical Sciences, 2013
Background: The number of suicides in India during the last decade has recorded an increase of 25.0%. Suicide attempt rates are found to be higher than rates for completed suicides. This study is aimed to evaluate the sociodemographic profile and psychiatric morbidity in attempted suicide patients. Material and Methods: A prospective study was conducted in Dr. PSIMS & RF hospital, a general hospital, in rural region of Krishna district, South India. 150 consecutive cases of attempted suicide were recruited for the study. Structured proforma containing sociodemographic variables and suicide attempt data was administered. Mini International Neuropsychiatric Interview (M.I.N.I. Plus) was applied to assess the psychiatric disorder and the diagnosis was confirmed using ICD 10. Results: Majority of the suicide attempters were <30 years of age (67%), men (62%), education below or up to 7 th std.(69%), married (57%), low socioeconomic status (62%) and employed (61%), used oral agents (97%) and made an impulsive attempt (72%). Domestic quarrel (48%) and relationship issues (23%) were the major reasons for attempt. 59% suffered from a psychiatric disorder and major depressive episode (28%) was found to be most common diagnosed disorders. Conclusion: The presence of psychiatric morbidity was observed to confer a considerable risk of suicide.
Introduction: Suicide is considered as a fatal act of self injury (self harm) undertaken with more or less conscious self destructive intent to end his/her life, however vague and ambitious. Psychiatric illnesses are often identified as risk factors for suicide attempt. The present study was conducted with the objective of assessing the suicidality, mode of suicide attempt and psychiatric co-morbidity among suicide attempters in a tertiary hospital of NorthEast India. Materials and Methods: This was a hospital based observational study carried out in a tertiary hospital located in the upper part of Assam, India. The study duration was of six months. The study received approval from the institutional ethical committee. Every consecutive patient admitted in the hospital during this period was included in the study sample and analysis of the observed data was done using tests like frequency distribution, multinomial logistic regression, fisher's test and chi square test in SPSS windows version 16.0. Results: Poisoning was the most common mode of suicide attempt among both males and females. No significant association was found between suicidal risk and mode of suicide attempt. Suicidal Risk was also higher in those who had a psychiatric diagnosis than those with no psychiatric co-morbidity. How ever no significant association was found between suicidal risk and any of the individual psychiatric co-morbidities Conclusion: Severity of suicidal risk cannot determine the mode of suicide attempt. Mental illness, although it is associated with suicidal risk, cannot predict the severity of suicidal ideation.
IP innovative publication pvt. ltd, 2019
Context: A high suicide rate is an index of social disorganization. In India, it is the second leading cause of death among 15-29 years age group. Young age, female sex, poor education, unemployment and socio economic deprivation are some of the potential risk factors. Materials and Methods: The aim of the study is to assess the life events that provoked suicide attempt in a tertiary care centre. It was a cross-sectional study conducted among 476 patients with attempted suicide by convenient sampling method. Study was conducted from January 2016 to May 2017.Data was collected using a pre-tested, semi-structured questionnaire. Descriptive and Inferential statistics were used to analyse the data. Results: Mean age of study participants was 30.65+0.75 years. Among 476, 57.78% of them were males and 24.57% of study participants had family history of suicide. There is association between life events that led to attempt suicide and number of previous attempts of suicide. Among various life events, family problems were the most common factor irrespective of number of previous suicide attempts followed by financial crisis, work-related factors and personal factors. Conclusion: Suicide and attempted suicides are becoming globally endemic. Socio-demographic factors and the nature of their living in a society plays a major role in this. Healthy living comes from healthy family and good working environment. Keywords: Suicide, suicide intent, Socio-demographic factors, Life events, Family problems.
IP innovative publication pvt. ltd, 2019
Introduction: Suicide attempt is a self-injurious behavior with a non-fatal outcome. An insight into psychosocial factors and methods used can be used to device effective preventive strategies. Aims: The aim is to study the psycho-social factors and to find the frequency of different methods used in attempted suicides. Materials and Methods: This study is a descriptive, cross-sectional, hospital-based analysis of attempted suicides. 44 consecutive attempted suicides admitted in the emergency ward and referred to the Psychiatry department were taken into the study. A Semi-structured intake Performa consisting of socio-demographic data, detailed history of current suicide attempt, and access to means were noted. MINI (Mini International Neuropsychiatric Interview), Hamilton Depression rating scale, Beck's suicide intent scale, and Barratt's impulsiveness scale were used to screen the patients. SPSS 20 was used for statistical analysis. Results: In the study it was found that majority of people who attempted suicide were of young age, females, married, fully employed, belonged to class IV socioeconomic status and attempts were made equally during day and night. The most common method was drug-overdose followed by poisoning with Organo-Phosphorous compounds. Mental illness was found only in 34% individuals, of which most common was depression. And one-fourth of the individuals had contact with General Practitioner within one month of the suicide attempt. Conclusion: The need for psycho-education and social skills training in adolescents and young adults is implicated in the study. Awareness among the general physicians about suicide prevention would help in bringing down the number of attempts as would strict control of, over the counter drugs and storage of organo-phosphorous compounds.
Psychiatric and Psycho-social Profile of Risk Factors in Attempted Suicide in Sikkim, India
2018
Introduction: Psychiatric disorders has been considered one of the major driving factors for suicide and attempted suicide. The rates of suicide attempts are found to be higher than the completed suicides. Attempted suicide is a common clinical problem in a general hospital setting, encompassing a wide variety of medical and social perspective, some important psycho-socio-demographic variables such as life events, mode of attempts and social factors have not been explored in depth in Sikkim. Current study aimed to identify the sociodemographic factors, methods and to identify the risk factors leading to suicidal attempts. Material and Methods: All the consecutive cases of suicide attempts (n =100) treated in a general hospital were evaluated for psychosocial, clinical risk factors, suicide characteristics, psychiatric morbidity co-morbidity and psychiatric diagnosis by using ICD – 10. Presumptive stressful life event scale was utilized to calculate life events score. A self designed...
2012
Background: Human suicidal behaviour has always been a source of dread and wonder to mankind. As in many countries, suicide in India is hidden and silent epidemic. Suicide has many determinants, studying various determinants has always been the topic of interest for many researchers. Objectives: To study the socio-demographic and the clinical profiles of the subjects who had attempted suicide in Kashmir valley. Design: Retrospective study Setting: Tertiary referral Hospital, SMHS Srinagar. Materials and Methods: We conducted a cross-sectional study for a period of 2 years in SMHS Government medical college associated Hospital. We monitored every alternate patients admitted to the hospital after attempting suicide during our ongoing study period (n =201).The data was recorded in a specially designed Proforma, which included the socio-demographic variables, psychiatric illnesses, psycho-social stress factors, past and family history and the details of the suicide attempt. Chi-square and t tests were used to note the statistically significant associations. Results: Majority of cases belong to Muslim group (95.02%). Younger people of 15-25 years of age (52.7%) predominated in the study. Females (54.7%) outnumbered the males (45.27%). Majority of the patients were married and housewives and were from rural and low socioeconomic backgrounds. Many of the patients had no family history of self-harm and they used poison as the most preferred method of suicide. Majority of the patients examined were suffering from psychiatric illness, which was predominated by depression (21.90%). Besides this, family conflicts (31.8%) and failure in exams (10.44%) were found to be the most common precipitating factors for suicide. Conclusion: The results of the present study suggest that suicide attempts must be carefully evaluated in subjects with previous psychiatric disorders, previous suicide attempts and a family history of psychiatric disorders. Steps like awareness programs, preventive measures and proper psychiatric referral systems should be built to control the increasing incidence of suicide in the
A Study of Attempted Suicides in Kolar, Karnataka
International Journal of Health Sciences and Research, 2013
Context: The suicides in southern India, among young men and women are the highest in the world. The suicide rate in Kerala was about 44.7 for males and 26.8 for females per lakh population, three times the national average. The present study was undertaken relating to the psychosocial investigations of suicidal attempts due to paucity of such studies in this country. Aims: To study the suicidal risk and its relationship to socio-demographic factors and preferred methods of suicidal attempts. Settings and Design: A cross-sectional hospital based study. Methods and Material: Subjects admitted at R.L.Jalappa Hospital & Research Centre, Kolar from January to December 2006 with the history of suicidal attempts were studied using a structured proforma. Statistical analysis used: The data was analyzed using statistical software SPSS version 11, by proportions and chi-square tests. Results: A total of 251 subjects were studied. Higher suicidal attempts (75.7%) were seen in the age group of...