A Study of Psychiatric Factors in Patients Presented with Attempted Suicide in a State Capital Medical College Hospital in Central India (original) (raw)
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International Journal of Research in Medical Sciences
Background: Suicide is the result of an act deliberately initiated and performed by a person in the full knowledge or expectation of its fatal outcome. Suicide attempts are a significant public health problem. The present study aimed to explore the variousclinical characteristics of suicideattempters in a tertiary care hospital of Shimla, Himachal Pradesh, a northern state of India.Methods: We conducted a descriptive study among patients with attempted suicide to the department of Psychiatry, Indira Gandhi Medical College (IGMC) Shimla. A structured, self-designed interview schedule and short-form revised Eyseneck personality questionnaire-Hindi (EPQRS-H) was used for data collection. Data was analyzed using Epi info software v 7.2.0.Results: There were total 77 participants in the study out of which 44 (57.1%) were females. Mean age (Standard deviation) of participants was 30.8 years (9.9 years). Relationship problems were the most common (48.1%) recent life event followed by healt...
Psychiatric disorders among patients presenting with attempted suicide in RIMS hospital, Manipur
International journal of health research and medico legal practice, 2020
Introduction: Suicide is fatal act that represents the person's wish to die. A suicide attempt is a self-initiated sequence of behaviors by an individual who, at the time of initiation, expected that the set of actions would lead to his or her own death. During the past decade, there have been dramatic and disturbing increases in reports of suicide among youths. Materials and methods: A cross-sectional study over a period of one year time was undertaken. All consecutive patients of both sexes aged 18-65 years who have attempted suicide attending Department of Psychiatry, RIMS, Imphal were taken. Results: A total of 45 patients were taken up. Among them 26 (57.8%) were male and 19 (42.2%) were female. Majority of them were below 30 years of age (55.6%). 80% of the patients were diagnosed to have a psychiatric disorder, mostly Depression (44.4%) followed by Schizophrenia (15.6%). Conclusion: Considerable number of attempters suffered from psychiatric disorder. Early diagnosis of the psychiatric disorders and supportive measures for various stressors would help in prevention of suicidal attempts.
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.
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.
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.
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.
https://ijshr.com/IJSHR\_Vol.6\_Issue.2\_April2021/IJSHR-Abstract.08.html, 2021
Background: Psychiatric disorders are at increased risk for suicide. Attempted suicide is a common clinical problem in a general hospital. It has a serious clinical and socio-economical impact too. Aims: This study was carried out to assess the prevalence of psychiatric co-morbidities of suicide attempters attending the emergency. Material and methods: This study was a cross sectional, observational study which was conducted at the Community General Hospital Unit, Institute of Mental Health and Neurosciences-Kashmir an associated hospital of Government Medical College Srinagar among the suicide patients attending the outpatient service and inpatient services of the hospital fulfilling inclusion and exclusion criteria over a period of one and a half year, from November 2017 to May 2019. Written informed consent was obtained in a simple and easily understandable unambiguous language. For the diagnosis of psychiatric comorbidity, we used MINI International Neuropsychiatric Interview Schedule Plus (MINI PLUS). A p-value of <0.05 was taken as statistically significant. Results: A total of 221 cases who had been admitted following unsuccessful suicide attempts to the emergency and psychiatry department were taken up for the study. They were evaluated in detail with regards to past attempt of suicide, family history of psychiatric illness or suicide and the presence of psychiatric co-morbidity and the results have been presented below in tabulated and graphical forms. 77.4% of the attempters had no history of psychiatric illness in their family while 22.6% of patients did have family history of a psychiatric illness. 98.2% of attempters had no family history of suicide while 1.8% of the patients gave a family history of suicide. 21.26% males and 54.75% females had associated psychiatric co-morbidities and 23.9% had no associated psychiatric co-morbidities. Conclusion: The most common psychiatric morbidity associated with suicide was found to be major depressive disorder. Most importantly, the suicide attempters should be looked with sympathy rather than with a grimace on face. Such people should not be stigmatized and we should not let their shoulders drop.
Study of Attempted Suicide in Mumbai Region
Scholars Journal of Applied Medical Sciences
Attempted suicide term implies the person attempt suicide but survived the incident and admitted in the hospital for the treatment. The present study was conducted at G.M.C. Mumbai & Sir J. J. Hospital, Mumbai during 12 months period. The victims admitted as indoor patients were selected. A total 184 attempted suicide cases were studied. The patients were interviewed with information regarding age, sex, means of adopted attempted suicide and reason for attempting suicide. Female preponderance was observed in present study. Most common age was 21–30 years followed by 11-20 years. Means adopted by majority of attempted suicide cases was ingestion of poisonous substances. Most common reason for attempting suicide was family conflict reason followed by chronic illness.