Profile and Pattern of Suicide Attempts Among Admitted Patients in A Teaching Hospital: A Retrospective Study from Nepal (original) (raw)
Related papers
Pattern of Suicide Attempts in Southern Nepal: A Multi-Centered Retrospective Study
Med Phoenix
Background: Suicide has become a major public health issue in low income underdeveloped countries like Nepal. In Nepal, suicide research based on General Hospital Psychiatry Unit (GHPU) settings can be informative to explore the trend in suicidal behaviors. In this study, we aimed to study the pattern of suicide attempts in Southern Nepal by including retrospective suicide attempt cases registered in the three GHPU centers.Methods: The study included 116 survivors of suicide attempts registered over a period of six months (Jan, 2017 to July, 2017) at three centers in Southern region of Nepal. The cases were referred from medical emergency or other medical departments for psychiatric evaluation. They underwent evaluation by at least one consultant psychiatrist and received appropriate interventions.Results: Majority of the victims were female (68%), belonging to younger age group (90%) with one third in adolescent age group and homemakers (32%) or students (31%) by occupation. The mo...
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...
A Study of Suicidal Deaths in Chitwan District of Nepal
European Journal of Forensic Sciences, 2015
Objective: This study was conducted with objectives of exploring the common ways opted to commit suicide and their demographic variations among the suicidal deaths brought to Bharatpur hospital to conduct medicolegal autopsies. Methods: This is a hospital-based retrospective study which was carried out in Bharatpur Hospital. The materials comprised of 170 autopsy cases of suicidal deaths of all ages, of total 470 autopsies done in the mortuary in the year 2013. Results: Suicidal deaths contributed to 36.2% of the total medico-legal autopsies. The mean age of the victims was 38.4 ± 16.131 years. Males and females were equally involved, 31-40 years being the most common age group involved. Hanging (60.6%) was the most common method of committing suicide, followed by poisoning (34.7%) for both the sexes. Most of the cases (16.5%) committed suicide in the late afternoon and evening; 3:01 to 6:00 PM. About 73.5% cases died without getting any treatment. The treatment history varied significantly with the cause of committing suicide (P < 0.001). Most of the cases (45.3%) were found dead on the spot. The place of death of the cases was significantly associated with the cause (P < 0.001). Conclusion: Suicide is a major public health problem in our settings as it affects the most economically productive persons. As it is difficult to save the life of the person once he has opted a means to commit suicide, measures have to be implemented to identify and protect the vulnerable persons.
Pattern of Suicidal Deaths in Cases Coming to Tertiary Center in Eastern Nepal
Foresic Research & Criminology International Journal, 2017
Background: Suicide is the major cause of death throughout the world. There is a relationship between mental status and social status of a person and they reflect the pattern of suicidal deaths in a particular community. Many cultural and socioeconomic factors and quality of life are other contributing factors for committing suicide. Suicidal deaths happen almost everywhere in the world. Objective: The current study was conducted to find out the causes of suicidal deaths and the various factors associated with them. Methodology: The present study is hospital based retrospective cross-sectional study in which altogether 1701 cases were autopsied during the study period Nepali year 2062 BS to 2066 BS (14th April 2005-13th April 2010).Out of autopsied 1701 unnatural death cases 583 cases were that of the suicide which is 34.2% of total cases. Results: There was steep rise in the cases of suicide every year. Majority of cases were of male and female of age group 11-30(53.6%).The most common cause of death in majority of the deaths was poisoning (61.6%) followed by hanging (33.6%). Burn (4.6) and cut throat (0.2) were methods adopted by very less number of populations. 82.8% cases were dead when were brought to hospital. Conclusions: Treatment is of very little value in cases of suicide. So it is only the prevention which is of extreme importance to reduce the number of suicide. Effort from government agencies, proper counseling facilities for stressed individuals, adopting a healthy life style and reducing the open selling of poisonous materials will be of use in reducing suicide cases in society.
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
IOSR Journal of Humanities and Social Science, 2014
Studies from south India have reported high rates of suicide. We aim to understand the Sociodemographic factors methods and reasons for suicidal attempts. 109 Patients with history of attempted suicides were admitted to R.L.Jalappa Hospital Kolar, a tertiary care center. Of these 65patients survived and various methods of committing suicide included poisoning 47 cases, hanging 9cases, and alcohol and tablets consumption 29 cases, overdose of sleeping pills 19 cases. 24 Students involved in the study attempted hanging, poisoning, slit throat. Methods: Structured Questioners was administered to the subjects relating to the factors responsible for attempted suicide and survived. Results: In this study a total of 109 patients are admitted survived 65, death 31, Discharge against medical advice or not affordable 16.Peak occurrence of suicidal attempts was found in the second and third decades (15-35years). Suicidal attempts among Hindu constituted about 81.65%. Among females illiterates are 69.5%. Agricultures 55.04%,Housewifes are 14.67%,students22.01%, Eighty two percent of the subject were rural background and 17.43% are nuclear families and no income group are 36.69% attempters. Conclusion: Our study reveals that people perceived suicide as an option to overcome interpersonal, financial stress, family problems, love affair and fear of failure in the examinations. Suicide and attempt suicide are slowly occupying the higher position of a public health problem caused by multiple factors and the age group of 16-45 years, male sex, low education level, low socioeconomic status, illness and family problems are more prone to attempt suicide. Among these most of them are preventable and controllable.
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.
International Journal of Research in Medical Sciences, 2021
Background: Suicide is an important and serious public health problem. It is one of the major emergencies in psychiatry. This study was carried out to assess the socio-demographic profile and mode of attempt of suicide among suicidal attempters attending emergency.Methods: This study was a cross sectional, observational study conducted at 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 fulfilling inclusion and exclusion criteria over a period of one and a half year. Each patient was informed about the purpose of interview; his/her consent was obtained in a simple and easily understandable unambiguous language.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. Out of which 161 (72.9%) were females and 60 (27.1%) were males,...
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...
Suicide and deliberate Self-Harm Among Women in Nepal: A Scoping Review
2021
Background: Suicide is a growing public health problem globally. Suicide accounts for 70% of violent deaths among women in low and middle income countries. In Nepal suicide is the single leading cause of death among women of reproductive age. The aim of this scoping review is to explore and understand the various contexts related to vulnerability of Nepalese woman towards suicide and deliberate self-harm.Methods: A scoping review based on Arksey and O’Malley’s methodological framework including a combination of peer-reviewed publications and grey literature was conducted. The National Library of Medicine’s PubMed and Google Scholar search engines were used during July 2019 applying a Boolean search strategy. Results: Suicide incidence was found to be higher among younger age group and married women, with poisoning as the most common means of suicide. Psychosocial and economic factors such as abuse, interpersonal conflicts, marital disputes, relationship problems, adjustment problems...