Preview

Сибирский научный медицинский журнал

Advanced search

A prospective study on clinical profile and trend in suicide attempters

https://doi.org/10.18699/SSMJ20220409

Abstract

There is a high risk of suicidal attempts in patients with psychiatric problems. This risk varies according to the sociodemographic status and clinical presentation. Periodic systematic profiling of suicidal risk factors in developing countries is an established need. Objectives. The objective was to study the sociodemographic data, psychiatric disorder, precipitating events, mode of attempt, and intent of attempt in suicide attempted patients. Material and methods. During the 1.5 years, 150 referrals were screened for the presence of suicide attempters in consultation-liaison services. Those who fulfilled the criteria for suicide attempters were evaluated by using semistructured pro forma containing sociodemographic data, precipitating events, mode of attempt, psychiatric diagnosis by using ICD-10 and intent of the attempt. Results. Adult age, rural background, housewives and students, unemployed, below matriculation educated were more represented in this study. Gender wise more females are represented. More than 80 % of all attempters had a psychiatric disorder. The majority had a precipitating event before the suicide attempt. The most common method of attempt was by use of insecticide poison. Many have moderate intent in the attempt. Conclusions. The majority of suicide attempt patients had a mental illness. Early identification and treatment of these disorders would have prevented morbidity and mortality associated with this.

About the Author

R. Jahagirdar
Zydus Medical College and Hospital; Shri Govind Guru University
India

Rohan Jahagirdar

389151, Godhra, Dahod, Gujarat



References

1. World report on violence and health. Eds. E.G. Krug., L. Dahlborg, J.A. Mercy, A.B. Zwi, R. Lozano. Geneva: WHO, 2002. 368 p.

2. Rawat S., Rajkumari S., Joshi P.C., Khan M.A., Saraswathy K.N. Who dies and who survives? Investigating the difference between suicide decedents and suicide attempters. Egypt J. Forensic. Sci. 2019;9:10. doi: 10.1186/s41935-019-0115-9

3. Accidental deaths and suicides in India. National Crime Records Bureau. Ministry of Home Affairs: 2020. Available at: https://ncrb.gov.in/sites/default/files/adsi2020_Chapter-2-Suicides.pdf

4. Suresh Kumar P.N. An analysis of suicide attempters versus completers in Kerala. Indian J. Psychiatry. 2004;46:144–149.

5. Behere P.B., Chowdhury D., Behere A.P., Yadav R. Psychosocial aspects of suicide in largest industry of farmers in Vidarbha Region of Maharashtra. Ind. Psychiatry J. 2021;30(1):10–14. doi: 10.4103/0972-6748.328781

6. Joseph A., Abraham S., Muliyil J.P., George K., Prasad J., Minz S., Abraham V.J, Jacob K.S. Evaluation of suicide rates in rural India using verbal autopsies. 1994–9. BMJ. 2003;326:1121–1122. doi: 10.1136/bmj.326.7399.1121

7. Das P.P., Grover S., Avasthi A., Chakrabarti S., Malhotra S., Kumar S. Intentional self-harm seen in psychiatric referrals in a tertiary care hospital. Indian J. Psychiatry. 2008;50:187–191. doi: 10.4103/0019-5545.43633

8. Gajalakshmi V., Peto R. Suicide rate in Tamil Nadu, South India: Verbal autopsy of 39,000 deaths in 1997–98. Int. J. Epidemiol. 2007;36:203–207. doi: 10.1093/ije/dyl308

9. Varghese P., Erickson T.B. Pesticide poisoning among children in India: the need for an urgent solution. Glob. Pediatr. Health. 2022;9:2333794X221086577. doi: 10.1177/2333794X221086577

10. Srivastava M.K., Sahoo R.N., Ghotekar L.H., Dutta S., Danabalan M., Dutta T.K., Das A.K. Risk factors associated with attempted suicide: A case control study. Indian J. Psychiatry. 2004;46:33–38.

11. Chavan B.S., Singh P.G., Kaur J., Kochar R. Psychological autopsy of 101 suicide cases from north-west region of India. Indian J. Psychiatry. 2008;50:34–38. doi: 10.4103/0019-5545.39757

12. World Health Organization. The ICD-10 Classification of mental and behaviour disorders – clinical descriptions and diagnostic guidelines. Geneva: WHO; 1992. 248 p.

13. Chaudhari V.A., Das S., Sahu S.K., Devnath G.P., Chandra A. Epidemio-toxicological profile and reasons for fatal suicidal poisoning: A record-based study in South India. J. Family Med. Prim. Care. 2022;11(2):547–552. doi: 10.4103/jfmpc.jfmpc_1171_21

14. Gunnell D.J., Peters T.J., Kammerling R.M., Brooks J. Relation between parasuicide, suicide, psychiatric admissions, and socio-economic deprivation. BMJ. 1995;311:226–230. doi: 10.1136/bmj.311.6999.226

15. Dennis M., Wakefield P., Molloy C., Andrews H., Friedman T. Self-harm in depressed older people: A comparison of social factors, life events and symptoms. Br. J. Psychiatry. 2005;186:538–539. doi: 10.1192/bjp.186.6.538

16. Siwach S.B., Gupta A. The profile of acute poisonings in Harayana-Rohtak Study. J. Assoc. Physicians. India. 1995;43:756–759.

17. Moges A., Solomon T., Lemma K. Socio-demographic characteristics, clinical profle and prevalence of existing mental illness among suicide attempters attending emergency services at two hospitals in Hawassa city, South Ethiopia: a cross-sectional study. Int. J. Ment. Health Syst. 2017;11:32. doi: 10.1186/s13033-017-0136-4

18. Fehling K.B., Selby E.A. Suicide in DSM-5: Current evidence for the proposed suicide behavior disorder and other possible improvements. Front. Psychiatry . 2021;11:499980. doi: 10.3389/fpsyt.2020.499980


Review

Views: 256


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2410-2512 (Print)
ISSN 2410-2520 (Online)