Suicide, Attempted Suicide, and Relapse Rates in Depression

1978 ◽  
Vol 35 (6) ◽  
pp. 749 ◽  
Author(s):  
David Avery
Author(s):  
Margaret S. Andover ◽  
Heather T. Schatten ◽  
Blair W. Morris

Individuals diagnosed with borderline personality disorder (BPD) are at an elevated risk for engaging in self-injurious behaviors, including suicide, attempted suicide, and nonsuicidal self-injury (NSSI). The purpose of this chapter is to provide an overview of research on self-injurious behaviors among individuals with BPD. Definitions and prevalence rates are provided for NSSI, suicide, and attempted suicide. Clinical correlates of and risk factors for the behaviors, as well as associations between specific BPD criteria and self-injurious behaviors, are discussed, and a brief overview of treatments focused on reducing self-injurious behaviors among BPD patients is provided. By understanding risk factors for attempted suicide and NSSI in BPD, we can better identify patients who are at increased risk and focus treatment efforts on addressing modifiable risk factors.


2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Micheli Leal Ferreira ◽  
Mara Ambrosina De Oliveira Vargas ◽  
Jeferson Rodrigues ◽  
Daiane Trentin ◽  
Laura Cavalcanti de Farias Brehmer ◽  
...  

Objetivo: Conhecer as evidências relativas ao comportamento suicida na atenção primária à saúde, em produções científicas nacionais e internacionais. Metodologia: Revisão integrativa da literatura de janeiro de 2012 a abril de 2017. Utilizaram-se os termos: “Suicídio”, “Tentativa de suicídio”, “Ideação suicida” e “Atenção Primária à Saúde” resultando em 35 artigos. Resultados: Predominam estudos com enfoque na avaliação da prevalência de comportamento suicida; na descrição/avaliação da eficácia na prevenção/detecção de pessoas com comportamento suicida; e na identificação do perfil/fatores de risco ou proteção de pessoas com comportamento suicida que utilizaram a atenção primária. Evidenciou a necessidade em estudos com destaque à atenção primária à saúde, principal porta de entrada da pessoa em sofrimento. Conclusão: Uma lacuna importante a ser preenchida é a carência de estudos que enfoquem a identificação/desenvolvimento de estratégias de sensibilização/ capacitação dos profissionais da atenção primária para intervenção/prevenção ao comportamento suicida.DESCRITORES: Suicídio; Tentativa de suicídio; Ideação suicida; Atenção Primária à Saúde.SUICIDAL BEHAVIOR AND PRIMARY HEALTH CARE: AN INTEGRATIVE REVIEWObjective: To know the evidence regarding suicidal behavior in primary health care in national and international scientific productions. Methodology: Integrative review of the literature from January 2012 to April 2017. The terms “Suicide”, “Attempted suicide”, “Suicidal ideation” and “Primary health care” were used, resulting in 35 articles. Results: Predominant studies focus on the evaluation of the prevalence of suicidal behavior; in the description / evaluation of effectiveness in the prevention / detection of people with suicidal behavior; and the identification of the profile / risk factors or protection of people with suicidal behavior who used primary care. It evidenced the need in studies with emphasis on primary health care, the main entry point of the suffering person. Conclusion: An important gap to be filled is the lack of studies that focus on the identification / development of awareness strategies / training of primary care professionals for intervention / prevention of suicidal behavior.Descriptors: Suicide; Attempted suicide; Suicidal ideation; Primary Health Care.COMPORTAMIENTO SUICIDIO Y ATENCIÓN PRIMARIA A LA SALUD: UNA REVISIÓN INTEGRATIVAObjetivo: Conocer las evidencias relativas al comportamiento suicida en la atención primaria a la salud, en producciones científicas nacionales e internacionales. Metodología: Revisión integrativa de la literatura de enero de 2012 a abril de 2017. Se utilizaron los términos: “Suicidio”, “Tentativa de suicidio”, “Ideación suicida” y “Atención Primaria a la Salud” resultando en 35 artículos. Resultados: Predominan estudios con enfoque en la evaluación de la prevalencia de comportamiento suicida; en la descripción / evaluación de la eficacia en la prevención / detección de personas con comportamiento suicida; y en la identificación del perfil / factores de riesgo o protección de personas con comportamiento suicida que utilizaron la atención primaria. Evidenció la necesidad en estudios con destaque a la atención primaria a la salud, principal puerta de entrada de la persona en sufrimiento. Conclusión: Una laguna importante a ser llenada es la carencia de estudios que enfoquen la identificación / desarrollo de estrategias de sensibilización / capacitación de los profesionales de la atención primaria para intervención / prevención al comportamiento suicida.Descriptores: Suicidio; Tentativa de Suicidio; Idea Suicida; Atención Primaria a la Salud.


Author(s):  
Soumitra Pathare ◽  
Lakshmi Vijayakumar ◽  
Tanya Nicole Fernandes ◽  
Manisha Shastri ◽  
Arjun Kapoor ◽  
...  

Abstract Background Based on previous experience there is justifiable concern about suicidal behaviour and news media reporting of it during COVID-19 pandemic. Methods This study used a systematic search of online news media reports (versions of newspapers, magazine and other digital publications) of suicidal behaviour during India’s COVID-19 lockdown and compared it to corresponding dates in 2019. Data was gathered using a uniform search strategy from 56 online news media publications 24 March to 3 May for the years 2019 and 2020 using keywords, suicide, attempted suicide, hangs self and kills self. Demographic variables and methods used for suicide were compared for suicide and attempts between the 2 years using chi-squared tests (χ2). Results There were online news media reports of 369 cases of suicides and attempted suicides during COVID lockdown vs 220 reports in 2019, a 67.7% increase in online news media reports of suicidal behaviour. Compared to 2019, suicides reported during lockdown were significantly older (30 vs 50 years, p < 0.05), men (71.2% vs 58.7%; p < 0.01), married (77.7% vs 49%; p < 0.01) and employed (82.9% vs 59.5%; p < 0.01). During the lockdown, significantly more suicides were by hanging (64.4% vs 42%), while poisoning (8.5% vs 21.5%) and jumping in front of a train (2% vs 9.4%) (p < 0.05) were significantly reduced. Comparison of COVID and non-COVID groups showed that online news media reports of COVID cases of suicide and attempted suicide were significantly more likely to be men (84.7% vs 60.4%; p < 0.01), older (31–50 years 52.9% vs 25.8%; p < 0.01) employed (91.5% vs 64.3%; p < 0.01), had poor mental (40.1% vs 20.8%; p < 0.01) and poor physical health (24.8% vs 7.9%;11.8, p < 0.01). Conclusion Increase in online news media reports of suicides and attempts during COVID-19 lockdown may indicate an increase in journalists’ awareness about suicide or more sensational media reporting or may be a proxy indicator of a real community increase in suicidal behaviour. It is difficult to attribute changes in demographic profile and methods used only to changes in journalists’ reporting behaviour and should be further explored. We therefore call upon the Government of India to urgently release national suicide data to help devise a comprehensive suicide prevention strategy to address COVID-19 suicidal behaviour.


2021 ◽  
pp. 58-59
Author(s):  
Adarsh Bajpai ◽  
Pritesh Goutam

Introduction: The presence of psychiatric illness is an important risk factor for suicide. Attempted suicide is one of the major psychiatric emergencies. Suicide attempts are considered to be the best predictors of an eventual completed suicide. Objective:The aim of the study was to explore the Socio-demographic prole and psychiatric diagnosis of the patients with suicidal attempt. Methods: The study population included those patients who were admitted and being managedfor attempted suicide and brought for psychiatric evaluation during the period of 12 months (1st Feb 2019- 31 Jan 2020) at L.N.M.C Bhopal. Each patient underwent a detailed psychiatric st evaluation by a consultant psychiatrist once they were medicallystable. Result: Among the total patients (N=100), 83% were in the age group 20-39 years. Majority of the cases were female (n=76). 68% cases were married and majority was of Hindu religion. Most common method of attempted suicide was by poisoning, by intake of Organophosphates. Depressive Disorder (50%) and Alcohol use disorder (25%) were the most common psychiatric diagnosis.` Conclusion: Attempted suicide is widely prevalent in younger age group. It is usually by poisoning and the use of Organophosphates is the most common in our setting and is commonly associated with Depressive disorder. Hence, psychiatric care is essential for this patient.


2017 ◽  
Vol 5 (1) ◽  
pp. 22-25
Author(s):  
B. Kafle ◽  
Y. Bagale ◽  
M. Dhungana

 Introduction: The presence of a mental disorder is an important risk factor for suicide. Attempted suicide is one of the major emergencies in psychiatry. Suicide attempts are considered to be the best predictors of an eventual completed suicide. Data of patients presenting with attempted suicide is scanty in Nepal.Objective: The aim of the study was to explore the socio-demographic and psychiatric diagnosis of the patients with suicidal attemptMethod: The study population included those patients who were admitted and being managed for attempted suicide and brought for psychiatric evaluation during the period of one year (1st July 2015- 30 June 2016) at Devdaha Medical College and research institute, Nepal. Each patient underwent a detailed psychiatric evaluation by a consultant psychiatrist once they were medically stable. Details including socio-demographic data, psychiatric diagnosis, was tabulated and analyzed using SPSS-16.Result: Among the total patients (N=75), 68% were in the age group 20-39 years. Majority of the cases were female (78.7%). 53.3% cases were married and majority were from Hindu religion. Most common method of attempted suicide was by poisoning and was by intake of Organophosphorous. Adjustment disorder(44%) and Depression(24%) were the most common psychiatric diagnosis. Marital dispute (22.7%) and family dispute (17.3%) and were the most common psychosocial precipitant.Conclusion: Attempted suicide is widely prevalent on younger age group. It is usually by poisoning and the use of Organophosphorus compound is most common in our setting and is commonly associated with adjustment disorder. Hence, psychiatric care is essential for these patients.


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