Is suicide predictable? A classification of predictive factors in Iranian women who had multiple suicide attempts

2011 ◽  
Vol 26 (S2) ◽  
pp. 1642-1642
Author(s):  
T. Seghatoleslam ◽  
H. Habil ◽  
O. Rezaee ◽  
S. Sadr ◽  
R. Emamhadi
Keyword(s):  
Substance Abuse ◽  
Suicide Attempt ◽  
Predictive Factors ◽  
Suicide Attempts ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Positive History ◽  
History Of

BackgroundThe current study aims to test the hypothesis: Is suicide predictable? And try to classify the predictive factors in multiple suicide attempts.MethodA cross-sectional study was administered to 223 multiple attempters, women who came to a medical poison centre after a suicide attempt. The participants were young, poor, and single. A Regression Logistic Test was used to classify the predictive factors of suicide.ResultsWomen who had multiple suicide attempts exhibited a significant tendency to attempt suicide again. They had a history for more than two years of multiple suicide attempts, from three to as many as 18 times, plus mental illnesses such as depression and substance abuse. They also had a positive history of mental illnesses.ConclusionResults indicate that contributing factors for another suicide attempt include previous suicide attempts, mental illness (depression), or a positive history of mental illnesses in the family affecting them at a young age, and substance abuse.

scholarly journals Risk factors of multi-drug resistant tuberculosis in urban Allahabad, India

2017 ◽  
Vol 4 (7) ◽  
pp. 2383
Author(s):  
Jamil Raazi ◽  
Shiv Prakash ◽  
Khurshid Parveen ◽  
Shama Shaikh
Keyword(s):  
Risk Factors ◽  
Substance Abuse ◽  
Cross Sectional Study ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Positive History ◽  
Tb Treatment ◽  
Mdr Tb ◽  
History Of

Background: India has the highest burden of tuberculosis globally while second highest in estimated MDR-TB cases after China. The prevalence of MDR-TB is estimated to be 3% among new cases and 14-17% amongst the re-treatment cases. The Objective of the study was to identify the risk factors of MDR-TB in patients registered at tuberculosis units of urban Allahabad.Methods: A cross-sectional study was carried out on TB patients registered at the urban tuberculosis units of Allahabad district in the year 2015. A total of 54 MDR-TB and 1016 non-MDR TB patients were included in the study. A pre-tested structured questionnaire was used to collect the data on the various factors. The chi-square test was used to study the association of various risk factors for MDR-TB patients.Results: MDR-TB was more common in 26-45 year age group (59.26%), males (62.96%), previously treated TB case (83.34%), positive history of contact with MDR-TB patient (5.55%), patients previously on non-DOTS treatment (37.78%), patients with associated co-morbidities (37.03%) and in substance abuse (74.07%) while Non-MDR is more common in >45 years (46.75%) age group, females (56.69%), new cases (87.20%), patients on DOTS therapy (85.16%), without any co-morbidities (83.46%) and in patients having positive history of substance abuse (60.04%).Conclusions: The younger age, male gender previous TB treatment, patients previously on Non-DOTS treatment, incomplete previous TB treatment, positive contact history of MDR-TB cases, presence of associated co-morbidities and substance abuse was significantly associated with MDR-TB patients than Non-MDR-TB patients (p<0.05). 

Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

2021 ◽  
pp. 003022282110034
Author(s):  
Azam Farmani ◽  
Mojtaba Rahimianbougar ◽  
Yousef Mohammadi ◽  
Hossein Faramarzi ◽  
Siamak Khodarahimi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Suicide Attempt ◽  
Suicide Attempts ◽  
Psychological Services ◽  
Cross Sectional ◽  
Economic Determinants ◽  
History Of ◽  
Cross Sectional Design ◽  
High Level ◽  
Risk Assessment And Management

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

scholarly journals Suicidal behaviour in postnatal mothers in northwestern Ethiopia: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027449
Author(s):  
Habte Belete ◽  
Eyaya Misgan
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Suicidal Behaviour ◽  
Postnatal Care ◽  
Unplanned Pregnancy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Postpartum Mothers

AimTo assess the prevalence and associated factors of suicidal behaviour (suicidal ideation, plan or suicide attempt) in postpartum mothers.MethodAn institutional cross-sectional study was employed from March to April 2017.SettingTwo primary health centres and one referral hospital in northwestern Ethiopia.ParticipantsA total of 1065 mothers aged ≥18 years during routine postnatal care were included and 988 of them completed the study. Those who were unable to communicate due to illness were not included.Outcome measureMothers who visit for routine postnatal care were assessed for suicidal behaviour using a suicidal screening tool. Logistic analysis was employed with adjusted OR (AOR) and 95% CI, and with p value less than 0.05 as the level of significance.ResultsThe prevalence of suicidal behaviour (suicidal ideation, plan or suicide attempt) was found at 14.0% (138/988) (95% CI 12.00 to 16.00) in postpartum mothers. Poor wealth of the mother (AOR=2.80, 95% CI 1.18 to 6.84), unplanned pregnancy of the current child (AOR=2.28, 95% CI 1.48 to 3.54), history of rape (AOR=2.26, 95% CI 1.42 to 3.61) and sickness of the new child (AOR=1.68, 95% CI 1.12 to 2.52) were significantly associated with suicidal behaviours.ConclusionSuicidal behaviour was found pretty high among postpartum mothers and was associated with poor wealth, unplanned pregnancy, history of rape and sickness of the new infant. It is recommended to screen mothers for possible suicidal behaviour during routine postnatal care.

Correlates of Suicidal Ideation and/or Behavior in Bariatric-Surgery-Seeking Individuals With Severe Obesity

Crisis ◽  
2012 ◽  
Vol 33 (3) ◽  
pp. 137-143 ◽  
Author(s):  
E. Y. Chen ◽  
K. C. Fettich ◽  
M. S. McCloskey
Keyword(s):  
Bariatric Surgery ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Severe Obesity ◽  
Suicide Attempts ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Related Stigma ◽  
Severely Obese ◽  
And Control

Background: Approximately 10% of severely obese bariatric-surgery-seeking individuals report a lifetime history of suicide attempts, a higher rate than in the general community. Being overweight is associated with weight-related stigma, making an individual more vulnerable to social isolation, a potential risk factor for suicidal ideation and/or behavior. Aims: In this cross-sectional study of surgery-seeking adults with severe obesity, we examined whether weight-related stigma increases (1) the likelihood of suicidal ideation and/or behavior or (2) the degree of loneliness; and whether hypotheses (1) and (2) are supported (3) if loneliness mediates the effect of weight-related stigma on suicidal ideation and/or behavior. Methods: Online questionnaires were administered to 301 women and 95 men seeking bariatric surgery. Results: Approximately 30.3% reported having at least a passing thought of suicide, and 5.55% a suicide attempt during their lifetime. The suicide attempt rate appears lower than other bariatric surgery samples, but possibly higher than community and other surgery sample rates. For severely obese surgery-seeking women, weight-related stigma was associated with suicidal ideation and/or behavior, though this was not mediated by loneliness. Conclusions: Future studies are needed to model and compare suicidal ideation and/or behavior in bariatric-surgery-seeking individuals and control groups.

scholarly journals Risk factors associated with hospital emergency visits among asthmatic schoolboys in Saudi Arabia

2002 ◽  
Vol 08 (01) ◽  
pp. 31-41
Author(s):  
K. M. Al Dawood
Keyword(s):  
Cross Sectional Study ◽  
Emergency Room Visits ◽  
Sectional Study ◽  
Hospital Emergency ◽  
Cross Sectional ◽  
Emergency Visits ◽  
Positive History ◽  
Factors Associated ◽  
Hospital Emergency Room ◽  
History Of

This cross-sectional study was carried out to determine the prevalence of a positive history of hospital emergency visits [HHEV] among asthmatic Saudi schoolboys. Data were collected using self-administered questionnaires to parents. The prevalence rate for positive HHEV among questionnaire-diagnosed asthmatic boys [QDAs] was 65.0%. Factors associated with positive HHEV among QDAs were determined. Modifying the preventable factors associated with the total number of hospital emergency room visits is expected to decrease the severity and the disability of this disease.

scholarly journals Cross-Sectional Study of Epidemiological Determinants of Substance Abuse among Male Substance Abusers Attending a De-Addiction Centre in Bangalore City

2021 ◽  
Vol 8 (29) ◽  
pp. 2572-2577
Author(s):  
Sumanth Tarikere Parameshwaraiah ◽  
Vishnuvardhan Gopalkrishna ◽  
Vidhyavathi Malyam ◽  
Asha Chandahalli Sannappa ◽  
Amulya Bhaskara ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Child Abuse ◽  
Family History ◽  
Psychiatric Illness ◽  
Peer Pressure ◽  
Cross Sectional Study ◽  
Common Reason ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of

BACKGROUND Substance abuse is a cause of deaths, global burden of disease and injury. Increasing trends of underage substance abuse have shown to be associated with future substance dependency. Understanding various factors associated with it will help mitigate the severity and extent of use. In this study, we wanted to find out the pattern of substance abuse in patients at a de-addiction centre in Bangalore. METHODS This cross-sectional study was conducted on 500 male patients admitted to a deaddiction centre in Bangalore. Information was collected using pre-tested and structured questionnaire forms and the collected data was analyzed using statistical package for social sciences (SPSS) v 16.0 software. RESULTS The majority of the participants abused alcohol (92.4 %) and nicotine (74.2 %). 40.5 % of the participants initiated alcohol abuse in age groups of 12 – 18 (Years). Peer pressure (40.4 %) and curiosity (19 %) were observed as the most common reason for substance abuse. The common reason to seek de-addiction services was family pressure (22.4 %), physical health problems (14.2 %), family responsibility (12.4 %) fear of being a social outcast in the community (12 %) and psychiatric problems (10.6 %). Among the participants, 39.4 % had a family history of substance abuse and 41 % had a history of psychiatric illness. 47.4 % reported a history of child abuse. CONCLUSIONS Most participants initiated abuse before age of 25 mainly due to peer pressure. Proper enforcement of rules concerning under-aged substance abuse, proper peer and familial support, addressing concerns of psychiatric comorbidity and child abuse can decrease the chances of future dependency and thus lessen the burden of the problem. KEYWORDS De-Addiction Centre, Under-Aged Substance Abuse, Family History, Psychiatric Illness

scholarly journals Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ji-Hun Kang ◽  
Si-Won Lee ◽  
Jae-Gu Ji ◽  
Jae-Kwang Yu ◽  
Yun-Deok Jang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Suicide Attempt ◽  
Systolic Blood Pressure ◽  
Emergency Room ◽  
Suicide Attempts ◽  
Educational Background ◽  
Management Program ◽  
Cross Sectional ◽  
History Of ◽  
At Home

Abstract Background This study aimed to find out the change in the rate and pattern of suicide attempts during severe acute respiratory syndrome COVID-19 pandemic period. Methods This study was a retrospective analysis of data collected as a part of an emergency room-based post-suicide management program. The data were collected through interviews and from medical records of suicide attempts, maintained in the emergency room, from January 19 to October 31, 2020, during the “COVID-19 period,” and those who attempted suicide from January 19 to October 31, 2019 “pre-COVID-19 period.” We extracted educational background, marital status, occupation, presence of domestic partner, history of mental illness, alcohol consumption, history of previous suicide attempts; suicide attempt method and location (i.e., at home or a place other than home) at the time of attempt, and whether the attempt was a mass suicide. In addition, we compared patient severity between “COVID-19 period” and “pre-COVID-19 period” using the initial KTAS (South Korean triage and acuity scale) level, consciousness level, and systolic blood pressure. In 2012, KTAS was developed through the Ministry of Health and Welfare’s research project to establish triage system in South Korea. Results The analysis of the number of suicide attempts during “pre-COVID-19 period” and “ COVID-19 period” showed that the number of suicide attempts during “COVID-19 period” (n = 440) increased compared to the “pre-COVID-19 period” (n = 400). Moreover, the method of suicide attempts during “COVID-19 period” included overdose of drugs such as hypnotics, antipsychotics, and pesticides that were already possessed by the patient increased compared to the “pre-COVID-19 period” (P < 0.05). At the time of the visit to the emergency room, high KTAS level, low level of consciousness, and low systolic blood pressure, were observed, which were significantly different between “COVID-19 period” and “pre-COVID-19 period” (P < 0.05). Conclusion With the worldwide COVID-19 virus spread, suicide rate and suicide attempts at home have significantly increased. In addition, patient severity was higher in the “COVID-19 period” than that in the “pre-COVID-19 period.” The increasing suicide attempt rate should be controlled by cooperation between the emergency room and regional organizations.

scholarly journals Repetitive negative thinking about suicide: Associations with lifetime suicide attempts

2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Tobias Teismann ◽  
Thomas Forkmann ◽  
Johannes Michalak ◽  
Julia Brailovskaia
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behavior ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Clinical Sample ◽  
Cross Sectional Study ◽  
Repetitive Negative Thinking ◽  
Cross Sectional ◽  
Suicide Attempters ◽  
Negative Thinking

Background Repetitive negative thinking has been identified as an important predictor of suicide ideation and suicidal behavior. Yet, only few studies have investigated the effect of suicide-specific rumination, i.e., repetitive thinking about death and/or suicide on suicide attempt history. On this background, the present study investigated, whether suicide-specific rumination differentiates between suicide attempters and suicide ideators, is predictive of suicide attempt history and mediates the association between suicide ideation and suicide attempts. Method A total of 257 participants with a history of suicide ideation (55.6% female; Age M = 30.56, Age SD = 11.23, range: 18–73 years) completed online measures on suicidality, general and suicide-specific rumination. Results Suicide-specific rumination differentiated suicide attempters from suicide ideators, predicted suicide attempt status (above age, gender, suicide ideation, general rumination) and fully mediated the association between suicide ideation and lifetime suicide attempts. Conclusion Overall, though limited by the use of a non-clinical sample and a cross-sectional study design, the present results suggest that suicide-specific rumination might be a factor of central relevance in understanding transitions to suicidal behavior.

scholarly journals History of suicide attempts and COVID-19 infection in Veterans with schizophrenia or schizoaffective disorder: moderating effects of age and body mass index

2021 ◽  
Author(s):  
Olaoluwa O. Okusaga ◽  
Rachel L. Kember ◽  
Gina M. Peloso ◽  
Roseann E. Peterson ◽  
Marijana Vujkovic ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Suicide Attempt ◽  
Body Mass ◽  
Schizoaffective Disorder ◽  
Suicide Attempts ◽  
Medical Center ◽  
Cross Sectional ◽  
Suicide Attempters ◽  
History Of ◽  
The Relationship

Introduction: Relative to the general population, patients with schizophrenia or schizoaffective disorder have higher rates of suicide attempts and mortality from COVID-19 infection. Therefore, determining whether a history of suicide attempt is associated with COVID-19 in patients with schizophrenia or schizoaffective disorder has implications for COVID-19 vulnerability stratification in this patient population. Methods: We carried out cross-sectional analyses of electronic health records (EHR) of veterans with a diagnosis of schizophrenia or schizoaffective disorder that received treatment at any United States Veterans Affairs Medical Center between January 1, 2020 to January 31, 2021. We used logistic regression to estimate unadjusted and adjusted (including age, sex, race, marital status, body mass index (BMI), and a medical comorbidity score) odds ratios (ORs) for COVID-19 positivity in suicide attempters relative to non-attempters. Results: A total of 101,032 Veterans [mean age 56.67 ± 13.13 years; males 91,715 (90.8%)] were included in the analyses. There were 2,703 (2.7%) suicide attempters and 719 (0.7%) patients were positive for COVID-19. The association between history of suicide attempt and COVID-19 positivity was modified by age and BMI, such that the relationship was only significant in patients younger than 59 years, and in obese (BMI ≥ 30) patients (adjusted OR 3.42, 95% CI 2.02 - 5.79 and OR 2.85, 95% CI 1.65 - 4.94, respectively). Conclusions: Higher rates of COVID-19 in young or obese suicide attempters with a diagnosis of schizophrenia or schizoaffective disorder might be due to elevated risk for the infection in this sub-group of patients.

scholarly journals Association of firearm exposure during youth with lifetime incidence of suicide ideation and suicide attempts

2021 ◽  
Author(s):  
Craig J. Bryan ◽  
AnnaBelle O. Bryan ◽  
Michael D. Anestis
Keyword(s):  
Suicide Attempt ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Preliminary Evidence ◽  
Cross Sectional ◽  
Lifetime History ◽  
Firearm Availability ◽  
Childhood Home ◽  
History Of ◽  
Suicidal Thoughts And Behaviors

Abstract Background: Preliminary evidence suggests firearm availability may increase the risk for suicide ideation and attempts, two common precursors to suicide death. Little is known about which aspects of firearm availability may account for this association. The primary purpose of this study was to examine associations among multiple dimensions of firearm availability with lifetime history of suicide ideation and attempts.Methods: A cross-sectional, anonymous survey was administered to 6200 U.S. adults from March 5, 2020, to March 17, 2020. Participants were asked to report firearm availability, firearm use, and suicidal thoughts and behaviors over the lifespan. Results: Rates of lifetime suicide ideation were significantly elevated among participants reporting a firearm in their childhood home (odds ratio [OR]=1.3, 95% confidence interval [CI]=1.1-1.5). Rates of lifetime suicide attempt were significantly elevated among participants reporting a firearm in their childhood home (OR=1.8, 95% CI=1.5-2.2) and participants who first acquired a firearm before the age of 11 (OR=3.8, 95% CI=2.6-5.8). Among participant with a lifetime history of suicide ideation, rates of lifetime suicide attempt were significantly elevated among participants who first acquired a firearm before the age of 11 (OR=3.0, 95% CI=1.4-6.4), but this relationship was no longer significant when adjusting for demographics and negative affectivity (OR=2.4, 95% CI=0.96-6.0). Conclusions: Adults who were raised in a home with a firearm and/or first acquired a firearm were significantly more likely to have attempted suicide during their lives. Additional research examining the mechanisms by which early life firearm exposure might increase suicide risk across the lifespan is warranted.

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