A Study of Suicides in Ballarat, Victoria, Australia

Crisis ◽  
2000 ◽  
Vol 21 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Vinod Rai Thacore ◽  
Shashjit Lal Varma
Keyword(s):  
Carbon Monoxide ◽  
Psychiatric Disorders ◽  
Suicide Attempts ◽  
Demographic Variables ◽  
Behavior Changes ◽  
Psychological Autopsy ◽  
Female Ratio ◽  
Psychiatric Illnesses ◽  
Younger Age ◽  
Male To Female

Objective:To study suicides occurring in Ballarat with regard to incidence, demographic variables, possible causal factors, and association with psychiatric disorders over a period of 5 years. Method:A detailed review of the coroner's record of every suicide occurring during 1992-1996 was undertaken. Information was obtained on socio-demographic variables, method and circumstances of suicide, and associated psychiatric disorders in each case and subjected to psychological autopsy. Results:75 suicides were recorded. The male to female ratio was 4:1 and average age was 43 years. 60% had associated psychiatric illnesses, mainly affective disorders. Carbon monoxide self-poisoning accounted for 40%, firearms for 30%, and hanging, overdose, asphyxia and other methods for the remaining 30%. It was statistically significant that the younger age group preferred firearms to other methods, and that their suicides were precipitated by interpersonal conflicts. Social and personal difficulties were associated in 33%, and triggering factors were present in 40%. Previous suicide attempts were present in 28%, while 32% had manifest behavior changes preceding suicides or verbalized their intent to suicide. Conclusions:Suicide rates in Ballarat were higher than the average overall Victorian and Australian rates. After a consistent decline over 4 years an increase occurred in 1996. The preferred method of suicide was carbon monoxide, although the young preferred firearms. Demographic and other psychosocial factors were similar to the rest of Australia. Unemployment was not a significant factor. Psychiatric conditions, personal and social problems figured prominently as factors of etiological significance in suicide subjects.

COMPARISON OF CLINICO-SOCIAL PROFILE OF PULMONARY AND EXTRA PULMONARY TUBERCULOSIS IN TERTIARY CARE HOSPITAL IN A RURALAREA: A RETROSPECTIVE STUDY

2021 ◽  
pp. 70-72
Author(s):  
Gaurav Santosh Nemade ◽  
Sumit Nitin Dhus ◽  
Arushi Ramesh Shetty ◽  
Neha Dhananjay Firake
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Female Ratio ◽  
Extra Pulmonary Tuberculosis ◽  
Younger Age ◽  
Tobacco Addiction ◽  
History Of ◽  
Early Case ◽  
Male To Female ◽  
Clinical Characteristic

BACKGROUND AND OBJECTIVES: The burden of tuberculosis (TB) in India is the highest accounting for 26% of the global incidence. A total of 1.4 million people died from TB in 2019 (including 208 000 people with HIV). India accounts for a fourth of the global burden of TB and 29% of global mortality. Therefore, we carried out this study to compare demographic, lifestyle and clinical characteristic between pulmonary TB (PTB) and extrapulmonary TB (EPTB). MATERIALS AND METHODOLOGY:Aretrospective analysis was carried of 348 patients diagnosed in DOTS centre, Pravara Rural Hospital, Loni. Characteristics of demographic and clinical characteristics were obtained from medical case records. RESULTS:Among the 348 cases, 71.3% were PTB and 28.7% were EPTB including, pleural (36%), meningeal (27%) and lymphatic (20%) cases. The male to female ratio in PTB and EPTB are 1.99 and 1.22 respectively. EPTB was more common at younger age (<25 years). Tobacco addiction (10.9%), diabetes mellitus (4.03%), HIV positivity (12.1%) and history of contact with Tb patients (17.7%) were more likely to be associated with PTB. CONCLUSION:Increased awareness of the risk factors may facilitate early case nding and better management outcomes for these patients.

Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary

2000 ◽  
Vol 15 (6) ◽  
pp. 354-361 ◽  
Author(s):  
J. Balázs ◽  
I. Bitter ◽  
Y. Lecrubier ◽  
N Csiszér ◽  
G. Ostorharics
Keyword(s):  
Psychiatric Disorders ◽  
Suicide Attempts ◽  
Structured Interview ◽  
Background Information ◽  
Semistructured Interview ◽  
Suicide Attempters ◽  
Psychiatric Illnesses ◽  
Current Threshold ◽  
Axis I ◽  
Dsm Iv

summaryBackground – Suicide and suicide attempts have been associated to psychiatric illnesses; however, little is known about the role in suicide risk of those symptoms that do not meet the full criteria for a DSM-IV disorder. The aim of this study was to examine the prevalence of subthreshold psychiatric disorders among suicide attempters in Hungary. Methods – Using a modified structured interview (Mini International Neuropsychiatric Interview) determining 16 Axis I psychiatric diagnoses and their subthreshold forms defined by the DSM-IV and a semistructured interview collecting background information, the authors examined 140 consecutive suicide attempters, aged 18–65 years. Results – Eighty-three-point-six percent of the attempters had one or more current threshold diagnoses on Axis I and in addition more than three-quarters (78.6%) of the subjects had at least one subthreshold diagnosis. Six-point-four percent of the subjects (N = 9) had neither subthreshold nor threshold diagnoses at the time of their suicide attempts. Ten percent of the subjects (N = 14), not meeting the full criteria for any DSM-IV diagnoses, had at least one subthreshold diagnosis. In 68.6% of the subjects (N = 96), both subthreshold and threshold disorders were diagnosed at the time of their suicide attempts. The number of subthreshold and threshold diagnoses were positively and significantly related (χ2 = 5.12, df = 1, P < 0.05). Sixty-three-point-six percent of the individuals received two or more current threshold diagnoses on Axis I and 44.3% of the individuals (N = 62) had two or more subthreshold diagnoses at the time of their suicide attempts. Limitations – The subthreshold definitions in this study included only those forms of the disorders which required the same duration as the criteria DSM-IV disorder with fewer symptoms. Conclusions – Suicide attempts showed a very high prevalence of subthreshold disorders besides psychiatric disorders meeting the full criteria required according to the DSM-IV. Subthreshold forms of mental disorders need to be taken into account in suicide prevention.

scholarly journals SUN-713 Prevalence of Renal Cysts in Patients with Carney Complex

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Crystal Dawn Chrysavgi Kamilaris ◽  
Athanasios Gkirgkinoudis ◽  
Christina Tatsi ◽  
Georgia Pitsava ◽  
Ninet Sinaii ◽  
...  
Keyword(s):  
Renal Cysts ◽  
Carney Complex ◽  
Regulatory Subunit ◽  
Cyst Size ◽  
Female Ratio ◽  
Renal Imaging ◽  
Younger Age ◽  
High Prevalence ◽  
Males And Females ◽  
Male To Female

Abstract In the general population renal cysts appear most commonly in patients &gt;50 y and in men. Among published studies, the prevalence of renal cysts detected by MRI was 27%, detected by CT was 20-41%, and detected by US was 4-17% (Mensel, et al., 2018; Choi, et al., 2016). In these studies, the male to female ratio in patients with renal cysts ranged from 1.4:1 to 2.93:1. Carney complex (CNC) is an autosomal dominant multiple endocrine neoplasia and lentiginosis syndrome predominantly caused by aberrant cAMP-protein kinase A (PKA) signaling mostly (but not always) due to germline inactivating defects in PRKAR1A which encodes the regulatory subunit type 1α of PKA. In a small retrospective study, 5 of 9 subjects with CNC had renal cysts on MRI or CT (Ye, et al., 2017). This same study evaluated the development of renal cysts in kidney-specific Prkar1a knockout mice, where all mice developed a renal cystic phenotype. To determine the prevalence of renal cysts, we performed a retrospective cohort study of patients with CNC evaluated at our institution between 1984 and 2019 who underwent renal imaging with MRI, CT, and/or US. We hypothesized that CNC leads to renal formation of cysts in humans, with increased number of renal cysts and earlier age at detection. 117 patients with CNC (69 female [59%], 48 male [41%]) were evaluated with renal imaging (56% MRI, 41% CT, 3% US). Of these, 39 (33%) patients had renal cysts that were first detected on imaging between the ages of 13 and 58 y (mean age at diagnosis 37.1 ±12.7 y; 5 [13%] 12-19 y, 5 [13%] 20-29 y, 10 [26%] 30-39 y, 11 [28%] 40-49 y, and 8 [21%] 50-59 y). The mean number of cysts was 1.3 ±0.7, and mean dominant cyst size was 1.2 ±0.9 cm. Average creatinine at diagnosis was 0.8 ±0.2 mg/dl. Of the patients with renal cysts, 22 were female (56% of patients with renal cysts, 32% of females with CNC that underwent renal imaging) and 17 were male (44% of patients with renal cysts, 35% of males with CNC that underwent renal imaging). There was no difference in the prevalence of renal cysts between males and females (35% vs 32%, p=.70, for a 1.1:1 ratio). Age, number, and dominant cyst size were also not different between sexes (p=.51, p=.84, and p=.26, respectively). However, creatinine levels were higher in males (0.9 ±0.1 vs 0.7 ±0.1, p&lt;.001). All 39 patients with renal cysts had defects in PRKAR1A as compared to 73 of 78 (94%) patients with CNC that did not have renal cysts on imaging (p=.17). In conclusion, our data demonstrate that there is a high prevalence of renal cysts in patients with CNC with both males and females being affected equally, in contrast to the majority of previously reported population studies. They also suggest that renal cysts may develop in patients with CNC at a younger age. These results can be further validated by comparison to a cohort of healthy controls.

scholarly journals Demographic and Clinical Characteristics of Early Travel-Associated COVID-19 Cases

2020 ◽  
Vol 8 ◽  
Author(s):  
Reham M. Marei ◽  
Mohamed M. Emara ◽  
Omar M. Elsaied ◽  
Gheyath K. Nasrallah ◽  
Tawanda Chivese ◽  
...  
Keyword(s):  
Clinical Data ◽  
Clinical Symptoms ◽  
Age Groups ◽  
The Elderly ◽  
World Health ◽  
Female Ratio ◽  
Younger Age ◽  
The Mean ◽  
Health Organization ◽  
Male To Female

Background: SARS-CoV-2 continues to claim hundreds of thousands of people's lives. It mostly affects the elderly and those with chronic illness but can also be fatal in younger age groups. This article is the first comprehensive analysis of the epidemiological and clinical outcomes of the travel-associated SARS-CoV-2 cases until April 19, 2020.Methods: Demographic and clinical data of travel-associated SARS-CoV-2 cases were collected for the period between January 16, 2020 and April 19, 2020. More than one hundred and eighty databases were searched, including the World Health Organization (WHO) database, countries' ministries websites, and official media sites. Demographic and clinical data were extracted and analyzed.Results: A total of 1,186 cases from 144 countries meeting the inclusion criteria were reported and included in the analysis. The mean age of the cases was 44 years, with a male to female ratio of 1.6:1. Travel-associated cases originated from more than 40 countries, with China, Italy, and Iran reporting the highest numbers at 208, 225, and 155, respectively. Clinical symptoms varied between patients, with some reporting symptoms during the flights (117 cases; 9.87%). A total of 312 (26.31%) cases were hospitalized, of which 50 cases (4.22%) were fatal.Conclusion: Major gaps exist in the epidemiology and clinical spectrum of the COVID-19 travel-associated cases due to a lack of reporting and sharing data of many counties. The identification and implementation of methodologies for measuring traveler's risk to coronavirus would help in minimizing the spread of the virus, especially in the next waves.

Management of Suicidal Drug Overdose

1979 ◽  
Vol 1 (6) ◽  
pp. 179-182
Author(s):  
Andrea Marks
Keyword(s):  
United States ◽  
Cause Of Death ◽  
Drug Overdose ◽  
Suicide Attempts ◽  
The United States ◽  
Major Health Problem ◽  
Female Ratio ◽  
Major Health ◽  
Troubled Youth ◽  
Male To Female

INCIDENCE AND EPIDEMIOLOGY Suicide is the third leading cause of death among adolescents, and yet for each fatality it is estimated that between 50 to 200 adolescents survive a suicide attempt. Most of the survivors have taken overdoses of drugs commonly found at home. The rate of suicide attempts that do not result in death peaks in adolescence. The male to female ratio is 1/2 and self-poisoning is usually the method. In contrast, suicide fatality rates generally increase with age. Overall, suicide is the ninth leading cause of death in the United States; the male to female ratio is 3/1; and the method used most often is fire-arms. Clearly, suicidal behavior by adolescents is a major health problem in the United States today. The usual challenge for the pediatrician is first managing an acute drug overdose and then facilitating subsequent psychosocial evaluation of the troubled youth. The key challenge is identification of disturbed individuals and their families prior to any suicidal acts. DIAGNOSIS AND PHYSIOLOGIC MANAGEMENT Most young people who present with a suicidal drug overdose are not comatose; many are asymptomatic. In such situations a careful history may be obtained from the patient to determine: the events surrounding the ingestion, which drug or drugs were taken, how much, and when the ingestion occurred.

Striking age differences of multiple myeloma (MM) diagnosis in patients of Indian and Pakistani descent in the United States compared to native countries.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e13070-e13070 ◽  
Author(s):  
Athira Unnikrishnan ◽  
Abdullah Mohammad Khan ◽  
Preeti Narayan ◽  
Maxim Norkin
Keyword(s):  
United States ◽  
Multiple Myeloma ◽  
Retrospective Studies ◽  
The United States ◽  
Published Data ◽  
Female Ratio ◽  
Younger Age ◽  
The Us ◽  
Age Of Diagnosis ◽  
Male To Female

e13070 Background: Several studies from India and Pakistan have reported a median younger age of MM diagnosis as compared that of western population. The exact reason for the younger age of myeloma diagnosis in this population is not well understood. Methods: We used the SEER database to analyze age of MM diagnosis in subjects of Indian and Pakistani descent in the United States and compared it to the published data of MM diagnosis in India and Pakistan. Patients with ICD—O-3 morphologic codes (9732/3) and race code 15/16/17 identifying Asian Indians and Pakistanis were identified in the SEER registry data (1973-2013). Data on year of diagnosis, race, sex and age were collected. Four published retrospective studies involving local Indians or Pakistanis patients identified using PUBMED. Average Median age and male to female ratio (M: F) was calculated in both groups and compared for any difference Results: 146 myeloma patients of either Indian or Pakistani descent were identified from the SEER registry. The median age of diagnosis was 67 years with a mean age of 66.1 years. The male to female ratio was 1.41. The retrospective studies analyzed had a total of 495 myeloma patients with median age at diagnosis of 56 years and male to female ratio of 2.01, suggesting that multiple myeloma presented almost a decade earlier in native Indian and Pakistani patients compared to their US counter parts. Conclusions: Subjects in India and Pakistan were significantly younger at the time of MM diagnosis as compared to subjects of Indian and Pakistani descent diagnosed with MM in the US suggesting an environmental factor involved with myeloma genesis in subjects living in India and Pakistan. [Table: see text]

An Examination of the Associations between Life Problems and Psychiatric Disorders in a Rural Patient Population

1994 ◽  
Vol 28 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Peter M. Yellowlees ◽  
Anil V. Kaushik
Keyword(s):  
Psychiatric Disorders ◽  
Psychiatric Diagnosis ◽  
Suicide Attempts ◽  
Consecutive Series ◽  
Rural Patient ◽  
Axis Ii ◽  
Psychiatric Illnesses ◽  
Life Problems ◽  
Axis I ◽  
Pathology Data

The objective of this clinical study was to examine the differential effects of adversity on pathology. Data obtained from a previously described consecutive series of 707 patients was re-analysed to this effect. A series of specific life events, as well as behaviours that were likely to be secondary to psychiatric disorder, were examined. High rates of life problems such as incest, sexual assault, domestic violence, suicide attempts, and alcohol, tranquilliser and substance abuse were found in the group of patients in general. There were no major differences in the prevalence of these problems in patients with major functional disorders, anxiety disorders, short-lived minor psychiatric disorders, or in “control” patients with no primary Axis I or Axis II diagnosis. Patients with personality disorders as their major psychiatric diagnosis did, however, experience higher levels of the majority of these problems. The clinical implications of the findings are discussed. It is concluded that patients who develop chronic psychiatric illnesses are probably more psychologically or biologically vulnerable than those patients who develop short-lived disorders and who do not achieve a major psychiatric diagnosis from the practising clinician.

A survey on a rural in-hospital population diagnosed with Atrial Fibrillation in west Shewa region, Ethiopia

2019 ◽  
Author(s):  
Enrico Rino Bregani ◽  
Caterina Valcarenghi ◽  
Matilde Conti
Keyword(s):  
Atrial Fibrillation ◽  
Low Cost ◽  
Young Patients ◽  
Cost Effective ◽  
Small Population ◽  
Cardiac Ultrasound ◽  
Old Patients ◽  
Female Ratio ◽  
Younger Age ◽  
Male To Female

Abstract Background Atrial fibrillation (AF) is the most common sustained arrhythmia seen in clinical practice. It has been extensively studied in Western countries but less is known about developing countries. Methods We collected data on a rural population afferent to Wolisso hospital in Ethiopia, analysing epidemiology, clinical and cardiac ultrasound profile. We enrolled 54 patients with first diagnosis of AF who undertook cardiac ultrasound and a questionnaire about personal and clinical profile. Results Enrolled patients were younger than reported in the African urban population (mean age 51 years) and females were symptomatic at a younger age than males (61.8% of females were <50 years old versus 30% of males) and had complicated disease (100% of females had CHF). Rheumatic heart disease (RHD) was found in 38.9% of patients, especially in females (41.1%) and young patients, whereas hypertension (HTN) and degenerative valvular disease were predisposing to AF in old patients. Conclusion Low socio-economic level may explain findings we observed, particularly male to female ratio, more relevant than in urban subsets. RHD and HTN are many etiological factors of AF in our small population, so low-cost strategies to prevent their complications are surely cost-effective in rural catchment area of Wolisso hospital.

scholarly journals Medical mortality in an emergency department in Nigeria: the transition is obvious!

2021 ◽  
Vol 21 (1) ◽  
pp. 172-9
Author(s):  
AD Olusegun-Joseph ◽  
O Akande ◽  
E Otrofanowei ◽  
EO Nwoye ◽  
OB Olopade ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical Records ◽  
Causes Of Death ◽  
Female Ratio ◽  
Younger Age ◽  
Common Causes ◽  
Causes Of Mortality ◽  
Age Range ◽  
Male To Female

Introduction: The emergency department (ED), a major entry point into the hospital, provides an insight to the type of cases seen, the quality of care and mortality spectrum in a health institution. We aim to identify the spectrum of medical causes of mortality in our ED, the demographic pattern and duration of stay before death. Method: This is a retrospective study that looked at medical mortality in the ED from January 2004 to December 2009. We obtained data on the demographics and causes of death from the medical records and case notes of the deceased. Results: A total of 16587 patients were admitted during the period under review, of these 1262 (7.61%) died in the ED. The male to female ratio was 1.58:1.0 [772 males (61.2%), and 489 females (38.8%)]. Mortality was highest among the 20-45years age range, followed by 46-65 years, >65years and < 20 years in decreasing frequency [589(46.7%), 421(33.4%), 186 (14.8%) and 66(5.2%) respectively]. The three most common causes of death were stroke 315(25%), HIV related illness- es 126(10.0%), and heart failure 123(9.7%). Most deaths occurred less than 24hours of admission, 550(43.6%), followed by one day (36.0%) and two days (10.8%) post admissions respectively. Conclusion: The commonest cause of death in the ED was stroke. The burden of death was highest in the younger age group, with most occurring less than 24 hours of admission. Keywords: Emergency department; duration; mortality.

scholarly journals The Study of Suicide and Attempted Suicide Epidemiology in Sirjan in 2018

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohadeseh Balvardi ◽  
Zahra Imani-Goghary ◽  
Kamran Babaee ◽  
Zahra Izadabadi
Keyword(s):  
Attempted Suicide ◽  
Suicide Attempts ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Female Ratio ◽  
Younger Age ◽  
Males And Females ◽  
Cross Sectional Design ◽  
One Year

Background: Prevalence of suicide and attempted suicide has increased due to social, economic, and cultural factors. Objectives: This study aimed to investigate the suicide and attempted suicide epidemiology in Sirjan, Iran, in 2018. Methods: Following a cross-sectional design, suicide attempts and their related factors were investigated in the city of Sirjan in 2018. Data were collected by a researcher-developed checklist and were analyzed using descriptive and analytical statistics (i.e., chi-square or Fisher’s exact tests) by SPSS. Results: A total of 768 people referred to Sirjan’s hospitals with a diagnosis of suicide attempt were investigated. One-year suicide attempts incidence for males and females was 120.6 (N = 391) and 116.3 (N = 377) per 100,000 people, respectively. The mean age of males and females was 26.0 ± 9.2 and 24.2 ± 8.1, respectively. Most cases were aged 20 - 29 and 10 - 19 years. The male-to-female ratio was higher in the 20 - 29 age group, but more females, most suicide cases were aged 10 - 19, and this difference was significant. Most of them were single, urbanite, educated up to high school diploma, or were school-goers. Self-poisoning (i.e. drug intoxication) was the most common method of suicide attempts. Suicides that led to death were 3.7 per 100000 people, higher rates were observed in men, younger age, single status, urbanite, and those with school diplomas. Hanging was the most common suicide method. Conclusions: Sirjan is one of the areas with high rates of suicide attempts; therefore, the findings of the present study can be regarded as a step forward in future studies to consider interventions intended to improve mental health, as well as to find useful solutions to prevent suicide occurrence.

Sign in / Sign up

Export Citation Format

Share Document