The Epidemiology of Deliberate Self-harm

1986 ◽  
Vol 149 (6) ◽  
pp. 734-737 ◽  
Author(s):  
A. O. Odejide ◽  
A. O. Williams ◽  
J. U. Ohaeri ◽  
B. A. Ikuesan
Keyword(s):  
Prospective Study ◽  
Interpersonal Relationships ◽  
Psychotropic Drugs ◽  
General Hospitals ◽  
Female Ratio ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Male To Female ◽  
Ibadan Nigeria

In a 6-month prospective study of the three main general hospitals in Ibadan, Nigeria, 39 cases of deliberate self-harm were reported out of a total 23, 859 subjects attending the sections of hospital studied. Thirty (76.9%) were under 30 years of age and 36 (86.3%) were under 34 years of age. The male to female ratio was 1.4.1: more than half of the population (51.3%) were students and 25.6%, manual workers. The methods used were mainly ingestion of chemicals (24 patients) and psychotropic drugs (11 patients). Disturbed Interpersonal relationships, especially with parents, were mainly found to have motivated the acts. The implications of these findings are discussed.

scholarly journals Gender Differences in Psychiatric Outpatients: A Before and During COVID-19 Pandemic Study in General Hospitals From China

2021 ◽  
Author(s):  
Wenli He ◽  
Danhong Xu ◽  
Jiafeng Wang ◽  
Yuze Shen ◽  
Zheng Lin ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Virus Disease ◽  
Age Groups ◽  
Psychiatric Clinic ◽  
Age Group ◽  
General Hospitals ◽  
Female Ratio ◽  
Psychiatric Outpatient ◽  
Number Of Patients ◽  
Male To Female

Abstract BackgroundLittle is known about the gender characteristics and the Corona Virus Disease 2019(COVID-19) impact on psychiatric department outpatients in general hospitals in China. MethodsWe retrospectively collected 225,947 outpatient clinic records before and during COVID-19 pandemic from January 1, 2019 to December 31, 2020 in the psychiatric clinic of 3 general hospitals, gender composition of patients was analyzed in different five age groups and nine diagnostic categories at three levels: total patient visits, number of patients and number of first-visit patients. ResultsThe total male-to-female ratio of psychiatric outpatient records in 3 general hospitals from 2019 to 2020 was 1:1.69. Women were more common in all age groups and the male-to-female ratio of 2020 was expanded compared to that of 2019, especially in age group below 34 years old and anxiety disorders category. Most mental disorders showed higher demands for females than that for males except Mental and behavioral disorders due to psychoactive substance use with the male-to-female ratio was 1:0.05. Compared to 2019, the proportions of women were expanded especially in age group below 34 years old, and anxiety disorder and undetermined diagnosis categories were significantly increased in 2020. ConclusionsThe demand for female psychiatric outpatient services is obviously higher than that for males. It is necessary to pay more attention to explore targeted mechanism or psychosocial service strategy for female patients with mental disorders. Trial registration: ChiCTR2100044894, March 31,2021 retrospectively registered.

scholarly journals The Traditionally Amputated Uvula amongst Nigerians: Still an Ongoing Practice

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Adeyi A. Adoga ◽  
Tonga L. Nimkur
Keyword(s):  
Hospital Admission ◽  
Health Outcomes ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Traditional Healers ◽  
University Teaching ◽  
Female Ratio ◽  
Throat Pain ◽  
Outpatient Unit ◽  
Male To Female

Traditional healers in Nigeria continue to perform uvulectomy for all throat problems despite the severe complications they present to physicians. It is a hospital-based prospective study done at the outpatient unit of the Department of Otolaryngology, Jos University Teaching Hospital, Jos, Nigeria to determine the prevalence of traditional uvulectomy, highlighting the dangers it portends with suggested ways of providing improved health outcomes for our people. We saw 517 new cases of which 165 (32%) patients aged 2 years to 53 years had their uvulae amputated consisting of 108 (65.5%) males and 57 (34.5%) females giving a male to female ratio of 2 : 1. One hundred and forty two (86.1%) patients had uvulectomy at childhood and 23 (13.9%) in adulthood. The commonest indication was throat pain (, 21.8%). The commonest complication was hemorrhage (, 17.6%). Forty six (27.9%) patients required hospital admission.

scholarly journals Outcome of patients of Subarachnoid Hemorrhage due to ruptured anterior communicating artery aneurysm after surgical clipping

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Anjum Habib Vohra ◽  
Mubasher Ahmed
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Subarachnoid Haemorrhage ◽  
Prospective Study ◽  
Artery Aneurysm ◽  
Anterior Communicating Artery ◽  
Surgical Clipping ◽  
Radiological Investigation ◽  
Female Ratio ◽  
Male To Female ◽  
Grade Iii

This prospective study was done to determine the outcome of subarachnoid haemorrhage (SAH) due to ruptured anterior communicating artery ( a Corn) aneurysm in 8 consecutive patients after craniotomy and clipping of the aneurysm. The study was conducted at Mayo Hospital, Lahore from September 1999 to January 2002. All patients presented with history and examination suggestive of SAH had CT scan brain as first radiological investigation. Patients of SAH were graded clinically according to Hung and Hess scale. After confirmation of diagnosis of SAH, four vessels cerebral angiography was done to localize site of aneurysm in patiens of Hunt and Hess grade I, II and III or after they improved to at least grade III. Craniotomy and clipping of aneursm was done only in patients with Hunt & Hess grade I, II and III. Maximum patients presented during 6th decade i.e., 38%. Male to female ratio was 6:2. Hunt & Hess grade I, II and III was observed in 5,2 and 1 patients respectively. Outcome was assessed according to G lasgow Outcome Scale (GOS). Good outcome was present in 75% patients and moderate disability in 25%.

scholarly journals Retrospective Identification of Episodes of Deliberate Self-Harm from Emergency Room Registers in General Hospitals: An Example from Shanghai

2013 ◽  
Vol 17 (4) ◽  
pp. 345-359 ◽  
Author(s):  
Yeqing Xu ◽  
Michael R. Phillips ◽  
Liwei Wang ◽  
Qiuhong Chen ◽  
Chunbo Li ◽  
...  
Keyword(s):  
Emergency Room ◽  
General Hospitals ◽  
Deliberate Self Harm ◽  
Self Harm

Monitoring Deliberate Self-Harm Presentations to General Hospitals

Crisis ◽  
2006 ◽  
Vol 27 (4) ◽  
pp. 157-163 ◽  
Author(s):  
Keith Hawton ◽  
Liz Bale ◽  
Deborah Casey ◽  
Anna Shepherd ◽  
Sue Simkin ◽  
...  
Keyword(s):  
Data Collection ◽  
Suicide Prevention ◽  
Ethical Issues ◽  
Strong Association ◽  
Case Definition ◽  
Prevention Policy ◽  
General Hospitals ◽  
Deliberate Self Harm ◽  
Policy Initiatives ◽  
Self Harm

Monitoring of deliberate self-harm (DSH) presentations to hospitals (and in other settings) is receiving increased attention in many countries. This is due to greater recognition of the size of the problem and awareness of its relevance to suicide prevention policy initiatives, because of the strong association between DSH and suicide. A system for monitoring all DSH presentations has been in place in the general hospital in Oxford for 30 years. Based on our experience, in this paper we describe procedures for monitoring, including case definition and identification, linkage of persons and episodes in order to investigate repetition of DSH and other outcomes (including deaths), and data protection and ethical issues. We also provide details of how to carry out monitoring, including different models of data collection, and what data to collect. Finally we consider the potential uses of the data for both clinical and research purposes, including evaluation of national suicide prevention initiatives.

scholarly journals A Study of Clinical Features, Management and Outcome of Organophosphate and Carbamate Poisoning in Children

2013 ◽  
Vol 33 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Deepak Prasad Koirala ◽  
Kalipatnam Seshagiri Rao ◽  
Kalpana K Malla ◽  
Tejesh Malla
Keyword(s):  
Rural Areas ◽  
Methyl Parathion ◽  
Case Fatality ◽  
Adolescent Females ◽  
Accidental Poisoning ◽  
Female Ratio ◽  
Self Harm ◽  
Poisoning In Children ◽  
Agricultural Regions ◽  
Male To Female

Introduction: Organophosphates (OP) are commonly used pesticides in rural agricultural regions of Nepal and carbamates are popular household insecticides. Because of poor legislation these poisons are easily accessible and are the most popular suicidal poisons. Materials and Methods: This was a retrospective study done in poisoning cases admitted in PICU of Manipal Teaching Hospital (MTH) over a seven year period. Results: Out of 187 cases of poisoning, 30 (16.04%) were OPs and 4 (2.13%) were Carbamates. The male to female ratio was 56:44 and these poisonings were more common in rural areas (56%). Accidental poisoning (82.4%) was more common but suicidal attempts (17.6%) were also observed. Atropine and pralidoxime were used in 82.4% of the cases. The total atropinizing dose was 0.77±0.6 mg/kg and patients required 56.6±23.7 hours of atropinization. In our study 94.1% of the patients survived and none of them developed any sequel. Children developed muscarinic, nicotinic and CNS symptoms similar to adults. Complications were seen in 41.1% of the children and most common being seizure (85.7%). The most common OP observed in childhood poisoning was Metacid (methyl parathion) seen in 26.4% of the cases. Conclusion: OP and Carbamate poisonings are common in children. Possibility of self-harm poisoning in adolescent females cannot be ignored. Atropine is the mainstay of therapy after initial resuscitation and complications are common in children. With prompt treatment the outcome is good even with complications. The case fatality rate is much less as compared to adults.DOI: http://dx.doi.org/10.3126/jnps.v33i2.7799 J Nepal Paediatr Soc. 2013; 33(2):85-90

scholarly journals Deliberate self-harm and antidepressant drugs

2000 ◽  
Vol 177 (6) ◽  
pp. 551-556 ◽  
Author(s):  
Stuart Donovan ◽  
Andrew Clayton ◽  
Min Beeharry ◽  
Sheron Jones ◽  
Chris Kirk ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Serotonin Reuptake ◽  
Antidepressant Drugs ◽  
Tricyclic Antidepressant ◽  
Deliberate Self Harm ◽  
Accident And Emergency ◽  
Self Harm ◽  
Accident And Emergency Department ◽  
A Prospective Study

BackgroundIt is not clear if the frequency of deliberate self-harm (DSH) is the same in patients taking different pharmacological classes of antidepressant drugs.AimsTo compare the frequency of DSH in patients who had been prescribed a tricyclic antidepressant (TCA) or a selective serotonin reuptake inhibitor (SSRI) prior to the DSH event.MethodThis was a prospective study in 2776 consecutive DSH cases attending an accident and emergency department. The incidence of DSH in TCA-treated cases and SSRI-treated cases is expressed as number of DSH events per 10 000 prescriptions of each antidepressant.ResultsSignificantly more DSH events occurred following the prescription of an SSRI than that of a TCA (P < 0.001). The occurrence of DSH was highest with fluoxetine and lowest with amitriptyline.ConclusionsMerely prescribing safer-in-overdose antidepressants is unlikely to reduce the overall morbidity from DSH.

Can early follow-up after deliberate self-harm reduce repetition? A prospective study of 325 patients

2014 ◽  
Vol 152-154 ◽  
pp. 320-325 ◽  
Author(s):  
Katarina Bilén ◽  
Hans Pettersson ◽  
Björn Owe-Larsson ◽  
Karin Ekdahl ◽  
Carin Ottosson ◽  
...  
Keyword(s):  
Prospective Study ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
A Prospective Study

scholarly journals Methods of deliberate self-harm in Pakistan

1996 ◽  
Vol 20 (6) ◽  
pp. 367-368 ◽  
Author(s):  
Murad Moosa Khan ◽  
Hashim Reza
Keyword(s):  
Retrospective Analysis ◽  
Psychotropic Drugs ◽  
Common Method ◽  
University Hospital ◽  
Over The Counter ◽  
Deliberate Self Harm ◽  
Organophosphate Insecticides ◽  
Self Harm ◽  
Opiate Analgesics ◽  
Index Cases

Reports of deliberate self-harm (DSH) are rare from Pakistan where psychotropic drugs can be obtained ‘over the counter’. A retrospective analysis of 302 index cases presenting to a university hospital in Karachi showed self-poisoning with benzodiazepines as the most common method, followed by organophosphate insecticides. Salicylates and non-opiate analgesics were significantly absent from our series. Implications of these findings are discussed.

scholarly journals Predicting Deliberate Self-Harm in Adolescents: A Six Month Prospective Study

2009 ◽  
Vol 39 (4) ◽  
pp. 364-375 ◽  
Author(s):  
Rory C. O'Connor ◽  
Susan Rasmussen ◽  
Keith Hawton
Keyword(s):  
Prospective Study ◽  
Deliberate Self Harm ◽  
Self Harm
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