scholarly journals Sociodemographic profile and Psychiatric diagnosis in attempted suicide

2017 ◽  
Vol 5 (1) ◽  
pp. 22-25
Author(s):  
B. Kafle ◽  
Y. Bagale ◽  
M. Dhungana
Keyword(s):  
Psychiatric Diagnosis ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Demographic Data ◽  
Adjustment Disorder ◽  
Psychiatric Evaluation ◽  
Age Group ◽  
Medical College ◽  
Major Emergencies ◽  
Suicide Attempted

 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.

A STUDY ON PSYCHOSOCIODEMOGRAPHIC PROFILE OF PATIENTS PRESENTING WITH ATTEMPTED SUICIDE: AN OBSERVATIONAL STUDY FROM CENTRAL INDIA

2021 ◽  
pp. 58-59
Author(s):  
Adarsh Bajpai ◽  
Pritesh Goutam
Keyword(s):  
Depressive Disorder ◽  
Psychiatric Diagnosis ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Central India ◽  
Psychiatric Evaluation ◽  
Age Group ◽  
Hindu Religion ◽  
Study Population ◽  
Suicide Attempted

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.

scholarly journals Study of Psychosocial Factors, Modes of Attempt and Psychiatric Morbidities of Suicidal Attempters

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Dr. Sivabalan. E
Keyword(s):  
Marital Status ◽  
Psychiatric Diagnosis ◽  
Attempted Suicide ◽  
Psychiatric Treatment ◽  
Adjustment Disorder ◽  
Suicidal Attempt ◽  
Preventive Strategies ◽  
Medical College ◽  
The People ◽  
Common Diagnosis

Background: Suicide and suicidal attempt is growing concern around the world. We are now at the stage to formulate effective preventive strategies to decrease number of suicides, which is rising significantly for the past few decades. To make effective preventive programme we must study the people who attempted suicide for number variables because they are having the high risk of committing suicide later years. Aim: To analyze psycho social factors, methods of attempt and diagnosis of patients admitted for attempted suicide. Method: It is a retrospective study and includes 548 patients admitted for attempted suicide during the period of June 2014 to May 2016 have been registered in psychiatry department of SRM Medical College and Hospital analyzed retrospectively regarding age, sex, marital status, modes of attempt and diagnosis, results will be discussed. Results: Among total no of attempted suicide, female outnumber male that is 59% of attempted suicide were female, regarding marital status 54% of attempted suicide persons were unmarried, 57% of attempted suicide were less than 30 years of age, regarding method tablet poisoning was most common mode of suicidal attempt that is 52% followed by Insecticide poisoning that is 38%,and 29% of suicidal attempters diagnosed as primary psychiatric diagnosis, depression (41%) is common diagnosis among all psychiatric diagnosis followed by adjustment disorder (21%). Anxiety disorders (20%). Conclusion: We cannot explain suicide and suicidal attempt as a single perspective and we need to look into all factors on every suicidal attempt. For making effective preventive strategies we must be evaluate every individual in all Bio-psycho-social aspects. High prevalence of major mental disorders among the suicidal attempters is alarming because still there are remarkable percentage of individual not getting adequate psychiatric treatment if we identify them at early stages and initiate appropriate treatment we can prevent large proportion of individual who committed suicide ultimately.

scholarly journals Pattern of Psychiatric illness among Tuberculosis Patients

2017 ◽  
Vol 6 (2) ◽  
pp. 25-29
Author(s):  
Ahmed Tanjimul Islam ◽  
Mamun Hussain ◽  
Md Abdullah Siddique ◽  
Shah Md Badruddoza
Keyword(s):  
Primary Care Physicians ◽  
Psychiatric Illness ◽  
Psychiatric Treatment ◽  
Early Stage ◽  
Demographic Data ◽  
Psychiatric Evaluation ◽  
College Hospital ◽  
Tuberculosis Patients ◽  
Medical College ◽  
Study Population

Background: The incidence of tuberculosis is very high in Bangladesh. There is a high prevalence of psychiatric illness among tuberculosis patients. But primary care physicians and specialists do not screen this association. The aims of this study were to evaluate the incidence and pattern of psychiatric illness in tuberculosis patients.Methodology: The study population included those patients who were coming for treatment in DOTs corner of Rajshahi Medical College Hospital between July 2014 - February 2015 (Eight months). Each patient underwent a detailed psychiatric evaluation by a consultant psychiatrist once they were medically stable. Details included socio-demographic data, psychiatric diagnosis and treatment outcome. All data was tabulated and analyzed using SPSS-16.Result: Among the total 350 tuberculosis patients, total 108 patients (31%) were diagnosed with psychiatric problems. Most of them are male (71%), less than 40 years of age (70%) with no previous psychiatric illness (98%). Depression (n=43, 40%) and Anxiety (n=33, 31%) were the commonest psychiatric illness diagnosed. Fear of disease outcome was the commonest precipitating factor found (66%). After the psychiatric treatment, 94% improved clinically.Conclusion: Detecting the level of psychiatric illness among tuberculosis patients at early stage will improve continuation and adherence to treatment. A referral system` to psychiatrists by physicians needs to develop to screen the mental disorder symptoms to treat these co morbidities.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 25-29

scholarly journals DELIBERATE SELF-POISONING IN SOUTH ODISHA: STUDY OF ITS CLINICAL PROFILE AND OUTCOME

2020 ◽  
pp. 169-173
Author(s):  
SACHIDANANDA NAYAK ◽  
BIJAYA KUMAR BEHERA ◽  
KESHABA CHANDRA BUDULA ◽  
SRITAM ACHARYA
Keyword(s):  
Suicide Attempts ◽  
Age Group ◽  
Significant Morbidity ◽  
Aluminum Phosphide ◽  
Cross Sectional ◽  
Medical College ◽  
Global Issue ◽  
The World ◽  
The Common ◽  
Overall Mortality

Objective: Deliberate self-poisoning is a serious global issue that contributes to significant morbidity and mortality all over the world. The present study was conducted with an objective to identify the common agents used for self-poisoning prevalent in South Odisha and to determine the common clinical features and outcome of such cases. Methods: This cross-sectional observational study was conducted on 200 patients with deliberate self-poisoning belonging to the age group of 15–70 years over a period of 2 years from August 2017 to September 2019 in Maharaja Krishna Chandra Gajapati Medical College and Hospital, Berhampur, Odisha, India. All the above-mentioned patients admitted to the hospital, were treated with specific antidotes according to the poison ingested. Results were analyzed using appropriate standard statistical methods such as mean, standard deviation, and percentage. Results: Out of 200 patients, majority were female (65%, n=130) and 35% (n=70) were male; mean age was 38.9 (±16.8) years. Organophosphates, aluminum phosphide, glyphosate, organochlorines, and carbamates were the most common pesticides used as poisoning agents (74.5%, n=149) followed by plant poisons (7%, n=14) which included yellow oleander seed. Overall mortality in our study was 12.5%. Conclusion: Pesticides and plant poisons were the common agents used in our study for deliberate self-poisoning. Young persons, illiterates, and housewives were commonly involved in suicide attempts. Organophosphate caused majority of deaths.

Neuropsychiatric Assessment of Liver Transplantation Candidates: Delirium and other Psychiatric Disorders

1987 ◽  
Vol 16 (2) ◽  
pp. 101-111 ◽  
Author(s):  
Paula T. Trzepacz ◽  
Fred R. Maue ◽  
Gerald Coffman ◽  
David H. Van Thiel
Keyword(s):  
Liver Transplantation ◽  
Psychiatric Diagnosis ◽  
Adjustment Disorder ◽  
Hepatic Function ◽  
Psychosocial Stressors ◽  
Psychiatric Evaluation ◽  
Medical Illness ◽  
Psychiatric Diagnoses ◽  
Discriminant Analyses ◽  
Preoperative Examination

Forty consecutive liver transplantation candidates underwent a standard psychiatric evaluation as part of a multidisciplinary preoperative examination. Psychiatric diagnoses were determined using DSM-III criteria and correlations between the psychiatric diagnoses and the results of bedside cognitive examinations, biochemical measures of hepatic function, and EEG's were made. Half of the patients could not be given a specific psychiatric diagnosis despite the fact of their being in terminal stages of a severe medical illness and being stressed by the uncertainty of whether they would be accepted for possible liver transplantation. Of the twenty patients given a psychiatric diagnosis, 60 percent were found to be delirious and 35 percent had an adjustment disorder. Delirium was associated with a serum albumin less than 3.0 g/dl, grades 1 through 3 EEG dysrhythmias, a Mini Mental State score less than 24 or impairment on Trailmaking Tests. In addition, discriminant analyses were performed to determine which batteries of tests best differentiated the delirious patients. A unique pattern of psychosocial stressors was noted in these patients where the severity of overall stress and of occupational dysfunction was high in most, yet family and social relationships were reported as less affected.

Suicide and Suicide Attempts in Ankara in 1998: Results of the WHO/EURO Multicentre Study of Suicidal Behaviour

Crisis ◽  
2002 ◽  
Vol 23 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Isik Sayil ◽  
Halise Devrimci-Ozguven
Keyword(s):  
Risk Factor ◽  
Multicentre Study ◽  
Old Age ◽  
Suicidal Behaviour ◽  
Catchment Area ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Age Group ◽  
State Institute ◽  
Completed Suicide

Summary: Background: The rates and associated basic demographic features of attempted and completed suicides in a catchment area in Turkey were investigated as part of the WHO/Euro Multicentre Study of Suicidal Behaviour. Method: All hospitals in the catchment area were screened in order to identify attempted suicides. Statistics for completed suicides were obtained from the State Institute of Statistics (SIS). Results: The rates of attempted and completed suicides per 100,000 inhabitants over 15 years of age were 31.9 for males and 85.6 for females, and 9.9 for males and 5.6 for females, respectively. The majority of attempted suicides were in the 15-24-year-old age group, as is the case in all other European countries. The majority of completed suicides were also in the 15-24-year-old age group, although in other European centers most completed suicides occur in the 40+ age group. The most frequent methods were overdose for attempted suicide and hanging for completed suicide. The rates of both attempted and completed suicides were lower than those of other participating centers in Europe. Conclusion: Male sex is a risk factor for completed suicide and female sex is a risk factor for attempted suicide, while an age of 15-24 years may be a risk factor for both groups.

scholarly journals Risk factors of suicide attempts by poisoning: review

2014 ◽  
Vol 36 (2) ◽  
pp. 63-74 ◽  
Author(s):  
Maria Cláudia da Cruz Pires ◽  
Tatiana de Paula Santana da Silva ◽  
Marcela Pires dos Passos ◽  
Everton Botelho Sougey ◽  
Othon Coelho Bastos Filho
Keyword(s):  
Risk Factors ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Treatment ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Inclusion Criteria ◽  
Study Population ◽  
Suicide Attempted ◽  
Keywords Suicide

Introduction: Suicide, a complex and universal human phenomenon, is a major public health problem. This study reviewed the literature about the major risk factors associated with suicide attempts by poisoning. Methods: An integrative review of the literature was performed in databases (LILACS, PubMed and MEDLINE) to search for studies published between 2003 and 2013, using the following keywords: suicide, attempted; poisoning; risk factors. Inclusion criteria were: original study with abstract, sample of adults, and attempted suicide by poisoning in at least 50% of the study population. Results: Two hundred and nineteen studies were retrieved and read by two independent examiners, and 22 were included in the study. The main risk factors for suicide attempts by poisoning were female sex, age 15-40 years, single status, little education, unemployment, drug or alcohol abuse or addiction, psychiatric disorder and psychiatric treatment using antidepressants. Conclusion: Further prospective studies should be conducted to confirm these risk factors or identify others, and their findings should contribute to planning measures to prevent suicide attempts.

Drugs and Suicide Attempts in Benin City, Nigeria

1984 ◽  
Vol 145 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Adego E. Eferakeya
Keyword(s):  
Mental Illness ◽  
Suicide Attempt ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Predisposing Factors ◽  
Age Group ◽  
Benin City ◽  
Male Ratio ◽  
The Unemployed

SummaryA review of reported cases of attempted suicide in Benin City indicates that the incidence has not increased over the four-year period 1978 to 1981, during which the average crude suicide attempt rate was 7 per 100, 000. Eighty seven per cent of the attempters were under the age of 30, but the commonest age-group was 15–19 years (39.4 per cent). The female/male ratio was 1:1.2. The majority of the attempters (64 per cent) were students, housewives, and the unemployed. Ingestion of drugs (68 per cent) or of chemicals (20 per cent) was the predominant method. The major predisposing factors were mental illness (32 per cent) and conflicts with parents (24 per cent).

scholarly journals Pattern of Suicide Attempts in Southern Nepal: A Multi-Centered Retrospective Study

Med Phoenix ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 41-47
Author(s):  
Suresh Thapaliya ◽  
Anoop Krishna Gupta ◽  
Suraj Tiwari ◽  
Mohan Belbase ◽  
Shreya Paudyal
Keyword(s):  
Mental Illness ◽  
Low Income ◽  
Suicide Attempts ◽  
Medical Emergency ◽  
Psychiatric Evaluation ◽  
Public Health Issue ◽  
Future Research ◽  
Age Group ◽  
Effective Prevention ◽  
Younger Age

Background: Suicide has become a major public health issue in low income underdeveloped countries like Nepal. In Nepal, suicide research based on General Hospital Psychiatry Unit (GHPU) settings can be informative to explore the trend in suicidal behaviors. In this study, we aimed to study the pattern of suicide attempts in Southern Nepal by including retrospective suicide attempt cases registered in the three GHPU centers.Methods: The study included 116 survivors of suicide attempts registered over a period of six months (Jan, 2017 to July, 2017) at three centers in Southern region of Nepal. The cases were referred from medical emergency or other medical departments for psychiatric evaluation. They underwent evaluation by at least one consultant psychiatrist and received appropriate interventions.Results: Majority of the victims were female (68%), belonging to younger age group (90%) with one third in adolescent age group and homemakers (32%) or students (31%) by occupation. The most common method of attempt was self poisoning with pesticides (78.4%) followed by medication overdose (8.6%) and hanging (7.8%). Most of the attempts (82.7%) were impulsive in nature. Mental illness was diagnosed in 60 % of the cases, mainly depressive disorder, and adjustment disorder. Most of the attempts (87%) were triggered by psycho-social factors before the attempt, mainly interpersonal conflicts. Conclusions: The pattern shows predominance of female gender, younger age group, a role of mental illness, impulsivity and psychosocial factors in suicide attempts. Future research should focus on these aspects to develop effective prevention strategies. Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 41-47 

scholarly journals States of Self as Agents of Self-Killing: An Egogram-based Suicide Note Analysis Study in Russia

2018 ◽  
Vol 9 (1) ◽  
pp. 5-22
Author(s):  
Dmitri Shustov ◽  
Olga Tuchina ◽  
Tatiana Agibalova ◽  
Nadezhda Zuykova
Keyword(s):  
Suicide Attempt ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Similar Distribution ◽  
Analysis Study ◽  
Suicide Notes ◽  
Inner Self ◽  
Suicide Note ◽  
Suicide Attempted

The article presents findings of the egogram-based suicide note analysis, which was undertaken by three experts (MDs, PhDs, certified in TA) in a sample of 26 people (36 suicide notes) in Ryazan, Russia, in 2000 and 2017. The results of the study imply that the presuicidal intrapersonal activity is quite diverse and evolving, and may vary between those who complete suicide lethally and those who survive their suicide attempt. Lethal suicides were characterised by elevated levels of Adult and Adapted Child whereas non-lethal suicide attempts showed an apparent increase in Adapted Child and negative Controlling Parent levels. The authors inferred that suicidal individuals with serious lethal intent might maintain moderate levels of Adapted Child (suffering) so as to enable Adult to accumulate energy needed to perform a fatal suicide attempt. In attempted suicides, high levels of negative Controlling Parent targeting relevant others may diffuse the energy necessary for completion of suicide. Attempted suicide egograms were illustrative of the manipulative nature of the non-lethal suicide attempts, whereas completed suicides did not. Egograms of non-lethal suicide attempts and intoxicated completed suicides had similar distribution of ego state levels, which may reflect the effect of alcohol interfering with the activity of protective Parental substructures and strengthening the role of the negative Controlling Parent targeting either one’s inner self or relevant others.Citation - APA format:Shustov, D., Tuchina, O., Agibalova, T., & Zuykova, N. (2018). States of Self as Agents of Self-Killing: An Egogram-based Suicide Note Analysis Study in Russia. International Journal of Transactional Analysis Research & Practice, 9(1), 5-22. https://doi.org/10.29044/v9i1p5

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