scholarly journals An Analysis of Suicide Attempts in Jaén Province (Andalusia-Spain)

2015 ◽  
Vol 4 (1) ◽  
pp. 14-26 ◽  
Author(s):  
David Sánchez-Teruel ◽  
José A. Muela-Martínez ◽  
Ana García-León
Keyword(s):  
Emergency Departments ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Age Groups ◽  
Toxic Substances ◽  
Suicide Method ◽  
Hospital Discharges ◽  
Self Harm ◽  
Electronic Medical Record Systems ◽  
The Relationship

AimSuicide is the leading cause of non-accidental death in Spain across both sexes and all age groups; however, data on suicide attempts by region are heterogeneous and little reported. This study aimed to examine the socio-demographic and epidemiological variables most strongly related to suicide attempts in Jaén province.MethodData on people who had attempted suicide over a 26-month period (2009–2011) were collected from the emergency departments of two hospitals via their electronic medical record systems specific to the Autonomous Community of Andalusia (Spain). Descriptive and frequency statistics were obtained and the relationship among variables was examined.ResultsSuicide attempters were aged 24 to 53 years, being primarily women (65.25%). The most frequent suicide method was medication ingestion (85.55%); thus, ingestion of toxic substances has become the preferred method among women (LR(3) = 14.731; p = .02). The hospitals discharged the patients (46.44%) or referred them to mental health services in the area (20.08%) following a suicide attempt. There were more hospital discharges when the attempt involved ingestion of toxic substances or self-harm (LR(12) = 20.603; p = .05), and in winter and spring (LR(12) = 69.772; p < .001).ConclusionThe need for emergency departments to have prevention and intervention procedures in place, specifically designed for suicide attempts and at-risk individuals, is discussed.

Adolescents’ self-mutilation - Relationship with dependent behaviour

2003 ◽  
Vol 62 (4) ◽  
pp. 241-249 ◽  
Author(s):  
M. Bolognini ◽  
B. Plancherel ◽  
J. Laget ◽  
P. Stéphan ◽  
O. Halfon
Keyword(s):  
Suicide Attempts ◽  
Clinical Sample ◽  
Control Sample ◽  
Clinical Population ◽  
Control Group ◽  
Clinical Group ◽  
Self Mutilation ◽  
Self Harm ◽  
Partial Overlap ◽  
The Relationship

The aim of this study, which was carried out in the French-speacking part of Switzerland, was to examine the relationship between suicide attempts and self-mutilation by adolescents and young adults. The population, aged 14-25 years (N = 308), included a clinical sample of dependent subjects (drug abuse and eating disorders) compared to a control sample. On the basis of the Mini Neuropsychiatric Interview ( Sheehan et al., 1998 ), DSM-IV criteria were used for the inclusion of the clinical population. The results concerning the occurrence of suicide attempts as well as on self-mutilation confirm most of the hypotheses postulated: suicidal attempts and self-mutilation were more common in the clinical group compared to the control group, and there was a correlation between suicide attempts and self-mutilation. However, there was only a partial overlap, attesting that suicide and self-harm might correspond to two different types of behaviour.

Availability and accessibility of medications and toxic substances and suicidal behavior

2016 ◽  
Vol 33 (S1) ◽  
pp. S596-S596
Author(s):  
M. Arsenyan ◽  
S. Sukiasyan ◽  
T. Hovhannisyan
Keyword(s):  
Suicidal Behavior ◽  
Significant Influence ◽  
Crucial Role ◽  
Attempted Suicide ◽  
Conflict Situation ◽  
Toxic Substances ◽  
Suicide Method ◽  
Teenage Girls ◽  
Competing Interest ◽  
Suicidal Crisis

IntroductionScientific research indicates that accessibility of suicide means has a significant influence on the choice of method. Since the choice of suicide method largely depends on availability of suicide means, the lethality of method at hand plays a crucial role in a period of suicidal crisis.AimsWe aimed to reveal the associations between accessibility and availability of medications and toxic substances and suicidal behavior of teenage girls in Armenia.ObjectiveOur objectives were to determine whether accessibility and availability of medications and toxic substances have any impact on development of suicidal behavior among teenage girls in Armenia and whether toxicity and quantity of medications and toxic substances at hand or purchased by attempters are associated with severity of outcome.MethodsA qualitative analysis of patient histories of 26 teenage girls, hospitalized in the ICU, Toxicology Center “Muratsan”, Yerevan, RA, diagnosed as having acute deliberate self-poisoning was performed.ResultsIn majority of cases, conflict situation preceded suicidal behavior and decision on attempting suicide was impulsive. Being emotionally distressed teenage girls reached for medications and toxic substances readily available in the household or bought medications from a pharmacy.ConclusionThe vast majority of teenage girls attempted suicide by medications and toxic substances at hand. Admittedly, both, type of medication and quantity of pills or amount of toxic substances utilized, affected the severity of outcome. Hence, the availability and accessibility of medications and toxic substances played a crucial role in development of suicidal behavior and severity of outcome.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Effective Causes of Suicide in Zahedan (in 2015)

2016 ◽  
Vol 9 (6) ◽  
pp. 211
Author(s):  
Narges Forghani ◽  
Mahmooud Bulaq
Keyword(s):  
Attempted Suicide ◽  
Suicide Attempts ◽  
Age Groups ◽  
Economic Conditions ◽  
Poor People ◽  
Main Question ◽  
Middle Income ◽  
Income Levels ◽  
Dangerous Behavior ◽  
Education And Employment

<span lang="EN-US">The present study aims to examine the effective causes of suicide in Zahedan city, Iran 2014-2015. In fact, suicide is a dangerous behavior to end the life, which would impose a social problem and cost a lot of harm to individuals, families and society. The main question is that what are the factors contributing to the suicide? Important assumptions include: marriage and having children reduces the suicide attempts. Education and employment could reduce the incidence of suicide attempts and suicide attempts are higher at a young age. This study makes use of fieldwork and analytical methods. The population of this research included people who committed suicide during nine months, from Azar 2014 to September 2015 and have been referred to Khatamolanbia (PBUH) hospital, Imam Ali (AS) hospital and Zahedan's forensic medicine. The findings suggest that all of 71 samples were Muslims; 36 persons were women (50.7%) and 35 persons were men (49.3%).There isn't any relationship between mental disorders and suicide attempts. The incidence of suicide among people 16 to 30 years old with 83.2% is much more than other age groups. Suicide attempts rates among educated people are less than under diploma with 66.2%. There is no significant relationship between marital status and suicide, but suicide (67.6%) among those without children is more than people with a family. Suicide attempts among people with higher-income levels and favorable socio-economic conditions and poor people with 15.5%, is much less than middle-income and good-income with 84.5%. 29.6% of those surveyed, that is 21 people, who attempted suicide had died. </span>

scholarly journals Suicidal and self-harm presentations to Emergency Departments: The challenges of identification through diagnostic codes and presenting complaints

2019 ◽  
Vol 49 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Jerneja Sveticic ◽  
Nicholas CJ Stapelberg ◽  
Kathryn Turner
Keyword(s):  
Suicidal Ideation ◽  
Gold Standard ◽  
Emergency Departments ◽  
Policy Development ◽  
Suicide Attempts ◽  
Predictive Values ◽  
Diagnostic Codes ◽  
Icd 10 ◽  
Self Harm ◽  
Low Sensitivity

Background: The accuracy of data on suicide-related presentations to Emergency Departments (EDs) has implications for the provision of care and policy development, yet research on its validity is scarce. Objective: To test the reliability of allocation of ICD-10 codes assigned to suicide and self-related presentations to EDs in Queensland, Australia. Method: All presentations due to suicide attempts, non-suicidal self-injury (NSSI) and suicidal ideation between 1 July 2017 and 31 December 2017 were reviewed. The number of presentations identified through relevant ICD-10-AM codes and presenting complaints in the Emergency Department Information System were compared to those identified through an application of an evolutionary algorithm and medical record review (gold standard). Results: A total of 2540 relevant presentations were identified through the gold standard methodology. Great heterogeneity of ICD-10-AM codes and presenting complaints was observed for suicide attempts (40 diagnostic codes and 27 presenting complaints), NSSI (27 and 16, respectively) and suicidal ideation (38 and 34, respectively). Relevant ICD codes applied as primary or secondary diagnosis had very low sensitivity in detecting cases of suicide attempts (18.7%), NSSI (38.5%) and suicidal ideation (42.3%). A combination of ICD-10-AM code and a relevant presenting complaint increased specificity, however substantially reduced specificity and positive predictive values for all types of presentations. ED data showed bias in detecting higher percentages of suicide attempts by Indigenous persons (10.1% vs. 6.9%) or by cutting (28.1% vs. 10.3%), and NSSI by female presenters (76.4% vs. 67.4%). Conclusion: Suicidal and self-harm presentations are grossly under-enumerated in ED datasets and should be used with caution until a more standardised approach to their formulation and recording is implemented.

The Risk of Child Abuse among Mothers who Attempt Suicide

1985 ◽  
Vol 146 (5) ◽  
pp. 486-489 ◽  
Author(s):  
Keith Hawton ◽  
Jacqueline Roberts ◽  
Guy Goodwin
Keyword(s):  
At Risk ◽  
Child Abuse ◽  
General Population ◽  
Young Children ◽  
General Hospital ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Population Control ◽  
Not At Risk ◽  
The Relationship

SummaryThe association between parental attempted suicide and child abuse was investigated in 114 mothers with children aged five years and under, referred to a general hospital following suicide attempts. The risk was greatly increased in the attempted suicide mothers, compared with both similar mothers at risk for depression and general population control mothers; well-documented risk of child abuse was identified in 29.8% of those who attempted suicide. No major differences were found between the attempted suicide mothers whose children were at risk and those whose children were not at risk. During the general hospital assessment of mothers with young children who attempt suicide, careful enquiry concerning the relationship with the children is essential

Child Abuse and Attempted Suicide

1980 ◽  
Vol 137 (4) ◽  
pp. 319-323 ◽  
Author(s):  
Jacquie Roberts ◽  
Keith Hawton
Keyword(s):  
Child Abuse ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Previous History ◽  
Psychiatric Disturbance ◽  
At Risk Children ◽  
History Of ◽  
Group A ◽  
Marital Breakdown ◽  
The Relationship

SummaryOf a sample of families containing abused and at risk children, in 29 per cent one or both parents had attempted suicide. The rate at which the suicide attempts were repeated within a year was higher than that expected for other attempters of the same age group. A previous history of psychiatric disturbance and marital breakdown was strongly associated with the combination of child abuse and suicidal behaviour. The relationship between child abuse and attempted suicide did not appear in most cases to have been a direct one; often both forms of behaviour seemed to reflect marital difficulties.

Prevention Starts With Awareness: Adoptive Adolescents at High Risk for Suicidal Behavior

2016 ◽  
Vol 32 (5) ◽  
pp. 302-309 ◽  
Author(s):  
Leslie Morgan
Keyword(s):  
School Districts ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Age Groups ◽  
The United States ◽  
School Nurses ◽  
Grief And Loss ◽  
Education Assessment ◽  
Biological Children ◽  
Self Harm

Adolescents are at higher risk for suicide attempts than other age groups. Suicide is now the second leading cause of death in the United States for ages 12 to 18; moreover, the risk of suicide is significantly higher for adoptive teens. In fact, adoptive teenagers have a four times higher rate of suicide attempts than biological children, perhaps due to the underlying nature of adoption, which can involve a pervasive sense of grief and loss for the adoptee. Unresolved anger and sadness from feelings of abandonment—especially when transitioning to adolescence—can cause a seemingly functional child to dissociate through self-harm and eventually demonstrate suicidal behavior. Little evidence-based research exists on the risk factors for adoptive teens who resort to suicidal behavior. Thus, it is vitally important for school nurses to understand the emotional stressors that adolescent adoptees face throughout life to help identify teens at risk for suicide. School districts and registered nurses are well positioned to address this critical health issue through education, assessment, and intervention.

scholarly journals Rethinking pathways to completed suicide by female prisoners

2015 ◽  
Vol 10 (4) ◽  
pp. 245-255 ◽  
Author(s):  
Sophie Oakes-Rogers ◽  
Karen Slade
Keyword(s):  
Attempted Suicide ◽  
Suicide Attempts ◽  
Interpersonal Trauma ◽  
Small Sample ◽  
Traumatic Experience ◽  
Content Type ◽  
Female Prisoners ◽  
Completed Suicide ◽  
Direct Trauma ◽  
Self Harm

Purpose – The purpose of this paper is to explore the role of trauma experience in pathways to self-harm or attempted suicide in female prisoners who died through self-inflicted death in England and Wales. Design/methodology/approach – Quantitative study using the Prison and Probation Ombudsmen’s independent reports on deaths in custody. In total, 32 cases of female self-inflicted death in custody were coded on the presence of direct or interpersonal trauma, presence of superficial self-harm (SSH), near-lethal self-harm (NLSH), suicide attempts and recent significant life event. The number of previous suicide attempts (PSAs) and age at time of death was recorded. Findings – Direct trauma is linked with repeated suicide attempts but recued the likelihood of SSH prior to suicide. Neither interpersonal trauma nor age increased likelihood of pre-suicide behaviours. NLSH was not predicted by either traumatic experience. Amongst these completed suicide cases, 56 per cent were not reported as having experienced trauma, 46 per cent had no recorded PSAs and 12 per cent also had no previous self-harm reported. Research limitations/implications – The small sample limited statistical power and specificity of classifications. Provides support for direct trauma in developing capacity for repeated suicidal behaviour as indicated in theoretical models of suicide (Joiner, 2005; O’Connor, 2011). Practical implications – Different pathways to suicide likely to exist for female prisoners and importance of trauma intervention services. Originality/value – Using cases of completed suicide in female prisoners to investigate the pathway to suicide from trauma through previous self-harm and attempted suicide.

The Prevalence of 22 Self-Harm Behaviors in a Consecutive Sample of Obstetrics/Gynecology Outpatients

2012 ◽  
Vol 43 (2) ◽  
pp. 179-187
Author(s):  
Randy A. Sansone ◽  
Joy Chang ◽  
Bryan Jewell
Keyword(s):  
Attempted Suicide ◽  
Survey Methodology ◽  
Suicide Attempts ◽  
Self Report ◽  
Lifetime Prevalence ◽  
Cross Sectional ◽  
Present Sample ◽  
Consecutive Sample ◽  
Self Harm ◽  
Clinical Populations

Background: While a number of previous studies have examined limited forms of self-harm behavior, such as suicidal ideation/attempts/completions, or one specific behavior such as cutting or burning oneself (most frequently in psychiatric populations), few studies have examined the lifetime prevalence of multiple self-harm behaviors in a single non-psychiatric population and no study has done so among obstetrics/gynecology outpatients. Method: Using a cross-sectional consecutive sample of 370 women presenting to an obstetrics/gynecology outpatient clinic and a self-report survey methodology, we examined the lifetime prevalence of 22 self-harm behaviors. Results: In this sample, the most frequently self-reported self-harm behaviors were: engaged in emotionally abusive relationships (24.7%), abused alcohol (22.0%), been promiscuous (21.0%), attempted suicide (18.3%), and tortured self with self-defeating thoughts (16.7%). Four of these preceding behaviors were also the most commonly reported 5 of 22 behaviors in 3 previous studies of self-harm behavior in different clinical populations. Conclusions: It appears that the most frequently reported lifetime self-harm behaviors are relatively common across various non-psychiatric clinical populations of adults, albeit in different proportions, with some exceptions (i.e., suicide attempts in the present sample).

scholarly journals Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)

2019 ◽  
Vol 16 (22) ◽  
pp. 4496
Author(s):  
Mejías-Martín ◽  
Luna del Castillo ◽  
Rodríguez-Mejías ◽  
Martí-García ◽  
Valencia-Quintero ◽  
...  
Keyword(s):  
Poisson Regression ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
The Elderly ◽  
Preventive Strategies ◽  
Suicide Method ◽  
Factors Associated ◽  
Suicide Behavior ◽  
Males And Females ◽  
Rate Ratios

Discrepant results have been published by studies comparing deaths by suicide with attempted suicides. This study aimed to determine factors associated with suicides and attempted suicides in Andalusia (Spain) between 2007 and 2013, comparing sex, age, year, and suicide method between these populations. A retrospective study was conducted of data on deaths by suicide and attempted suicides over a seven-year period, calculating the sex and age rates for each behavior. Adjusted Poisson regression was used to analyze the association with study variables, and incidence rate ratios were estimated. During the seven-year study period, 20,254 attempted suicides and 5202 deaths by suicide were recorded. The prevalence of attempted suicide did not differ between the sexes, whereas the prevalence of deaths by suicide was three-fold higher among males than among females and increased with higher age. The most frequently used method was the same in males and females for suicide attempts, but differed between the sexes for suicides. The combined influence of sex and age was greater in the model for death by suicide than in the model for attempted suicide. The key differentiating factor was the method used, while the finding of greatest concern was the suicide behavior among the elderly. Preventive strategies should take these differences into account.

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