IJCRR - 6(10), May, 2014
Pages: 57-63
A STUDY ON ATTEMPTED SUICIDE, ITS CLINICAL AND SOCIO-DEMOGRAPHIC VARIABLES IN A TERTIARY LEVEL HOSPITAL OF AHMEDABAD
Author: Nimesh Parikh, Prateek Sharma, Hitendra Gandhi, Girish Banwari
Category: Healthcare
[Download PDF]
Abstract:
Background and Objective: Suicide attempt is one of the top five causes of acute admissions inhospitals and the area is scantily explored. This study aims to identify the socio-demographic and clinical variables in patients of attempted suicide in a tertiary level hospital of Ahmedabad. Method: After IRB approval, we approached the patientsof attempted suicide inpsychiatry OPD over a period of 3 months; demographic details were obtained from the consenting patients. They were then analyzed for presence ofmental illness in an interview based on DSM-IV TR andevident stressors. Beck`s Suicidal Intent Scale was applied on each study patient to know the severity of intent. The results were analyzed by spss v.20. Results: 78 out of 115 cases approached, consented to be a part of this study of which 56.4%werefemales.66.6%patients were less than 30 years of age, 84.6% were less than 12th standard educated, 74.3% were single and 87.5% of the unemployed patients, were housewives. In our study, 93.6% of suicide attempters had underlying psychiatric illnesses. 53.8% were diagnosed to have adjustment disorder. 65% of the patients having serious suicidal intent, were females. Conclusion: In our study, patients who are housewives (p=0.000); age <30 years; <12th standard education; nuclear family setup are variables that were clearly seen in majority of cases attempting suicide. Adjustment disorder was the most frequently observed diagnosis (p=0.028) in patients and female patients were found to have a more serious intent to die (p=0.025).
Keywords: Nimesh Parikh, Prateek Sharma, Hitendra Gandhi, Girish Banwari
Citation:
Nimesh Parikh, Prateek Sharma, Hitendra Gandhi, Girish Banwari. A STUDY ON ATTEMPTED SUICIDE, ITS CLINICAL AND SOCIO-DEMOGRAPHIC VARIABLES IN A TERTIARY LEVEL HOSPITAL OF AHMEDABAD International Journal of Current Research and Review. 6(10), May, 57-63
References:
REFERRENCES
1. Stedman's medical dictionary (28th ed.). Philadelphia: Lippincott Williams and Wilkins. 2006.
2. World Report on Violence and Health (Vol. 1). Genève: World Health Organization. p. 185.
3. Hawton K, Fagg J. Trends in deliberate selfpoisoning and self-injury in Oxford, 1976-90. Br Med J 1992;304:1409-11.
4. Chang B; Gitlin D; Patel R . "The depressed patient and suicidal patient in the emergency department: evidence-based management and treatment strategies". Emergency medicine practice 2011:13 (9); 1–23.
5. Suyemoto, K. L. "The functions of selfmutilation". Clinical Psychology Review 1998;18 (5): 531–554.
6. Hawton K, van Heeringen K. "Suicide". Lancet2009:373 (9672); 1372–81.
7. BertoloteJM, Fleischmann A. "Suicide and psychiatric diagnosis: a worldwide perspective". World Psychiatry2002:1 (3); 181–5.
8. JL McIntosh. USA suicide 2006 Official final data: for the American Association of Suicidology 2009.
9. Accidental Deaths and suicides in India. National Crime Records Bureau.Ministry of home affairs. Government of India; 2010.
10. BeckaT., Herman I and Schuyledr. Development of suicidal intent scales. In A. T. Beck, H. L. P. Resnik, and D. Lettieri (Eds.), Measurement of suicidal behauiors. New York: Charles Press, 1973, in press.
11. MinkoppK ., Bergmane., Beck A . T., and Beckr. Hopelessness, depression and attempted suicide. Am. j. Psychiatry.,1973: 130; 455- 459.
12. Rao VA. Attempted suicide. Indian J Psychiatry 1965;7:253-64.
13. Badrinarayana A. Suicidal attempt in Gulbharga. Indian J Psychiatry 1977;19:69-70.
14. Lal N, Sethi BB. Demographic and socio demographic variables in attempted suicide by poisoning. Indian J Psychiatry 1975;17:100-7.
15. Vijayakumar L, Rajkumar S. Are risk factors for suicide universal? A case?controlled study in India. ActaPsychiatrScand 1999;99:407?11.
16. Conwel Y, Duberstein PR, Cox C, Herrmann JH, Forbes NT, Caine ED.Relationship of age and axis I diagnosis in victims of completed suicide: A psychological autopsy study. Am J Psychiatry 1996;153:1001?8.
17. Sureshkumar. Kerela. Indian J Psychiatry 2004;46:144?9.
18. Shukla GD, Verma BL, Mishra DN. Suicide in Jhansi city. Indian J Psychiatry 1990;32:44?51.
19. Nandi DN, Mukherjee SP, Banerjee G, Ghosh A, Horal GC, Choudhary A, et al. Is suicide preventable by restricting the availability of lethal agents?A rural survey of West Bengal. Indian J Psychiatry 1979;21:251?5.
20. Das PP, Grover S, Avasthi A, Chakrabarthi S, Malhotra S, KumarS.Intentionalself harm seen in psychiatric referrals in a tertiary care hospital. Indian J Psychiatry 2008;50:187-91.
21. Srivastava A. Study of hundred completed suicides. Indian Journal of Psychiatry 2013;55(3):268-72.
22. Kessing LV. Severity of depressive episodes according to ICD?10:Prediction of risk of relapse and suicide. Br J Psychiatry 2004;184:153?6.
23. Harris EC, Barraclough BM. Suicide as an outcome for mental disorders: A meta?analysis. Br J Psychiatry 1997;170:205?28.
24. Baxter D, Appleby L. Case register study of suicide risk in mental disorders. Br J Psychiatry 1999;175:322?6.
25. Jain V, Singh H, Gupta SC, Kumar S. A study of hopelessness, suicidal intent and depression in cases of attempted suicide. Indian J Psychiatry1999;41:122-30.
26. Sarkar P, Sattar FA, Gode N, Basanar DR. Failed suicide and deliberate self harm: A need for specific nomenclature. Indian J Psychiatry 2006;48:78-83.
27. Ponnudurai R, Jeyakar J, Saraswathy M. Attempted suicides in Madras.Indian J Psychiatry 1986;28:59-62.
|