A CROSS-SECTIONAL DESCRIPTIVE STUDY ON SUICIDAL ATTEMPTS AT A TERTIARY CARE INSTITUTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 29
Abstract
BACKGROUND Suicides and suicidal attempts are increasingly recognized as growing public health problems globally. World Health Organization observes that the prevalence, characteristics and methods of suicidal behaviour vary widely between different demographic groups. This study attempted to analyse the socio-demographic factors, modes of attempts in the suicidal attempters admitted at a tertiary care institution and to evaluate them for the psychiatric morbidity and other causes of attempts. METHODS A cross-sectional study on suicidal attempts was conducted at a tertiary healthcare institution in Southern India, for a period of 60 days in a 3 months span. All cases of suicidal attempts admitted on previous day were taken up for the study. The evaluation of the attempters was done on 2nd & 3rd days of attempt at the in-patient wards. The evaluation was done by an unstructured clinical interview method, and diagnoses were made by following the ICD-10 criteria. Data was entered in a self-structured Performa, and results were expressed in percentages and proportions. Statistical analysis was done. RESULTS In that study period of 60 days, 517 cases were found to be admitted for suicidal attempts. Women attempters (55%) outnumbered men (45%) population. 65% of study population were represented by 15 to 30 years age group. 92% of attempters were from rural area. Pesticides poisoning represented in 31% of attempts followed by plant poisons (16%) and household chemicals (16%). The author was able to evaluate 377 attempters for the causes of attempts and for other sociodemographic factors. Among them 57% were married, 43% had studied up to 10th std, 31% were house wives. 39% of attempters were found to have psychiatric morbidity. Alcohol related disorders were more in men, depressive disorders represented more in women. 54% of attempts have resulted from personal and interpersonal conflicts and quarrels. CONCLUSIONS Hospital based psychiatric services may prevent further suicidal attempts in the past attempters. To reduce suicidal behaviours in the community, larger community-based studies are needed.
Authors and Affiliations
Sukumar S.
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