Attempted suicide in psychiatric emergency patients presenting at a tertiary care hospital
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 10
Abstract
Background: India has been seeing a rise in deaths due to suicide in the recent years1. 17% of the 8, 00, 000 suicides committed worldwide every year are by Indians. The suicide attempts outnumber the completed suicides. This study aimed to evaluate the socio-demographic and clinical profile of patients of attempted suicide being admitted to a tertiary care hospital. Material and Methods: The participants were recruited from the patients being admitted at Father Muller Medical College hospital, Mangalore for deliberate self harm. The period of study was from May 2015 to July 2015. A total of forty (40) patients were recruited and evaluated using MINI Plus (Mini International Neuropsychiatric Interview Plus), SESS (Socio-Economic Status Schedule) and IPDE (International Personality Disorder Examination) for their socio-demographic and clinical profile. Results: All of the participants hailed from nuclear families with majority of the subjects being married (62.5%), holding a degree qualification (25%), being unemployed (35%), being Hindu by faith (75%), belonging to middle socioeconomic status (72.5%) and hailing from rural background (67.5%). Most common reasons/preceding events to deliberate self-harm were interpersonal problems with spouse (40%), followed equally by interpersonal problems with lover (22.5%) and interpersonal problems with family members (22.5%). The most common method of deliberate self-harm used was insecticide consumption (72.5%), followed by overdose of psychotropic drugs (10%).Up to 60% of the participants regretted the act and 90% denied having any future suicidal plans. Majority of the participants were diagnosed to have adjustment disorder (52.5%) and 60% were diagnosed with a personality disorder. Conclusion: Deliberate self harm was found to be significantly associated with presence of Personality disorder (<p=0.001), being in the age group of 18-30yrs(p<0.038), being married (p<0.042) and having interpersonal problems with spouse (p<0.025).
Authors and Affiliations
Srikumar s, Denzil A Pinto
Keywords
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