Psycho-social assessment of patients in ICU with deliberate self harm: An observational study
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 1
Abstract
Objectives: To assess the socio demographic profile, prevalence of psychiatric disorders, methods employed and significant life events among the patients of deliberate self harm (DSH) admitted in the intensive care unit (ICU) of a tertiary care hospital. Methods: After taking approval from the institutional ethics committee and obtaining a written informed consent, 30 patients of DSH, admitted in the ICU were recruited for the study. A specially designed semi structured pro-forma was used to collect the socio-demographic details, DSM- IV-TR criteria was used to identify the psychiatric disorders, The Explanatory Model Interview Catalogue (EMIC) was used to identify the distress and Presumptive Life Stress Event Scale was used to identify any significant life events among the recruited subjects of DSH Results: The mean age of the study group (n=30) was 29.3 yrs with the females constituting the majority (53.3%). Half of the subjects were married. Psychiatric disorders were identified among 59.3% of the subjects with depression constituting the major diagnosis. Depression was followed by alcohol dependence and adjustment disorder contributing 10% each. Most common method employed for DSH was poisoning (90%) followed by hanging (6.6%) and slitting of wrist (3.3%). 50% of the subjects, had significant contributory life events within last 6 months with marital conflict being commonest (13%). Conclusions: Psychiatric disorders are very commonly present among the patients of DSH. Marriage and gender do not play a significant role in DSH. The life events leading to the DSH were influenced by the traditional gender roles. Poisoning is the commonest method of DSH.
Authors and Affiliations
P S Rathi
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