Suicidality, Mode of Suicide Attempt and Psychiatric Co- Morbidity Among Suicide Attempters in A Tertiary Hospital of North-East India – An Observational Study
Main Article Content
Keywords
Suicide, Suicidal Risk, Mental Illness, Suicidal Ideation
Abstract
Introduction: Suicide is considered as a fatal act of self injury (self harm) undertaken with more or less conscious self destructive intent to end his/her life, however vague and ambitious. Psychiatric illnesses are often identified as risk factors for suicide attempt. The present study was conducted with the objective of assessing the suicidality, mode of suicide attempt and psychiatric co-morbidity among suicide attempters in a tertiary hospital of North-East India.
Materials and Methods: This was a hospital based observational study carried out in a tertiary hospital located in the upper part of Assam, India. The study duration was of six months. The study received approval from the institutional ethical committee. Every consecutive patient admitted in the hospital during this period was included in the study sample and analysis of the observed data was done using tests like frequency distribution, multinomial logistic regression, fisher’s test and chi square test in SPSS windows version 16.0.
Results: Poisoning was the most common mode of suicide attempt among both males and females. No significant association was found between suicidal risk and mode of suicide attempt. Suicidal Risk was also higher in those who had a psychiatric diagnosis than those with no psychiatric co-morbidity. How ever no significant association was found between suicidal risk and any of the individual psychiatric co-morbidities
Conclusion: Severity of suicidal risk cannot determine the mode of suicide attempt. Mental illness, although it is associated with suicidal risk, cannot predict the severity of suicidal ideation.
References
2. Sainsbury,P.andJenkins,J.S.(1982).Theaccuracyofofficiallyreportedsuicidestatistics forpurposeofepidemiologicalresearch.JournalofEpidemiologyandCommunityHealth, 36, 43-8
3. World Health Organization. Global Burden of Disease. 2004 Update. Available from:http://www.who.int/healthinfo/global_burden_disease/
4. Gururaj GA, Isaac MK, Latif MA, Abeyasinghe R, Tantipiwatanaskul P. Suicide prevention‑emerging from darkness. SEA/Ment/118; New Delhi, WHO/SEARO, 2001.
5. WHO. Suicide prevention (SUPRE). Available from:http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/.
6. WHO.Figuresandfactsaboutsuicide1999.DepartmentofMentalHealth,SocialChange and Mental Health; Geneva, WHO,1999.
7. National Crime Records Bureau. Accidental Deaths and Suicides in India 2007. Ministry of Home Affairs, Government of India; New Delhi2009.
8. National Crime Records Bureau. Accidental Deaths and Suicides in India 2006. Ministry of Home Affairs, Government of India; New Delhi2008.
9. National Crime Records Bureau. Accidental Deaths and Suicides in India 2008. Ministry of Home Affairs, Government of India New Delhi;2010.
10. Lewis, G., Hawton, K. and Jones, P. (1997). Strategies for preventing suicide. British Journal of Psychiatry, 171,351-4
11. VladetaAjdacic-Gross,MitchellGWeiss,MariannRing,UrsHepp,MatthiasBopp,Felix Gutzwiller and Wulf Rössler. Methods of suicide: international suicide patterns derived from the WHO mortality database. Bulletin of the World Health Organization. September 2008, 86 (9)
12. Harris, E.C. and Barraclough, B. (1997). Suicide as an outcome for mental disorders. A Meta analysis. British Journal of Psychiatry, 170,205-28.
13. Mc Girr, A. Renaud, J., Seguin, M., et al. (2007). An examination of DSM IV depressive symptoms and risk for suicide completion in majordepressive disorders: A psychological autopsy study. Journal of Affective Disorders, 97,203-9
14. Kelly, D.L., Shim, J-C., Feldman, S.M, et al. (2004). Lifetime psychiatric symptoms in personswithschizophreniawhodiedbysuicidecomparedtoothermeansofdeath.Journal of Psychiatric Research, 38,531-6.
15. Marttunen, M.J., Aro, H.M., Henriksson, M.M., et al. (1991). Mental disorders in adolescentsuicide:DSMIII-RaxesIandIIdiagnosesinsuicidesamong13to19yearolds in Finland. Archives of General Psychiatry, 48,834-9.
16. Kelly, S. and Bunting, J. (1998), Trends in suicide in England and Wales, 1982-96. Population Trends, 92,29-41
17. Hawton, K. (1998). Why has suicide increased in young males? Crisis, 19.119-124
18. Kim J.L., Kim J.M., Choi Y., Lee Tae-Hoon, Park Eun-Cheol. Effect of socioeconomic status on the linkage between suicidal ideation and suicide attempts. Suicide and Life Threatening Behaviour. October 2016; Vol 46 (5):588-97
19. RaneAnilandNadkarniAbhijit.SuicideinIndia:Asystematicreview.ShanghaiArchives of Psychiatry. 2014 April; 26 (2):69-80
20. LathaKS, BhatSM ,D’SouzaP. Suicide attempters in a general hospital unit in India: Their socio-demographic and clinical profile – emphasis on cross-cultural aspects. Act a Psychiatry Scand. 1996; 94:26-30
21. Srivastava MK, Sahoo RN, Ghotekar LH, Duttta S, Danabalan Mand DuttaTK ,etal. Risk factors associated with attempted suicide: A case control study. Indian Journal of Psychiatry. 2004: 46:33-8
22. Baller,R.D.,&RichardsonK.K.(2002).Socialintegration,imitation,andthegeographic patterning of suicide. American Sociological Review, 67, 873 –888
23. Gibbs, J. P. (2000). Status integration and suicide: Occupational, marital, or both? Social Forces, 78, 949 –968
24. KumarSachilandRathoreShiuli.TrendsinratesandmethodsofsuicideinIndia.Egyptian Journal of Forensic Sciences. September 2013; Volume 3 (3):75-80
25. Sharma RC. Attempted suicide in Himachal Pradesh. Indian Journal of Psychiatry. 1998; 40: 50-4
26. Jain V, Singh H, Gupta SC, Kumar S. A study of hopelessness, suicidal intent and depression in cases of attempted suicide. Indian Journal of Psychiatry. 1999; 41:122-30
27. Verona E, Sachs-Ericsson N, Joiner Jr. TE (2004). Suicide attempts associated with externalizing psychopathology in an epidemiological sample. Am J Psychiatry, 161(3): 444-51
28. KesslerRC,BerglundP,ChiuWT,DemlerO,HeeringaS,HiripiE,etal.TheUSNational Comorbidity Survey Replication (NCS-R): Design and field procedures. International Journal of Methods in Psychiatric Research. 2004;13:69–92
29. Nock MK, et al. Suicide and suicidal behaviours. Epidemiologic Reviews. 2008;30
30. Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, et al. Cross- national prevalence and risk factors for suicidal ideation, plans, and attempts in the WHO