DESCRIPTIVE STUDY ON SUICIDE ATTEMPTERS ATTENDING CONSULTATION-LIAISON PSYCHIATRY SERVICES AT A TERTIARY CARE HOSPITAL

Authors

  • Pugazhendhi K Department of Psychiatry, Government Villupuram Medical College and Hospital, Villupuram, Tamil Nadu, India.
  • BHARATHI K Department of Psychiatry, Government Villupuram Medical College and Hospital, Villupuram, Tamil Nadu, India.
  • BALAMURUGAN K Department of Pediatrics, Government Villupuram Medical College and Hospital, Villupuram, Tamil Nadu, India.
  • Ravishankar J Department of Immunohematology and Blood Transfusion, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i7.47285

Keywords:

Alcohol, Consultation-liaison psychiatry, Insecticide poison, Suicide attempt

Abstract

Objectives: Suicidal attempts are more common than suicides. Knowing the sociodemographic profile of patients, psychological causes, and mode of attempts helps gain insight into suicide attempts. This study aims to describe the profile of suicide attempters attending consultation-liaison psychiatry services.

Methods: This was a prospective observational study conducted at the psychiatry clinic, Government Villupuram Medical College and Hospital, Tamil Nadu on suicide attempters between June 2019 and November 2019. Beck’s suicide intent scale was used to assess the level of intent.

Results: Of the total of 610 study individuals, the mean age was 28.73±11.73 years, majority were females (57.70%), suicide attempt was more in young adults (59.18%), more in married (64.91%), more in those with secondary school education (54.91%), and more in skilled workers and homemakers. Poison consumption was the most common mode of suicide attempt (92.62%), predominantly insecticides. Alcohol intoxication (39.14%) was the most common psychiatric derangement. Interpersonal conflict (63.44%) was the most common precipitating factor. About 74.92% had less suicidal intent.

Conclusion: Marital conflicts, interpersonal conflicts, and alcohol-related illnesses were the major precipitating factors. Restriction of the availability of alcohol and toxic insecticides can help reduce the incidence of suicide attempts and deaths. The promotion of healthy coping mechanisms and community-based mental care activities can help in suicide prevention.

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Author Biographies

BHARATHI K, Department of Psychiatry, Government Villupuram Medical College and Hospital, Villupuram, Tamil Nadu, India.

Assistant Professor,

Department of Psychiatry,

Government Villupuram Medical College and Hospital,

Villupuram,

Tamilnadu, India

BALAMURUGAN K, Department of Pediatrics, Government Villupuram Medical College and Hospital, Villupuram, Tamil Nadu, India.

Assistant Professor,

Department of Pediatrics,

Government Villupuram Medical College and Hospital,

Villupuram,

Tamilnadu, India

Ravishankar J, Department of Immunohematology and Blood Transfusion, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India.

Assistant Professor,

Department of Immunohematology and Blood Transfusion,

Tirunelveli Medical College Hospital,

Tirunelveli,

Tamilnadu, India.

 

References

WHO Global Health Estimates. Available from: https://www.who.int/ news-room/fact-sheets/detail/suicide

WHO. MENTAL Health, Global Suicide Data; 2018. Available from: https://www.who.int/teams/mental-health-and-substance-use/suicide-data

Crosby AE, Ortega L, Melanson C. Self-Directed Violence Surveillance: Uniform Definitions and Recommended Data Elements. Atlanta, GA: National Center for Injury Prevention and Control; 2011.

Gajalakshmi V, Peto R. Suicide rates in rural Tamil Nadu, South India: Verbal autopsy of 39,000 deaths in 1997-98. Int J Epidemiol 2007;36:203-7. doi: 10.1093/ije/dyl308. PMID: 17301103.

Accidental Deaths and Suicides in India (ADSI 2019). India: National Crime Records Bureau Ministry of Home Affairs; 2019. p. 257.

Vijayakumar L. Suicide in women. Indian J Psychiatry 2015;57 Suppl 2:S233-8. doi:10. 4103/0019-5545.161484

Platt S, Bille-Brahe U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, et al. Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand 1992;85:97-104. doi: 10. 1111/j.1600-0447.1992. tb01451.x. PMID: 1543046

Gunnell DJ, Peters TJ, Kammerling RM, Brooks J. Relation between parasuicide, suicide, psychiatric admissions, and socioeconomic deprivation. BMJ 1995;311:226-30. doi:10.1136/bmj.311.6999.226

Osvath P, Vörös V, Fekete S. Life events and psychopathology in a group of suicide attempters. Psychopathology 2004;37:36-40. doi: 10.1159/000077018 PMID: 14988649

Dennis M, Wakefield P, Molloy C, Andrews H, Friedman T. Self-harm in older people with depression: Comparison of social factors, life events and symptoms. Br J Psychiatry 2005;186:538-9. doi: 10.1192/ bjp.186.6.538. PMID: 15928367

Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The scale for suicide ideation. J Consult Clin Psychol 1979;47:343-52. doi: 10.1037//0022-006x.47.2.343

Latha KS, Bhat SM, D’Souza P. Suicide attempters in a general hospital unit in India: Their socio-demographic and clinical profile--emphasis on cross-cultural aspects. Acta Psychiatr Scand 1996;94:26-30. doi: 10.1111/j.1600-0447.1996.tb09820.x. PMID: 8841673

Gururaj G, Isaac MK. Epidemiology of Suicides in Bangalore. Bangalore: National Institute of Mental Health and Neuro Sciences; 2001.

Khan FA, Anand B, Devi MG, Murthy KK. Psychological autopsy of suicide-a cross-sectional study. Indian J Psychiatry 2005;47:73-8. doi: 10.4103/0019-5545.55935. PMID: 20711285; PMCID: PMC2918303.

Afghah S, Aghahasani M, Noori-Khajavi M, Tavakoli E. Survey of suicide attempts in sari. Iran J Psychiatry 2014;9:89-95.

Narang RL, Mishra BP, Nitesh M. Attempted suicide in Ludhiana. Indian J Psychiatry 2000;42:83-7.

Martins DF Jr, Felzemburgh RM, Dias AB, Caribé AC, Bezerra- Filho S, Miranda-Scippa Â. Suicide attempts in Brazil, 1998-2014: An ecological study. BMC Public Health 2016;16:990. doi:10.1186/s12889-016-3619-3

Ramdurg S, Goyal S, Goyal P, Sagar R, Sharan P. Sociodemographic profile, clinical factors, and mode of attempt in suicide attempters in consultation liaison psychiatry in a tertiary care center. Ind Psychiatry J 2011;20:11-6. doi:10.4103/0972-6748.98408

Kar N. Lethality of suicidal organophosphorus poisoning in an Indian population: Exploring preventability. Ann Gen Psychiatry 2006;5:17. doi:10.1186/1744-859X-5-17

Pawan T, Mohan RS, Kalita R, Nitin D. Study of suicidal poisoning cases in tertiary care hospital in central India. Med Leg Update 2012;12:96-8.

Published

07-07-2023

How to Cite

K, P., BHARATHI K, BALAMURUGAN K, and R. J. “DESCRIPTIVE STUDY ON SUICIDE ATTEMPTERS ATTENDING CONSULTATION-LIAISON PSYCHIATRY SERVICES AT A TERTIARY CARE HOSPITAL”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 7, July 2023, pp. 139-42, doi:10.22159/ajpcr.2023.v16i7.47285.

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