Stressors in attempted suicide by poisoning: a sex comparison

Pires, Maria Cláudia da Cruz; Raposo, Maria Cristina Falcão; Pires, Marcela; Sougey, Éverton Botelho; Filho, Othon Coelho Bastos

doi:10.1590/s2237-60892012000100006

Cited by 6 publications

(10 citation statements)

References 10 publications

(8 reference statements)

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“…Este estudo analisou uma amostra de 220 pacientes internados durante o período de dezembro de 2008 a agosto de 2009 e é a segunda etapa de uma pesquisa já publicada 1,10 . Realizamos um estudo caso-controle com dois grupos, cada um com 110 pacientes.…”

Section: Métodosunclassified

“…Destacamos que, na amostra deste estudo, o ato de atentar contra a própria vida nem sempre revelou o desejo de morrer, mas uma espécie de "grito de socorro", uma busca por ajuda 10 . O nível educacional também foi avaliado, sendo constatados poucos anos de estudo em ambos os grupos.…”

Section: Métodosunclassified

“…Assim, os registros oficiais sobre tentativas são mais escassos e menos confiáveis do que os de suicídio 8 . Sabe-se que a maior incidência ocorre em mulheres e, de modo geral, no público jovem, abaixo de 35 anos 1,6,7,[9][10][11][12] . Tratando-se de um tema complexo, evidencia-se a necessidade de conhecimentos mais consistentes sobre os motivos para o comportamento de autodestruição.…”

Section: Introductionunclassified

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Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Pires

Raposo

Sougey

et al. 2015

J. bras. psiquiatr.

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resumo objetivo: Considerando o envenenamento como o método mais utilizado para a tentativa de suicídio e a escassez de evidências nacionais sobre o tema, investigamos alguns possíveis indicadores de risco nesse tipo de tentativa. métodos: Estudo do tipo caso-controle em uma emergência geral de um hospital público, na cidade do Recife com 220 indivíduos, distribuídos em dois grupos de 110 pacientes cada, que estavam em tratamento, sendo o grupo casos os sobreviventes de tentativa de suicídio por envenenamento e os controles, sem história de intoxicação/envenenamento nem tentativa de suicídio, pareados por gênero e idade. resultados: O gênero feminino predominou na amostra (70,9%), com idade média de 29 anos; 73% declararam etnia branca ou morena; menos da metade vivia em convívio marital; a maioria tinha religião; ambos tinham poucos anos de estudo. Houve diferença significativa (p = 0,003) para dependência financeira entre os grupos, com chance 2,25 vezes maior para tentar suicídio entre os casos. Ter sofrido fatos traumáticos e abuso sexual na infância revelou diferença significativa. Conclusões: Foram considerados indicadores de risco no grupo caso: estar em dependência financeira de terceiros, ter sofrido abuso sexual na infância, ideação suicida, histórico de transtorno mental na família, possuir algum transtorno mental e, principalmente, comorbidade(s) psiquiátrica(s). No modelo de regressão, foi possível estimar uma chance de tentativa de suicídio por envenenamento de até 94,0% na presença conjunta de quatro fatores. A pesquisa representa uma das primeiras iniciativas para ampliação das discussões sobre os fatores de risco para tentativa de suicídio em âmbito nacional. abstraCt objective: As poisoning is most often used method of attempted suicide and data on this topic are scarce in Brazil, we investigated possible indicators of risk for this type of attempt. methods: A case-control study was conducted at the emergency ward of a public hospital in the city of Recife (Brazil) with 220 individuals divided into two groups, each with 110 participants. The case group comprised survivors of attempted suicide by poisoning. The control group was composed of individuals with no history of attempted suicide matched for gender and age. results: The female gender predominated (70.9%). Mean age was 29 years. Self-described skin color was either white or brown among 73%. Less than half lived with a stable partner. The majority had religion and both groups had a low level of schoo-

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Section: Métodosunclassified

Section: Introductionunclassified

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Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Pires

Raposo

Sougey

et al. 2015

J. bras. psiquiatr.

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“…9,10,20 There are several explanations for this type of behavior, in addition to easy access to toxic agents, and in some cases there is a clear association with complex psychosocial phenomena, mental disorders and negative life events. 18,25 Possible risk factors associated with this phenomenon should be studied to support the development of more efficacious preventive strategies. This study reviewed the current literature about the main risk factors associated with attempted suicide by poisoning.…”

Section: 24mentioning

confidence: 99%

“…For example, men prefer potentially lethal methods, such as hanging or shooting, [13][14][15] whereas women use less aggressive and slower methods, such as some types of poisoning. [16][17][18] The study of suicide attempts by poisoning is justified by the consistent evidence of a growing use of toxic agents as a method. [19][20][21][22] Of the main toxic agents, medications have been increasingly used in the last decades, and are now more frequent than pesticides.…”

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confidence: 99%

Risk factors of suicide attempts by poisoning: review

Pires

Silva

Passos

et al. 2014

Trends Psychiatry Psychother.

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Introduction: Suicide, a complex and universal human phenomenon, is a major public health problem. This study reviewed the literature about the major risk factors associated with suicide attempts by poisoning. Methods: An integrative review of the literature was performed in databases (LILACS, PubMed and MEDLINE) to search for studies published between 2003 and 2013, using the following keywords: suicide, attempted; poisoning; risk factors. Inclusion criteria were: original study with abstract, sample of adults, and attempted suicide by poisoning in at least 50% of the study population. Results: Two hundred and nineteen studies were retrieved and read by two independent examiners, and 22 were included in the study. The main risk factors for suicide attempts by poisoning were female sex, age 15-40 years, single status, little education, unemployment, drug or alcohol abuse or addiction, psychiatric disorder and psychiatric treatment using antidepressants. Conclusion: Further prospective studies should be conducted to confirm these risk factors or identify others, and their findings should contribute to planning measures to prevent suicide attempts.

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Pattern and Risk Factors of Suicide Mortality in Children among Cases arrived at Menoufia University Hospitals and analysis through the Suicide Assessment Five-Step Evaluation and Triage

Agamy

Elsheikh

Omara

et al. 2023

Mansoura Journal of Forensic Medicine and Clinical Toxicology

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Suicide deaths in children is a significant health problem worldwide which needs proper assessment and interventions. Hence the current study was conducted to give an overview on pattern and risk factors of suicide mortalities in children among cases arrived at Menoufia university hospital, with psychiatric analysis and assessment for such cases through the Suicide Assessment Five-Step Evaluation and Triage (SAFE-T). This analytical cross-sectional study included all suicidal self-poisoned and self-injured children cases attended to poison control center or emergency department in Menoufia University hospital from 1st of March 2021 to the 31st of August 2022. Data were collected through questionnaire which involved demographic data and risk factors for suicidal attempt. Psychiatric data were collected through "SAFE-T". 613 cases were included and classified to survived (503) and dead cases (110). 82.7% of the cases were in the age group of 14-18 years with girls' predominance. Phosphide poisoning and burn were the most widely used methods among dead cases. Binary logistic regression revealed that boys, chronic diseases, child abuse, drug abuse, family troubles, previous suicide attempts, delayed arrival to hospital and phosphides use were significant risk factors for children's suicidal deaths. According to SAFE-T, 64.5% of the dead cases were high risk and the use of phosphides was more prevalent among them. Phosphides poisoning was among the most significant risk factors for suicide deaths in children, also it was confirmed to be the commonest among high-risk suicide deaths after assessment with SAFE-T hence more strict measures are required to prevent their availability.

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Stressors in attempted suicide by poisoning: a sex comparison

Abstract: Self-poisoning in men and women -Pires et al.

Cited by 6 publications

References 10 publications

Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Risk factors of suicide attempts by poisoning: review

Pattern and Risk Factors of Suicide Mortality in Children among Cases arrived at Menoufia University Hospitals and analysis through the Suicide Assessment Five-Step Evaluation and Triage

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