FC04-05 - Risk and suicide behavior of hospitalized offenders in forensic setting clinic of psychiatry -in kosova

Abstract

PurposeMedia reports and the official statistics published after the war in Kosova demonstrate a rising trend of suicide in general population. In the past in our clinic have been little interest in whether suicidal risk and behavior has been documented and whether these signs of risk and suicide behavior is associated with Mental disorder and PTSD.Methods134 offenders hospitalized in period time 2007–2009 were included. We used DSM-IV criteria, SBQ-R and assessed risk of suicide factors.Results31,9% were diagnosed with personality disorder, 21,3% were psychotic, 8,5% were drug abusers, 21,3 were depressed with PTSD signs of trauma war, and 17% of them without diagnosis. Risk factors such are abnormal behavior, isolation, hopelessness, depression or other mental disorder, family problems or personal loss and drug or alcohol intoxication were important risk factors for suicidal behavior in 73% of them.12,8 % reported attempt of suicide, 14,9% of them reported that have had a plan to kill themselves, 40% reported that have told someone that are going to commit suicide, and 23,4% reported that they are likely to attempt suicide someday. Suicidal thoughts and attempts were commoner in forensic setting than in general population and were significantly associated with Personality disorder, Psychosis and PTSD.ConclusionSuicide behavior and its significant association with mental disorder play an important role and should include training programs in recognition of offenders at high risk behavior and preventive programme management in forensic settings in our country.

A Systematic Evidence Review on Suicide in Kosovo

“…Suicidal thoughts were more common in forensic settings than in the general population and were significantly associated with personality disorder, psychosis, and post-traumatic stress disorder (PTSD; Ibishi et al, 2013). Finally, the prevalence of suicide ideation was 70% in a group of 125 war victims (Wang et al, 2012).…”

“…Based on the substances used 53% of the cases used psychotropic drugs and 19% of the cases used chemicals (Fanaj et al, 2006). One study reported 12.8% of suicide attempts within the forensic psychiatric setting (Ibishi, Kola, Ramiqi, & Musliu, 2013) and concluded that attempts were more common in forensic settings than in the general population (Ibishi et al, 2013). For adolescents, the self-report rates of suicide attempts ranged from 3.4% (Fanaj, Fanaj, Drevinja, & Poniku, 2013) to 23.5% (Jemini, 2008).…”

“…Data from forensic settings (sample: 134 individuals) found that 14.9% of the sample reported having a plan to kill themselves, 40% have told someone that they are going to commit suicide, and 23.4% were likely to attempt suicide someday (Ibishi et al, 2013). Suicidal thoughts were more common in forensic settings than in the general population and were significantly associated with personality disorder, psychosis, and post-traumatic stress disorder (PTSD; Ibishi et al, 2013). Finally, the prevalence of suicide ideation was 70% in a group of 125 war victims (Wang et al, 2012).…”

“…Important risk factors for suicidal behavior in forensic settings were identified in 73% of cases, including abnormal behavior, isolation, hopelessness, depression or other mental disorders, family problems or personal loss, and drug or alcohol intoxication (Ibishi et al, 2013). Finally, regards protective factors, the only sociological study for suicide by Nishori (2009) stated protective factors: dignity, Albanian male stoicism, religion, and cultural values toward violence.…”