Gender differences in socio-demographic, clinical characteristics and psychiatric diagnosis in/of suicide attempters in a Mexican population

Fresán, Ana; González-Castro, Thelma Beatriz; Peralta-Jiménez, Yesenia; Juárez-Rojop, Isela; Pool-García, Sherezada; Velázquez-Sánchez, Martha Patricia; López‐Narváez, María Lilia; Tovilla-Zárate, Carlos Alfonso

doi:10.1017/neu.2015.6

Cited by 18 publications

(16 citation statements)

References 39 publications

(38 reference statements)

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“…Some reported differences are that males tend to be unmarried, unemployed, consume alcohol, marijuana, or tobacco. 11 We found males developed more serious medical outcomes including death, but committed self-poisonings less often. This conflicts with previous findings showing a greater proportion of male ED visits for self-inflicted injury were discharged compared to females.…”

Section: Discussionmentioning

confidence: 73%

“…Females tend to score higher on traditional suicidal ideation/depression measures, whereas alcoholism/substance abuse (risk-taking behaviors) are more commonly diagnosed in males. 11 – 12 Instead a combination of traditional and risk-taking/life-diminishing screening should be performed to increase identification of those at-risk for both genders. 12…”

Section: Discussionmentioning

confidence: 99%

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Poisonings with Suicidal Intent Aged 0-21 Years Reported to Poison Centers 2003-12

Sheikh

Hendry

Lynch

et al. 2015

WestJEM

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IntroductionFew studies explore the clinical features of youth suicide by poisoning. The use of both social and clinical features of self-poisoning with suicidal intent could be helpful in enhancing existing and creating new prevention strategies. We sought to characterize self-poisonings with suicide intent in ages 0 to 21 years reported to three regional poison control centers from 2003–2012.MethodsThis study was a blinded retrospective review of intentional self-poisonings by those age 21 or younger captured by the Poison Information Control Network. Age, sex, substance(s) used, medical outcome, management site, clinical effects, and therapies were described using counts and percentages and analyzed using chi-square tests. We analyzed the medical outcome ranging from no effect to death using the Wilcoxon rank-sum test. Serious medical outcome was defined as death or major outcome.ResultsWe analyzed a total of 29,737 cases. The majority were females (20,945;70.5%), of whom 274 (1.3%) were pregnant. Most cases were 15–18 year olds (15,520;52.2%). Many experienced no effects (9,068;30.5%) or minor medical outcomes (8,612;29%). Males had more serious medical outcomes (p<0.0001), but females were more likely to be admitted to a critical care unit (p<0.0001). There were 17 deaths (0.06%), most in males (10;p=0.008). Of the 52 substances reported in the death cases, 12 (23.1%) were analgesics. In eight (47.1%) of the deaths, over two substances were used. Overall, drowsiness/lethargy (7,097;19.3%) and single-dose charcoal (8,815;16.3%) were frequently reported. Nearly 20% were admitted to critical care units (5,727;19.3%) and 28.7% went to psychiatric facilities (8,523). Of those admitted to hospitals (8,203), nearly 70% (5,727) required critical care units. Almost half <10 years old were evaluated and released (43;47.2%). Of the 114 reported substances for this population, 22.8% involved psychotropic medications, 15.8% analgesics, and 14% Attention Deficit-Hyperactive Disorder (ADHD) medications. Analgesics (13,539;33.6%) were the most common medication category used by all age groups. Typically only one substance (20,549;69.1%) was used.ConclusionUndiagnosed ADHD may be a potential underlying cause for self-harming behaviors in the very young. Gender-specific suicide prevention strategies may be more effective at identifying those at risk than traditional measures alone. Further study into admitting practices by emergency physicians is needed to understand the difference in critical care admission rates based on gender. Once identified to be at-risk for suicidal behavior, access to analgesics and psychotropics should be monitored by care-givers especially in those between the ages of 15–18.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Poisonings with Suicidal Intent Aged 0-21 Years Reported to Poison Centers 2003-12

Sheikh

Hendry

Lynch

et al. 2015

WestJEM

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“…The most consistent of these findings was the excess of prevalence for all outcomes in the State of Tabasco, a state that has had for a long time one of the highest rates of death by suicide in the country. 8 While a few reports have delved into the increase risk for suicide in Tabasco, 20,21 to the best of our knowledge the Encodat 2016 is the first report to show that suicidal behavior is also increased in this state. Future work in this area should try to explore the special circumstances and associated factors that may be present in Tabasco, but this is beyond the scope of the current report.…”

Section: Discussionmentioning

confidence: 99%

Suicide ideation and behavior in Mexico: Encodat 2016

et al. 2018

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Objective. To provide updated information regarding the 12-month prevalence and associated sociodemographic factors for suicide ideation and behavior (plan and attempts) to substantiate preventive programs in Mexico. Materials and methods. Cross-sectional nationally representative survey, conducted during 2016 (n=56 877) among those 12-65 years old living in rural, urban and metropolitan dwellings. Results. The prevalence of suicide ideation in the last 12-months was 2.3%, 0.8% of the sample reported a plan and 0.7% reported a suicide attempt. All three outcomes were about two times more common among females and suicide plan and attempt were less common among the elderly (50-65 years old). Suicide attempts were more common in urban than in rural areas. The state of Tabasco showed an increased prevalence of ideation, plan and attempts when compared to national average rates. Conclusions. Public health measures to diminish and treat suicidal behavior are urgently needed all over the country.

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“…However, this factor seems to be associated different in Mexican suicides, to be married is the most prevalent status in suicides cases of Tabasco State population ( 17 ) whereas relatively more suicides were observed among singles in Mexico City, similar to studies reported before for Mexican general population ( 3 ) and elsewhere ( 12 , 50 – 56 ). Increased suicide among singles has been attributed to lack of family ties and increased individualism ( 57 ). The association between the risk of suicide and years of schooling has been investigated, and the results indicate that there is a negative correlation between suicide and higher educational attainment ( 58 – 63 ).…”

Section: Discussionmentioning

confidence: 99%

Demographic and Clinical Characteristics of Completed Suicides in Mexico City 2014–2015

et al. 2018

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Objective: To analyze sex differences in demographic and clinical characteristics of individuals who died by suicide in Mexico City.Method: Statistical analysis of residents of Mexico City whose cause of death was suicide, during two years period from January 2014 to December 2015, with a coroner's report. Suicide mortality rates were calculated by age, sex, and location within the city. The Chi-squared test was used to assess statistical differences.Results: From January 2014 to December 2015, 990 residents of Mexico City died by suicide (men: 78.28%, women: 21.72%). Among males, the highest mortality rates were among the groups of 20–24 and 75–79 years old, whereas in women, the group with the highest mortality rate was 15 to 19 years old. 74% of the sample used hanging as suicide method. However, men had higher rates of a positive result in the toxicology test (40%) (p < 0.05). There was no concordance between male and female suicide by city jurisdictions.Conclusion: Our results provide evidence that the characteristics of Mexico City's residents who committed suicide had significant sex-related differences, including where they used to live. Understanding the contributory factors associated with completed suicide is essential for the development of effective preventive strategies.

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Gender differences in socio-demographic, clinical characteristics and psychiatric diagnosis in/of suicide attempters in a Mexican population

Cited by 18 publications

References 39 publications

Poisonings with Suicidal Intent Aged 0-21 Years Reported to Poison Centers 2003-12

Poisonings with Suicidal Intent Aged 0-21 Years Reported to Poison Centers 2003-12

Suicide ideation and behavior in Mexico: Encodat 2016

Demographic and Clinical Characteristics of Completed Suicides in Mexico City 2014–2015

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