Individual and social factors related to attempted suicide among women: A qualitative study from Iran

Khezeli, Mehdi; Hazavehei, Seyyed-Mohammad-Mahdi; Ariapooran, Saeed; Ahmadi, Alireza; Soltanian, Alireza; Rezapur-Shahkolai, Forouzan

doi:10.1080/07399332.2018.1545773

Cited by 10 publications

(9 citation statements)

References 29 publications

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“…41 Cognitive factors such as low IQ and limited education; poor problem-solving or inadequate communication skills; lack of distress tolerance; and the timing of the attempt, such as after a similar attempt in the family or neighbourhood, may also have a significant effect on the choice of agent in self-poisoning. 19,137,138 Copycat suicides or Werther's syndrome have long been identified as drivers of cluster suicides. [139][140][141][142][143] Although we did not look for the timing of cluster suicides in our analysis, it should be explored in future studies.…”

Section: Discussionmentioning

confidence: 99%

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

et al. 2021

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Background Suicide is one of the leading mental health crises and takes one life every 40 seconds. Four out of every five suicides occur in low- and middle-income countries. Despite religion being a protective factor against suicide, the estimated number of suicides is rapidly increasing in Pakistan. Aims Our review focuses on the trends of suicide and means of self-poisoning in the past three decades, and the management of commonly used poisons. Method We searched two electronic databases (PubMed and PakMediNet) for published English-language studies describing agents used for suicide in different regions of Pakistan. A total of 46 out of 85 papers (N = 54 747 cases) met our inclusion criteria. Results Suicidal behaviour was more common among individuals younger than 30 years. Females comprised 60% of those who attempted suicide in our study sample, although the ratio of completed suicides favoured males. There were regional trends in the choice of agent for overdose. Organophosphate poisoning was reported across the nation, with a predominance of cases from the agricultural belt of South Punjab and interior Sindh. Aluminium phosphide (‘wheat pills’) was a preferred agent in North Punjab, whereas paraphenylenediamine (‘kala pathar’) was implicated in deaths by suicide from South Punjab. Urban areas had other means for suicide, including household chemicals, benzodiazepines, kerosene oil and rat poison. Conclusions Urgent steps are needed, including psychoeducational campaigns on mental health and suicide, staff training, medical resources for prompt treatment of self-poisoning and updated governmental policy to regulate pesticide sales.

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Section: Discussionmentioning

confidence: 99%

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

et al. 2021

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“…It depends on people's attitude toward suicide [35][36][37]. According to a qualitative study women attempt suicide for reasons other than death, and from their point of view, suicide is a means for escaping from problems or meeting hidden desires [8]. There is also evidence that people who is more accepting suicide, exhibit also higher levels of suicidal ideation [38].…”

Section: Discussionmentioning

confidence: 99%

“…The degree of suicide intention can predict the method used and the lethality of suicide attempts [7]. Results of a qualitative study in women of Gilan-e gharb who experienced a suicide attempt revealed that both individual and social factors are responsible for attempting suicide, and suicidal ideation and intention have played a decisive role on suicidal behavior [8]. It seems that people who choose lethal methods to attempt suicide have a real intention to end their lives [9].…”

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confidence: 99%

The effects of suicidal ideation and constructs of theory of planned behavior on suicidal intention in women: a structural equation modeling approach

et al. 2020

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Background: The Theory of Planned Behavior (TPB) is proposed to predict behavioral intention. We conducted this study aimed to investigate the effects of Suicidal Ideation (SI) and constructs of TPB on suicidal intention. Methods: This cross-sectional study was conducted with 923 married women selected by multi-stage sampling method from Gilan-e Gharb County, the west part of Iran, in 2018. Data gathering tools were a questionnaire on demographic characteristics, the Beck Scale for Suicidal Ideation, and a four-part questionnaire based on constructs of TPB, including Attitude, Subjective Norms, Perceived Behavioral Control (PBC), and Intention. Data were analyzed by SPSS 19 and AMOS using Structural Equation Modeling (SEM). Results: Out of 923 participants, 345 women (37.4%) had some degree of suicidal ideation. The mean score of suicidal ideation in all of participants was 5.98 ± 7.79, while in the 345 individuals with suicidal ideation was 15.53 ± 3.65. Suicidal ideation had the strongest positive total effect on suicide intent, while PBC and attitude had the negative effect on suicide intent. Conclusions: Since suicidal ideation had the strongest direct effect on suicidal intent, it is suggested that this variable be used for risk assessment in all suicide prevention programs and counseling measures be implemented to reduce suicidal thoughts. Also, undesirable attitudes toward suicide and perceived behavioral control on suicide intention can be considered and emphasized in planning future interventions.

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“…Although SI has been widely researched in western Iran (Khezeli et al, 2019;Ariapooran, Heidari, Asgari, Ashtarian, & Khezeli, 2018; it has received little attention among nurses, especially during the COVID-19. Some studies showed that the suicide J o u r n a l P r e -p r o o f rates compared to the general population have been found to be high among the nurses (Davidson, Proudfoot, Lee, Terterian & Zisook, 2020;Fink-Miller & Nestler, 2018).…”

Section: Introductionmentioning

confidence: 99%

Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak

Ariapooran

Ahadi

Khezeli

2022

Archives of Psychiatric Nursing

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Individual and social factors related to attempted suicide among women: A qualitative study from Iran

Cited by 10 publications

References 29 publications

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

The effects of suicidal ideation and constructs of theory of planned behavior on suicidal intention in women: a structural equation modeling approach

Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak

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