Psychiatric Morbidity Among Suicide Attempters Who Needed ICU Intervention

Qusar, Mma Shalahuddin; Morshed, Nahid Mahjabin; Azad, Abul Kalam; Kader, Abdul; Shams, Syed Faheem; Ahmed, Fahim; Haque, Mahmudunabi Mohammad Momtazul; Uddin, Alkaz; Shahid, Shelina Fatema Binte

doi:10.3329/bsmmuj.v2i2.4761

Cited by 11 publications

(4 citation statements)

References 3 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 This result correlates with the study done in Kashmir valley by Jan, et al 14 which showed 82% prevalence of psychiatric morbidity in their sample. Our finding is also in accordance with the study conducted by Qusar et al 22 , a study from outside the Kashmir valley, which observed that 59.1% patients attempting suicide were suffering from psychiatric disorders at the time of committing the act.…”

Section: Discussionsupporting

confidence: 93%

Psychiatric Co-Morbidities of Suicide Attempters: A Cross Sectional Observation in a Tertiary Care Hospital of North India

Bhagat

Dar

Ahmed

2021

Int J Sci Healthcare Res

View full text Add to dashboard Cite

Background: Psychiatric disorders are at increased risk for suicide. Attempted suicide is a common clinical problem in a general hospital. It has a serious clinical and socio-economical impact too. Aims: This study was carried out to assess the prevalence of psychiatric co-morbidities of suicide attempters attending the emergency. Material and methods: This study was a cross sectional, observational study which was conducted at the Community General Hospital Unit, Institute of Mental Health and Neurosciences-Kashmir an associated hospital of Government Medical College Srinagar among the suicide patients attending the outpatient service and inpatient services of the hospital fulfilling inclusion and exclusion criteria over a period of one and a half year, from November 2017 to May 2019. Written informed consent was obtained in a simple and easily understandable unambiguous language. For the diagnosis of psychiatric comorbidity, we used MINI International Neuropsychiatric Interview Schedule Plus (MINI PLUS). A p-value of <0.05 was taken as statistically significant. Results: A total of 221 cases who had been admitted following unsuccessful suicide attempts to the emergency and psychiatry department were taken up for the study. They were evaluated in detail with regards to past attempt of suicide, family history of psychiatric illness or suicide and the presence of psychiatric co-morbidity and the results have been presented below in tabulated and graphical forms. 77.4% of the attempters had no history of psychiatric illness in their family while 22.6% of patients did have family history of a psychiatric illness. 98.2% of attempters had no family history of suicide while 1.8% of the patients gave a family history of suicide. 21.26% males and 54.75% females had associated psychiatric co-morbidities and 23.9% had no associated psychiatric co-morbidities. Conclusion: The most common psychiatric morbidity associated with suicide was found to be major depressive disorder. Most importantly, the suicide attempters should be looked with sympathy rather than with a grimace on face. Such people should not be stigmatized and we should not let their shoulders drop. Keywords: Depression, Bipolar Disorder, Morbidity, Suicide.

show abstract

Section: Discussionsupporting

confidence: 93%

Psychiatric Co-Morbidities of Suicide Attempters: A Cross Sectional Observation in a Tertiary Care Hospital of North India

Bhagat

Dar

Ahmed

2021

Int J Sci Healthcare Res

View full text Add to dashboard Cite

show abstract

“…For some studies, certain contextual factors may have impacted on the generalisability of the study findings to the wider suicidal population. For example, in countries where suicidal behaviour is still (or recently) considered a criminal act [171], the ascertainment of cases may be subject to a selection bias, with more medically serious attempts being included [16,40,47,50,86,87,93,95,105,106,108,110,111,113,114,118–120,129,132,135,136,140,145,147,150,156,158]. There is a clear need for more high-quality studies investigating the association between psychiatric morbidity and suicidal behaviour.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis

et al. 2019

View full text Add to dashboard Cite

BackgroundPsychiatric disorders are reported to be present in 80% to 90% of suicide deaths in high-income countries (HIC), but this association is less clear in low- and middle-income countries (LMIC). There has been no previous systematic review of this issue in LMIC. The current study aims to estimate the prevalence of psychiatric morbidity in individuals with suicidal behaviour in LMIC.Methods and findingsPubMed, PsycINFO, and EMBASE searches were conducted to identify quantitative research papers (any language) between 1990 and 2018 from LMIC that reported on the prevalence of psychiatric morbidity in suicidal behaviour. We used meta-analytic techniques to generate pooled estimates for any psychiatric disorder and specific diagnosis based on International classification of disease (ICD-10) criteria. A total of 112 studies (154 papers) from 26 LMIC (India: 25%, China: 15%, and other LMIC: 60%) were identified, including 18 non-English articles. They included 30,030 individuals with nonfatal suicidal behaviour and 4,996 individuals who had died by suicide. Of the 15 studies (5 LMIC) that scored highly on our quality assessment, prevalence estimates for psychiatric disorders ranged between 30% and 80% in suicide deaths and between 3% and 86% in those who engaged in nonfatal suicidal behaviour. There was substantial heterogeneity between study estimates. Fifty-eight percent (95% CI 46%–71%) of those who died by suicide and 45% (95% CI 30%–61%) of those who engaged in nonfatal suicidal behaviour had a psychiatric disorder. The most prevalent disorder in both fatal and nonfatal suicidal behaviour was mood disorder (25% and 21%, respectively). Schizophrenia and related disorders were identified in 8% (4%–12%) of those who died by suicide and 7% (3%–11%) of those who engaged in nonfatal suicidal behaviour. In nonfatal suicidal behaviour, anxiety disorders, and substance misuse were identified in 19% (1%–36%) and 11% (7%–16%) of individuals, respectively. This systematic review was limited by the low number of high-quality studies and restricting our searches to databases that mainly indexed English language journals.ConclusionsOur findings suggest a possible lower prevalence of psychiatric disorders in suicidal behaviour in LMIC. We found very few high-quality studies and high levels of heterogeneity in pooled estimates of psychiatric disorder, which could reflect differing study methods or real differences. There is a clear need for more robust evidence in order for LMIC to strike the right balance between community-based and mental health focussed interventions.

show abstract

“…13 Moreover, depressive episodes are reported to occur more commonly in females than in males which can result in more suicidal ideations and thus more suicide attempt rates among females. 22,23 Also, men are considered to be less likely to seek help or express their emotions compared to women.…”

Section: Discussionmentioning

confidence: 99%

Socio-demographic profile and mode of attempt of suicide among suicide attempters in Kashmir: a hospital-based study

et al. 2021

View full text Add to dashboard Cite

Background: Suicide is an important and serious public health problem. It is one of the major emergencies in psychiatry. This study was carried out to assess the socio-demographic profile and mode of attempt of suicide among suicidal attempters attending emergency.Methods: This study was a cross sectional, observational study conducted at Institute of Mental Health and Neurosciences-Kashmir, an associated hospital of Government Medical College Srinagar, among the suicide patients attending the outpatient service and inpatient services fulfilling inclusion and exclusion criteria over a period of one and a half year. Each patient was informed about the purpose of interview; his/her consent was obtained in a simple and easily understandable unambiguous language.Results: A total of 221 cases who had been admitted following unsuccessful suicide attempts to the emergency and psychiatry department were taken up for the study. Out of which 161 (72.9%) were females and 60 (27.1%) were males, the mean age was 24.61±8.9 years. Lower middle and upper lower classes occupied an equal percentage of 34.4% of the suicide attempters, while 24% belonged to upper middle class and only 5.9% belonged to lower class .The least no. of cases (1.4%) were from the upper classes. The most common mode adopted was poisoning whereas the least common mode was self- immolation. Poisoning and self-mutilation were proportionally high in females as compared to males with a significant p value.Conclusions: There should be a robust system in place which takes care of future management and follow up of this group of population.

show abstract

Psychiatric Morbidity Among Suicide Attempters Who Needed ICU Intervention

Cited by 11 publications

References 3 publications

Psychiatric Co-Morbidities of Suicide Attempters: A Cross Sectional Observation in a Tertiary Care Hospital of North India

Psychiatric Co-Morbidities of Suicide Attempters: A Cross Sectional Observation in a Tertiary Care Hospital of North India

Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis

Socio-demographic profile and mode of attempt of suicide among suicide attempters in Kashmir: a hospital-based study

Contact Info

Product

Resources

About