Suicide prevention is possible: A perception after suicide attempt

Ram, Dushad; Darshan, M S; Rao, T.S. Sathyanarayana; Honagodu, Abhijit R.

doi:10.4103/0019-5545.99535

Cited by 18 publications

(21 citation statements)

References 30 publications

(28 reference statements)

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“…A majority of our subjects reported severe (43.59%) or moderate (35.9%) suicide intent at the time of their attempt, with mild intent (20.5%) being least common. In our sample, while ‘intent’ score on the PSIS was low (8.38), Ram et al (2012) reported a much higher intent score (23.8) on PSIS from South India on 50 consecutive subjects. Their study assessed the subjects immediately after the suicide attempt when they were admitted for suicide attempt and were stable after medical management.…”

Section: Discussioncontrasting

confidence: 52%

Lifetime suicide intent, executive function and insight in schizophrenia and schizoaffective disorders

Verma

Srivastava

Singh

et al. 2016

Schizophrenia Research

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Objectives Lack of insight and neurocognitive deficits are often seen in schizophrenia patients. While there are several studies investigating the relationship between suicidal ideation, executive function and insight, there are relatively fewer investigating the triangular relationship between suicide intent, insight and cognitive competence in schizophrenia. The aim of our study was to address this issue. Methods One hundred seventy five subjects with DSM-IV TR diagnoses of schizophrenia or schizoaffective disorder were enrolled and the diagnosis was established using the Hindi version of the Diagnostic Interview for Genetic Studies and other available information in consultation with a Board certified senior Psychiatrist. All the subjects were interviewed on Beck’s cognitive insight scale and tested on the Trail Making Test. All the subjects who had lifetime history of suicide attempt were interviewed on Pierce’s suicide intent scale. Results Ever attempters scored significantly higher on Beck’s cognitive insight scale (p = 0.012) and outperformed non-attempters on Trail Making Test A and B (p = 0.026 and p = 0.012 respectively), indicating better executive functions in the former. However among ever attempters, significant relationship was not found between executive functions, insight and severity of suicide intent. Conclusion Our study suggests that good insight and better executive functioning may be significantly correlated with suicide attempts at some time during the course of illness. Patients with schizophrenia should be evaluated for potential suicidality once denial, neurocognitive deficits and other factors associated with poor insight abate.

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Section: Discussioncontrasting

confidence: 52%

Lifetime suicide intent, executive function and insight in schizophrenia and schizoaffective disorders

Verma

Srivastava

Singh

et al. 2016

Schizophrenia Research

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“…Studies have shown that there is a positive relationship between the frequency and severity of above mentioned social factors and prevalence of mental health problems in women. [ 36 37 38 39 40 ]…”

Section: Discussionmentioning

confidence: 99%

Suttur study: An epidemiological study of psychiatric disorders in south Indian rural population

Tandon

et al. 2014

Indian J Psychiatry

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Background:Based on review of literature World Health Organization (WHO) Global Burden of Disease Study has estimated that psychiatric disorders are among the most burdensome, around the globe and has suggested general population surveys for future research. This study aims to estimate the prevalence of psychiatric disorders and study their association with various socioeconomic variables.Materials and Methods:This was an exploratory study where a door-to-door survey of the entire population residing in a South Indian village was done (n = 3033). Mini international neuropsychiatric interview kid (MINI) or MINI plus were administered to all the subjects according to the age group.Results:It was found that 24.40% of the subjects were suffering from one or more diagnosable psychiatric disorder. Prevalence of depressive disorders was found to be 14.82% and of anxiety disorders was 4%. Alcohol dependence syndrome was diagnosed in 3.95% of the population. Prevalence of dementia in subjects above 60 years was found to be 10%.Conclusion:Our study is among the very few epidemiological studies with respect to methodological design which does not use screening questionnaires and evaluates each subject with detailed administration of MINI. It concluded that one among four were suffering from a psychiatric disorder. Improving the training of undergraduate medical and nursing students is likely to play a significant role in addressing the increasing psychiatric morbidities.

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“…[2] Suicide is the most preventable cause of death among the top 20 leading causes of mortality for all ages. [3] Suicide attempters not only present with multiple medical and administrative problems, but also pose considerable strain on busy medical and nursing staff. [4] Research evidence has indicated that unfavorable attitudes among doctors and nurses exist towards suicide attempters, which further influence their suicide risk assessment, management skills, including the quality and impact of care.…”

Section: Introductionmentioning

confidence: 99%

Nursing students’ attitude towards suicide attempters: A study from rural part of Northern India

Nebhinani¹,

Nebhinani²,

Tamphasana

et al. 2013

Journal of Neurosciences in Rural Practice

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Context:Majority of health professionals have unfavorable attitudes towards patients presenting with self-harm, which further compromises their willingness and outcome of care.Aims:To assess the nursing students’ attitudes toward suicide attempters.Settings and Design:Cross-sectional study was conducted in two nursing colleges of north India.Material and Methods:Three hundred and eight nursing students were recruited through total enumeration method from May to June 2012. ‘Suicide opinion questionnaire’ was administered to assess their attitudes towards suicide attempters.Statistical Analysis Used:Descriptive statistics was employed with Statistical Package for Social Sciences version 14.0 for Windows.Results:Majority were single females, from urban locality, with the mean age of 20 years. Only minority had previous exposure to suicide prevention programs and management of such cases. Majority of students agreed for mental illness, disturbed family life, and depression as major push to attempt suicide. They held favorable attitude for half of the attitudinal statement, but they were uncertain for rest half of the statements.Conclusions:They generally had favorable attitude towards suicide attempters. Their uncertain response highlights the need for enhancing educational exposure of nursing students and new staff at the earliest opportunity, to carve their favorable attitude towards patients presenting with self-harm.

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Suicide prevention is possible: A perception after suicide attempt

Cited by 18 publications

References 30 publications

Lifetime suicide intent, executive function and insight in schizophrenia and schizoaffective disorders

Lifetime suicide intent, executive function and insight in schizophrenia and schizoaffective disorders

Suttur study: An epidemiological study of psychiatric disorders in south Indian rural population

Nursing students’ attitude towards suicide attempters: A study from rural part of Northern India

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