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Suicide Attempts by Self-Poisoning in Elderly



Gheshlaghi F1 ; Jafar Salehi M2
Authors
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Authors Affiliations
  1. 1. Department of Clinical Toxicology and Forensic Medicine, School of Medicine And Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Research in Medical Sciences Published:2012

Abstract

BACKGROUND: Suicide is a major public health concern. This investigation assessed elderly patients treated for self-intoxication in a poisoning referral center. METHODS: A retrospective and descriptive study was performed from the point of view of demographic, psychiatric and clinical factors related to the self-poisoning for suicide attempts in subjects aged over 65 years. RESULTS: The examined population consisted of 43 subjects including 30 males and 13 females with an age of 65 to 83 years (mean age = 72.5 years in males and 73.5 years in females). The majority of subjects were retired [35(81.4%)] and, many cases lived with their family [39(90.6%)]. 27.9% of subjects had been undergoing psychiatric treatment. Depressive disorders (reactive) and endogenic depression (affective) were recognized in 8 subjects (66.7%). 51% suffered from chronic diseases including hypertension (33.3%), coronary artery decease (30.4%), chronic obstructive pulmonary disease (15.9%) and diabetes (10.1%). Two cases had a history of previous suicidal attempt. The most frequently used substances in the attempts were medications (58%), opioids (23.2%), pesticide (11.6%) methanol (4.6%) and hair remover (2.3%). The mean duration of hospitalization was 1.3 days. CONCLUSIONS: The high rate of depression and chronic diseases in elderly with suicidal attempt necessitates preventive interventions.
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