Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
What Can Influence Iranian Suicide Attempters to Go Through the Process of Non-Fatal Suicide Act Once Again? a Preliminary Report Publisher Pubmed



Toudehskchuie GRG1 ; Fereidoon M2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Behavioural Sciences Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Community Mental Health Journal Published:2016


Abstract

The thrust of this study was to examine some of the psycho-social risk factors for the recurrence of non-fatal suicide attempt in a sample of 1121 inmates admitted between April 2012 to June 2013 at the toxicology emergency ward, Noor Medical Centre, Isfahan, Iran. Out of the total participants, 240 of them reported history of suicide attempt and assumed the status of case group. The remaining 881 patients were admitted first their attempt and constituted the control group. Cases were compared to the controls with respect to select demographic features (i.e. age, sex, education, occupation, marital status, type of residence, and locale), current suicide attempt method, family history of suicide and drug abuse, history of psychiatric disorder, physical ailment and physical disability, substance abuse and alcohol use, psychiatric diagnosis, and recent life hassles (i.e. interpersonal, occupational, financial, medical, and home affairs). We used a structured interview schedule to interview the participants. Psychiatric diagnosis was based on the DSM-IV criteria. Data were computer analyzed using SPSS.21 and administering statistical analysis including Chi Square, t-student, and logistic regression. Demographic risk factors for recurrence of suicide attempts at the univariate level included occupational status [Crud odds Ratio (COR) = 0.53] and type of residence (COR = 1.40). Medical and psychiatric risk factors at the univariate level included substance abuse (COR = 1.97), physical ailment (COR = 1.76), alcohol use (COR = 1.84), psychiatric disorder (COR = 3.69), and history of suicide in the family of origin (COR = 1.86). Recent life hassles risk factors at the univariate level included financial constraints (COR = 1.46) and medical emergencies (COR = 3.48). A multivariate logistic regression model identified five variables (i.e. substance abuse, alcohol use, psychiatric illness, suicide in family, and medical emergencies) that were statistically associated with an increased risk for recurrence of nonfatal suicide attempt. The model predicted chances of repeating suicide attempt correctly 79 % of the time. These observations indicate that people who report to the toxicology emergency ward for nonfatal suicide not only need immediate relief but also careful psychiatric and social assessments which subsequently may lead to psychiatric admission and comprehensive community interventions. © 2016, Springer Science+Business Media New York.
Other Related Docs
9. Suicide Prevention: The Experiences of Recurrent Suicide Attempters (A Phenomenological Study), Iranian Journal of Psychiatry and Behavioral Sciences (2010)
16. Suicide Attempts by Self-Poisoning in Elderly, Journal of Research in Medical Sciences (2012)
18. Suicide Mortality Risk in Kermanshah Province, Iran: A County-Level Spatial Analysis, Epidemiology Biostatistics and Public Health (2016)
24. Trend of Memory Recovery After Benzodiazepine Overdose, Iranian Journal of Pharmacology and Therapeutics (2007)
27. Role of Anemia and Related Factors in Intentional Suicidal Attempts, Journal of Isfahan Medical School (2011)
28. Clinico-Epidemiological Analysis of Adult Patients With Acute Poisoning, International Journal of Medical Toxicology and Forensic Medicine (2021)
32. The Personality Factors Predictors in Substance Abuse Among Iranian College Students, International Journal of High Risk Behaviors and Addiction (2017)
39. The Sociocultural Contexts of Attempting Suicide Among Women in Iran, Health Care for Women International (2010)
42. Technology‑Based Suicide Prevention: An Umbrella Review, Journal of Research in Medical Sciences (2024)