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Socio-demographic characteristics and clinical profile among suicide attempters
- R. Ouali, R. Masmoudi, F. Guermazi, F. cherif, I. Feki, O. Chakroun, E. Derbel, R. sellami, J. Masmoudi, N. Rekik
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S874
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- Article
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Introduction
Suicide is a real public health problem. Like many other countries, Tunisia seems to be experiencing an amplification of the phenomenon. Suicide attempts are much more frequent and are estimated to be around 20 times the number of suicides
ObjectivesThe objective was to describe the sociodemographic characteristics and clinical profile of suicide attempters in patients hospitalized in the emergency room.
MethodsThis study was carried out with patients admitted to vital emergencies for attempted suicide over a period of 6 months.
A pre-made questionnaire was used to collect sociodemographic and clinical data. We used the SIS “suicide intention scale” to assess the intent of the suicide attempt and the PHQ9 “PATIENT HEALTH QUESTIONNAIRE” to assess the presence and severity of depressive symptoms.
We excluded Patients with major cognitive impairment, which prevents understanding of the questionnaire.
ResultsOur sample consisted of 101 patients. Of the participants, 69.3% were female. Their age varied between 18 and 65 years with an average age of 30.93 years. The socioeconomic level was low in 23.8% of cases. The level of education did not exceed secondary school for 91% of suicides. Almost half of suicide attempters (45%) have been professionally inactive. Participants included in our study were single in 51.5% of cases. Participants had a family history of attempted suicide in 15% of cases. Prior psychiatric follow-up was found in 34% of suicides attempts. More than a third (36.6%) of participants had moderate to severe depression according to the results of the PHQ-9. Recurrences concerned 44% of suicides attempt in our survey and the average number of previous suicides attempts was 3.9. Suicidal intent was rated strong in 47% of suicides attempts .
ConclusionsSuicidal behavior is one of the leading causes of death and disability worldwide. In our study, more than 1 in 3 suicide attempters had depression. Further research is needed to identify suicide risk factors and to examine the relationship between the presence of mental illness and suicidal attempt
Disclosure of InterestNone Declared
Characteristics of suicide attempts seen in emergency service
- R. Ouali, R. Masmoudi, F. Guermazi, A. Mellouli, O. Chakroun, R. Sellami, E. Derbel, I. Feki, J. Masmoudi, N. Rekik
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S865
-
- Article
-
- You have access Access
- Open access
- Export citation
-
Introduction
The suicidal phenomenon constitutes a real public health problem not only by the human losses it causes, but also by the psychological and social problems to which it testifies.
ObjectivesThe objective was to describe suicide attempts in patients hospitalized in the emergency room.
MethodsA descriptive cross-sectional study was carried out with patients admitted to vital emergencies for attempted suicide over a period of 6 months.
We excluded Patients with major cognitive impairment, which prevents understanding of the questionnaire
A data collection sheet was used for the evaluation of the suicide attempts.
ResultsOur sample consisted of 101 suicide attempts. Using non-physical methods (drugs, caustics, pesticides, gases) was reported in 91.9% of cases and while physical methods (hanging, phlebotomy, drowning) in 8.9% of cases. Self-poisoning by medications was the most frequent (51%) method used in suicide attempt. The majority of suicide attempts were reactive (77.2%). Family or marital conflicts were the precipitating factor most mentioned (74%). The suicidal act was unpremeditated in 66% of cases. Communication of suicidal intent either verbally or in writing was reported in 34.7% of cases. The passage to the suicidal act was preceded by taking alcohol in 7% of cases and cannabis in 3% of cases. In 44.6% of cases, regret was the attitude most adopted by suicide attempters towards the act. The somatic state on admission was unstable on the cardiac level in 23% of the cases, on the respiratory level in 27% of the cases and on the neurological level in 38% of the cases
ConclusionsThe data from our study suggest that suicidal attempts were mostly unpremeditated. Clinicians should not minimize the significance of impulsive attempts, as they are associated with a similar level of lethality as premeditated attempts
Disclosure of InterestNone Declared