Unconsciousness in Patients with Suicidal Attempt History in Comparison with Others
DOI:
https://doi.org/10.48165/Keywords:
Psychological, historyAbstract
One of the limitations in management of patients suffering from decreased level of consciousness due to drug poisoning is the inability to interview the patient. The aim of the present study was to compare characteristics of the two subgroups of these patients; those who had a suicidal attempt history with others. In this case-control study, 19 patients with suicidal attempt history and 66 patients without this history were selected among patients who were admitted for drug poisoning to Loghman hospital in Tehran, Iran, in April and May 2008. When they patients were admitted, all of them had decreased level of consciousness due to unknown drug poisoning. Demographic and poisoning characteristics, past medical history and substance use history of the patients were recorded.
Downloads
References
1. Alsen M, Ekedahl A, Lowenhielm P et al. Medicine self-poisoning and the sources of the drugs in Lund, Sweden. Acta Psychiatr Scand 1994; 89:255–61.
2. Batt A, Tron I, Depoivre C, Trehony A. Suicide attempts in Brittany (France). Distribution at the regional level. Encephale.1993; 19:619–25.
3. Bille-Brahe U. The role of sex and age in suicidal behaviour. Acta Psychiatr Scand 1993;71:21–7.
4. Buckley NA; Dawson AH; Whyte IM, et al. An analysis of age and gender influences on the relative risk for suicide and psychotropic drug self-poisoning. Acta Psychiatr Scand. 1996; 93:168–71.
5. Carter G. Reith D.M. Whyte I.M. McPherson M. Repeated self-poisoning: increasing severity of self-harm as a predictor of subsequent suicide. Br J Psychiatry 2005; 186: 253-257.
6. De Leo D, Pavan L. Suicidio. In: Cassano GB, Pancheri P, Pavan L.(eds.). Trattato italiano di psichiatria. Milano: Masson; 1999; pp 1217–39.
7. Diekstra RF. Suicide and suicide attempts in the European Economic Community: an analysis of trends, with special emphasis upon trends among the young. Suicide Life Threat Behav 1985; 15:27–42.
8. Diekstra RF. The epidemiology of suicide and parasuicide. Acta Psychiatr Scand Suppl. 1993; 371:9–20.
9. Dimakopoulou A, Rontos I, Spyropoulos I, Papamichael E. Preliminary observations during the first year of running of Psychiatric Consultation Services in the Regional General Hospital of Nikea “Damon Vasiliou”. Encephalos 1989; 26:168–172.
10. Eagles, J. M., Klein, S., Gray, N. M., et al (2001) Role of psychiatrists in the prediction and prevention of suicide: a perspective from north-east Scotland. Br J Psychiatry 178, 494 -496.
11. Hawton K, Harriss L, Zahl DL. Deaths from all causes in a long-term follow-up study of 11,583 deliberate self-harm patients. Psychological Medicine 2006; 36(3): 397–405. 12. Hawton K, Fagg J. Suicide, and other causes of death, following attempted suicide. British Journal of Psychiatry 1988; 152: 359 -366.
13. Hawton K. Assessment of suicide risk. Br J Psychiatry. 1987; 150:145–53. 14. Hawton K., Zahl D. Weatherall R. Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. British Journal of Psychiatry, 2003; 182: 537 -542.
15. Joiner TE, Conwell Y, Fitzpatrick KK, Witte TK, Schmidt NB, Berlim MT et al., Four studies on how past and current suicidality relate even when “everything but the kitchen sink” is covaried. J Abnormal Psychology 2005; 114(2): 291–303.
16. Kessel N. Self-poisoning. Part I. Br Med J. 1965; 2:1265–1270. 17. Krug JA, Mercy LL. Dahlberg AB, Zwi EG. The first world report on violence and health. Lancet 2002; 360 (5): 1083–1088.
18. Maris RW, Berman AL, Silverman MM. Comprehensive textbook of suicidology. New York: The Guilford Press; 2000.
19. Mauri MC, Cerveri G, Volonteri LS, Fiorentini A, Colasanti A, Manfré S, Borghini R, Pannacciulli E. Parasuicide and drug self-poisoning: analysis of the epidemiological and clinical variables of the patients admitted to the Poisoning Treatment Centre (CAV), Niguarda General Hospital, Milan. Clin Pract Epidemol Ment Health. 2005; 1: 5.
20. Meehan PJ, Lamb JA, Saltzman LE, O’Carrol PW. Attempted suicide among young adults: progress toward a meaningful estimate of prevalence. Am J Psychiatry 1992; 149:41–4.
21. Owens D, Horrocks J, House A. Fatal and non-fatal repetition of self-harm: systematic review. British Journal of Psychiatry 2002; 181: 193 -199.
22. Powell J, Geddes J , Hawton K, et al. Suicide in psychiatric hospital in-patients: risk factors and their predictive power. Br J Psychiatry 2000; 176: 266 -272. 23. Roy A. Characteristics of cocaine-dependent patients who attempt suicide. Am J Psychiatry. 2001; 158:1215–19.
24. Rygnestad T, Hauge L. Epidemiological, social and psychiatric aspects in self-poisoned patients. A prospective, comparative study from Trondheim, Norway (1978–1987. Soc Psychiatry Epidemiol 1991; 26(2):53–62.
25. Sakinofsky, I. Repetition of suicidal behaviour. In The International Handbook of Suicide and Attempted Suicide (eds K. Hawton & K. Van Heeringen), Chichester: Wiley 2000; pp. 385 -404.
26. Stone IC. Observation and statistics relating to suicide weapons. J Forensic Sci. 1987; 32:711–6.
27. Tountas C, Sotiropoulos A, Skliros SA, Kotsini V, Peppas TA. Tamvakos E, Pappas S. Voluntary self-poisoning as a cause of admission to a tertiary hospital internal medicine clinic in Piraeus, Greece within a year. BMC Psychiatry. 2001; 1: 4.
28. Voyiaki, S, Efstratopoulos A. Drug intoxication aiming at suicide. Recent experience from an internal medicine clinic of a general hospital in Athens. Archives of the Hellenic Medical Society. 1996; 13(2):136–141.
29. Welch SS. A review of the literature on the epidemiology of parasuicide in the general population. Psychiatr Serv. 2001; 52:368–75.
30. Zahl DL, Hawton K. Repetition of deliberate self-harm and subsequent suicide risk: Long term follow-up study of 11,583 patients. B J Psychiatry 2004; 185: 70–75.