Journal of Suicide Prevention
1
JSP
Medical Sciences
http://isssp.ir
1
admin
9
10
8
7
14
8888
13
en
jalali
1398
9
1
gregorian
2019
12
1
1
1
online
1
fulltext
fa
Comorbid psychiatric diagnosis in suicide attempters using self-immolation and self-poisoning: A case-control and multisite study
تخصصي
Special
پژوهشي
Research
<strong>Background and Objectives:</strong> The prevalence of mental disorders among suicide attempters has not been investigated in Eastern Mediterranean Region, almost led to the lack of reliable information and census about its prevalence and characteristics. This study was performed to evaluate the diagnosis of mental disorders among victims of suicide attempts using self-poisoning and self-immolation through conducting a structured clinical interview for axis I disorders.<br>
<strong>Materials and Methods</strong>: This study was performed as a case-control, multi-site study, recruiting 142 study samples and 172 subjects as the control group. The study subjects were collected from different provinces of the country comprising 88 subjects with drug overdose and 54 ones with self-immolation. Structured Clinical Interview (SCID) was used to assess the axis I diagnosis. The Chi-square test, t-testand logistic regression were used for data analysis through SPSS v. 23.<br>
<strong>Results</strong>: About 85% of the suicide attempters suffered at least from one psychiatric axis I disorder (p<0.001). Major Depressive Disorder (MDD) had a significantly higher prevalence among attempters (45.1%, OR=7.4; CI:3-18) (p<0.001). Suicidal ideation during the past year (OR=6, CI:2.8-13); high educational level (OR=0.2, CI:0.1-0.4); and suicide reattempt (OR=11, CI:2-60) had a significant effect on suicide attempt. Comparing with the self-poisoning group, the self-immolation group were significantly more female gender, married, and housewife with low education and less alcohol abuse (p<0.005). <br>
<strong>Conclusion: </strong>This article provided some clinical and demographic risk factors for suicide attempters by self-immolation and self-poisoning. Using fatal means of setting fire does not imply the severity of psychopathology in the self-immolation suicide attempt group. Access to oil should be considered for using the method of self-immolation.
Suicide attempt, Self-immolation, Self-poisoning, Mental disorders, Diagnosis, Comorbidity
25
32
http://isssp.ir/browse.php?a_code=A-10-1-6&slc_lang=fa&sid=1
Seyed Kazem
Malakouti
100319475328460023
100319475328460023
No
Iran University of Medical Sciences
Mojgan
Taban
100319475328460024
100319475328460024
No
Iran University of Medical Sciences
Marzieh
Nojomi
100319475328460025
100319475328460025
No
Iran University of Medical Sciences
Mehrdad
Eftekhar Ardebili
100319475328460026
100319475328460026
No
Iran University of Medical Sciences
Hamideh
Mohammadi Farsani
100319475328460027
100319475328460027
No
Iran University of Medical Sciences
Zahra
Ghiasi
linooshghiasi@gmail.com
100319475328460028
100319475328460028
Yes
Iran University of Medical Sciences
Habibolah
Khazaie
100319475328460029
100319475328460029
No
Kermanshah University of Medical Sciences
Mehran
Zarghami
100319475328460030
100319475328460030
No
Psychiatry and Behavioral Sciences Research Center, Zare Hospital, Sari
M.
Karimi
100319475328460031
100319475328460031
No
Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences
Kamran
Aghakhani
100319475328460032
100319475328460032
No
Iran University of Medical Sciences