Volume 1, Issue 1 (12-2019)                   JSP 2019, 1(1): 25-32 | Back to browse issues page

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Malakouti S K, Taban M, Nojomi M, Eftekhar Ardebili M, Mohammadi Farsani H, Ghiasi Z, et al . Comorbid psychiatric diagnosis in suicide attempters using self-immolation and self-poisoning: A case-control and multisite study . JSP 2019; 1 (1) :25-32
URL: http://isssp.ir/article-1-28-en.html
Iran University of Medical Sciences
Abstract:   (2454 Views)
Background and Objectives: 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.
Materials and Methods: 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.
Results: 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).  
Conclusion: 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.
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Type of Study: Research | Subject: Special
Received: 2019/09/21 | Accepted: 2019/09/21 | Published: 2019/09/21

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