Cargando…

Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters

BACKGROUND: Attempted suicide is a common clinical problem in a general hospital setting. It has a serious clinical and socio-economical impact too. AIMS: To study the psychosocial, psychiatric, and personality profile of the first suicide attempters in a general hospital. SETTINGS AND DESIGN: Cross...

Descripción completa

Detalles Bibliográficos
Autores principales: Rao, K. Nagaraja, Kulkarni, Ranganath R., Begum, Shamshad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701364/
https://www.ncbi.nlm.nih.gov/pubmed/23833346
http://dx.doi.org/10.4103/0253-7176.112210
_version_ 1782275627925110784
author Rao, K. Nagaraja
Kulkarni, Ranganath R.
Begum, Shamshad
author_facet Rao, K. Nagaraja
Kulkarni, Ranganath R.
Begum, Shamshad
author_sort Rao, K. Nagaraja
collection PubMed
description BACKGROUND: Attempted suicide is a common clinical problem in a general hospital setting. It has a serious clinical and socio-economical impact too. AIMS: To study the psychosocial, psychiatric, and personality profile of the first suicide attempters in a general hospital. SETTINGS AND DESIGN: Cross-sectional, hospital-based, descriptive study. MATERIALS AND METHODS: All the consecutive cases of first suicide attempt (n=100) treated in a general hospital were studied to know the clinical profile. Variables related to socio-demographic characteristics, family background, suicide characteristics, psychiatric morbidity, and comorbidity were analyzed. Risk-Rescue rating was applied to know the medical seriousness of the suicide attempt. Presumptive stressful life event scale was utilized to calculate life events score. Structured clinical interview (MINI Plus) and semi-structured clinical interview (IPDE) were used for axis-I and axis-II (personality) diagnoses. The results were analyzed using appropriate statistical measures. RESULTS: Family history of psychiatric illnesses (31%) and suicide (11%) were noted. Insecticides and pesticides were the most common agents (71%) employed to attempt suicide. Interpersonal difficulties (46%) were the most frequent stressor. Overall medical seriousness of the suicide attempt was of moderate lethality. 93% of the suicide attempters had at least one axis-I and/or axis-II psychiatric disorder. Most common diagnostic categories were mood disorders, adjustment disorders, and substance-related disorders, with axis-I disorders (89%), personality disorders (52%), and comorbidity of psychiatric disorders (51.6%). CONCLUSION: Individuals who made first suicide attempt were young adults, had lower educational achievement; overall seriousness of the suicide attempt was of moderate lethality, high prevalence of psychiatric morbidity, personality disorders, and comorbidity, and had sought medical help from general practitioners.
format Online
Article
Text
id pubmed-3701364
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-37013642013-07-05 Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters Rao, K. Nagaraja Kulkarni, Ranganath R. Begum, Shamshad Indian J Psychol Med Original Article BACKGROUND: Attempted suicide is a common clinical problem in a general hospital setting. It has a serious clinical and socio-economical impact too. AIMS: To study the psychosocial, psychiatric, and personality profile of the first suicide attempters in a general hospital. SETTINGS AND DESIGN: Cross-sectional, hospital-based, descriptive study. MATERIALS AND METHODS: All the consecutive cases of first suicide attempt (n=100) treated in a general hospital were studied to know the clinical profile. Variables related to socio-demographic characteristics, family background, suicide characteristics, psychiatric morbidity, and comorbidity were analyzed. Risk-Rescue rating was applied to know the medical seriousness of the suicide attempt. Presumptive stressful life event scale was utilized to calculate life events score. Structured clinical interview (MINI Plus) and semi-structured clinical interview (IPDE) were used for axis-I and axis-II (personality) diagnoses. The results were analyzed using appropriate statistical measures. RESULTS: Family history of psychiatric illnesses (31%) and suicide (11%) were noted. Insecticides and pesticides were the most common agents (71%) employed to attempt suicide. Interpersonal difficulties (46%) were the most frequent stressor. Overall medical seriousness of the suicide attempt was of moderate lethality. 93% of the suicide attempters had at least one axis-I and/or axis-II psychiatric disorder. Most common diagnostic categories were mood disorders, adjustment disorders, and substance-related disorders, with axis-I disorders (89%), personality disorders (52%), and comorbidity of psychiatric disorders (51.6%). CONCLUSION: Individuals who made first suicide attempt were young adults, had lower educational achievement; overall seriousness of the suicide attempt was of moderate lethality, high prevalence of psychiatric morbidity, personality disorders, and comorbidity, and had sought medical help from general practitioners. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3701364/ /pubmed/23833346 http://dx.doi.org/10.4103/0253-7176.112210 Text en Copyright: © Indian Journal of Psychological Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Rao, K. Nagaraja
Kulkarni, Ranganath R.
Begum, Shamshad
Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters
title Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters
title_full Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters
title_fullStr Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters
title_full_unstemmed Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters
title_short Comorbidity of Psychiatric and Personality Disorders in First Suicide Attempters
title_sort comorbidity of psychiatric and personality disorders in first suicide attempters
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701364/
https://www.ncbi.nlm.nih.gov/pubmed/23833346
http://dx.doi.org/10.4103/0253-7176.112210
work_keys_str_mv AT raoknagaraja comorbidityofpsychiatricandpersonalitydisordersinfirstsuicideattempters
AT kulkarniranganathr comorbidityofpsychiatricandpersonalitydisordersinfirstsuicideattempters
AT begumshamshad comorbidityofpsychiatricandpersonalitydisordersinfirstsuicideattempters