Suicide and Repeated Suicide Attempt in Intoxicated Patients: An Epidemiological Survey in a Tertiary Center
Authors:   Department of Clinical Toxicology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Yekesadat Seyed Meysam ,   Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran., Ramezani Maral ,   Department of Pharmacology, School of Medicine, Arak University of Medical Sciences, Arak, Iran., Shadnia Shahin ,   Department of Clinical Toxicology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,   Toxicological Research Center, Excellence Center of Clinical Toxicology, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Moghaddam Hossein Hassanian ,   Department of Clinical Toxicology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,   Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Zamani Nasim ,   Department of Clinical Toxicology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,   Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Talab Evini Peyman Erfan ,   Department of Clinical Toxicology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,   Toxicological Research Center, Excellence Center of Clinical Toxicology, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Nazemi Farzad ,   Department of Clinical Toxicology, Psychiatrist at Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Rahimi Mitra ,   Department of Clinical Toxicology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,   Toxicological Research Center, Excellence Center of Clinical Toxicology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Published: September 2022

Background: Suicide is one of the most important psychological emergencies and it is necessary to deal with it. The goal of this study was to evaluate the frequency of suicide attempts, suicide re-attempt, and guesstimated risk factors in suicidal patients in the poisoning ward of Loghman Hakim Hospital. Methods: This study was performed on suicidal patients in Loghman Hakim hospital in 2021 (January to August). The suicide attempt and the type of mental disorder were confirmed by a psychiatrist and the data sheets were completed. The sample size was 500 cases based on previous similar studies. Results: Three hundred fifteen cases attempted suicide for the first time and 185 had a history of suicide. In both groups, the numbers of women were significantly more than men. In addition, 196 cases of the first group and 121 cases of the second group were under 30 years old and 65.1% of cases with first-time suicides and 62.2% of cases with suicide re-attempts were unemployed. In both groups, the most common drug for suicide was benzodiazepines (30.5% and 21.6%). Unfortunately, two patients died. Also, 67.6% in the first-time suicide attempt group and 57.3% in the suicide re-attempt group had adjustment disorder. No significant differences were observed between both groups in terms of gender, age, marital status, education, chronic disease, drug and habit history, employment status, diagnosed mental disorder, and type of drug used for the current suicide. Conclusion: Young age, unemployment, mental disorders (especially adjustment disorder), and female gender are the most important risk factors for a suicide attempt and re-attempt.