Socio-Demographic, Clinical Profile, Life Stress Events and Psychiatric Comorbidities in Patients with First Attempt Suicide
Authors:   Department of psychiatry, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, Selvaraj Karthik , Bansal Pranjali ,   Senior Resident, Department of Psychiatry, Hamdard Institute of Medical Sciences & Research & affiliated Hospitals, Jamia Hamdard University, Delhi, Singh Akshay ,   Senior Resident, Department of Psychiatry, Mayo Institute of Medical Sciences, Dharsania, Barabamki, Uttar Pradesh, Viswanathan Sushma ,   Assistant Professor, Department of psychiatry, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, Raghavan Swetha ,   Consultant Psychiatrist, Chennai, Tamil Nadu, R Sathianathan ,   Professor and Head of Department, Department of psychiatry, Sri Ramachandra University, Porur, Chennai, Tamil Nadu
Published: March 2021

Background: Contemporary literature focuses on various socio-demographic, clinical profile and psychiatric comorbitidies in patients with first attempt suicide. Aim: 1. To study the socio-demographic factors and the clinical profile of subjects with the first attempt suicide. 2. To assess the severity of depression and severity of stress due to various stressful events in patients with first attempt suicide. 3. To assess the severity of the suicide intent in patients with first attempt suicide. 4. To study the association between socio demographic profile of the patients with severity of depression, severity of suicide intent and severity of stress. Materials and Methods: Hundred fifteen patients were assessed using Hamilton rating scale for depression, becks suicide intent scale, Holmes-Rahe life stress inventory, MINI international neuropsychiatric interview. The data was analysed using the statistical software SPSS version 20. Results: The sample of 115 patients showed mean age to be 29 years, majority of them being males (58%). With most common mode of attempting suicide to be drug overdose and most of the patients had adjustment issues due to various domestic household issues and financial stressors. The severity of depression was mild and suicide intent were low (67%). In our study chi square finding association between various socio demographic variables and severity of depression found to be highly significant. It was strongest among gender at p value 0.009, occupation in which depression was found mostly among employed patients and housewives at p value 0.001. Results also found depression more common among participants with urban background at p value 0.03 and family type being nuclear at p value 0.05. Conclusion: Promoting healthy coping mechanism and reduction in stress is required to reduce self-harm. As is evident from the study, modifying the interpersonal relationship problems in the family might help in preventing many of suicide attempts/intentional self-harm and therefore important to address their various life events that might be stressful for them forcing them to take this step. In a country like India, where formal mental health resources are limited and are attached to a stigma, it is important to provide adequate information also among people hailing from lower economic status.