1887

n South African Journal of Psychiatry - Repeat non-fatal suicidal behaviour at Johannesburg Hospital

USD

 

Abstract

&lt;I&gt;Objective.&lt;/I&gt; To describe the characteristics of non-fatal suicide behaviour (NFSB) in a group of patients and to determine factors, if any, that may be associated with repetition of this behaviour. &lt;br&gt;&lt;I&gt;Method.&lt;/I&gt; The study included all patients treated for NFSB at Johannesburg Hospital during the period August 2002 - October 2002. The information was gathered by means of a structured questionnaire designed to evaluate characteristics of the behaviour. &lt;br&gt;&lt;I&gt;Results.&lt;/I&gt; The study sample comprised 43 patients with NFSB (mean age 29.7 years, range of 16 - 75 years), of whom 26 (60%) were female. Sixty-three per cent of the patients overdosed with medication and 33% ingested household poisons. Events that precipitated the event included relationship problems (70%), illness (12%), financial difficulties (9%), and depressed mood (9%). In 65% of patients the behaviour was impulsive. Factors associated with non-fatal repetition included being in the 18 - 30-year age group (76%) (<SPAN lang lang=AF style="FONT-FAMILY: Symbol; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-char-type: symbol; mso-symbol-font-family: Symbol"><SPAN style="mso-char-type: symbol; mso-symbol-font: Symbol"&gt;c&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;sup&gt;2&lt;/sup&gt; = 6.74, p < 0.05); being female (90%) (<SPAN lang lang=AF style="FONT-FAMILY: Symbol; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-char-type: symbol; mso-symbol-font-family: Symbol"><SPAN style="mso-char-type: symbol; mso-symbol-font: Symbol"&gt;c&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;sup&gt;2&lt;/sup&gt; = 4.75, p < 0.05); having children (90%) (<SPAN lang lang=AF style="FONT-FAMILY: Symbol; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-char-type: symbol; mso-symbol-font-family: Symbol"><SPAN style="mso-char-type: symbol; mso-symbol-font: Symbol"&gt;c&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;sup&gt;2&lt;/sup&gt; = 4.72, p&lt; 0.05); a past psychiatric history (50%) (<SPAN lang lang=AF style="FONT-FAMILY: Symbol; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-char-type: symbol; mso-symbol-font-family: Symbol"><SPAN style="mso-char-type: symbol; mso-symbol-font: Symbol"&gt;c&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;sup&gt;2&lt;/sup&gt; = 4.08, p < 0.05); and the current attempt deemed medically serious (50%) (<SPAN lang lang=AF style="FONT-FAMILY: Symbol; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-char-type: symbol; mso-symbol-font-family: Symbol"><SPAN style="mso-char-type: symbol; mso-symbol-font: Symbol"&gt;c&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;sup&gt;2&lt;/sup&gt; = 6.67, p < 0.05). &lt;br&gt;&lt;I&gt;Conclusions.&lt;/I&gt; NFSB is a major problem in South Africa and the incidence is still increasing. Hospital-based interventions following admission are recommended to reduce repeat attempts in such patients. Significant factors associated with non-fatal repetition include among others, a history of a previous medically serious attempt and/or a known psychiatric illness.

Loading

Article metrics loading...

/content/m_sajp/11/3/EJC66032
2005-12-01
2016-12-07
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error