Correlates of Process of Suicide Attempt and Perception of its Prevention

Abotorabi-Zarchi Ghanizadeh, Dushad Ram, Darshan Mahegowda‎, Basavana Gowdappa, Dushad Ram‎
2016 Iranian J Psychiatry   unpublished
Objective: Suicide attempt may follow a process right from the inception of the first information about ‎ suicide until the act itself. This study was conducted to determine the relationship between ‎ perception of suicide prevention with the process of suicide attempt and demographic ‎ variables following a suicidal attempt.‎ Method: In this hospital based cross-sectional study, 168 consecutive admitted participants with a ‎ suicide attempt were screened, and 109 who met the study criteria
more » ... study criteria were recruited to ‎ participate in this study before discharge. They were assessed using the socio-demographic ‎ and clinical proforma designed for this study as well as by the Pierce Suicide Intent Scale. To ‎ assess the process of suicide attempt and perception of suicide prevention, a 17-item ‎ questionnaire was developed and used after rigorous literature search. The Cronbach's ‎ alpha coefficient value of this questionnaire found to be 0.84 in the reliability analysis.‎ Results: Media was the first source of information, and the majority had short duration of ‎ preoccupation and interval between making the decision and the actual attempt and the ‎ control of emotion during the attempt. A significant positive correlation was observed ‎ between the source of the first information and age (p<01), reason for the method used and ‎ economic status (p<01), duration since the first information and family history of suicide (p<01). Psychiatric diagnosis had a statistically significant association with the method used (p<01), duration of preoccupation (p<01), preparedness (p<01) and emotional state during ‎ the attempt (p<01). A statistically significant negative correlation was found between the ‎ source of the first information and education (p<01), any psychiatric diagnosis and duration ‎ since the first death wish (p<01). On the score of perception about suicide prevention, a ‎ significant group difference was observed for marital status, occupation, medical diagnosis, ‎ opinion about an attempt, duration since the decision to attempt, and emotional control ‎ during the attempt.‎ Conclusion: Based on the findings, it can be concluded that perception of suicide prevention may vary ‎ with the process of suicide attempts and demographic characteristics.‎ Lifetime prevalence of suicide varies from 0.72 to 5.93% (1). It takes a form of process ‎ ‎ (process of suicide attempt), from an inception of the first information about suicide to an ‎ actual attempt (2). It is a psychological process of self-destruction leading a person to death ‎ ‎ (3). There is dearth of studies examining the process of suicide attempt in the chronological ‎ perspective. Few studies that adopted non-chronological approach (which focused on ‎ duration of suicidal ideation and attempt) detected the following factors immediately after ‎ a suicide attempt: Younger age at first death wish; fleeting suicidal thought months before ‎ suicide; varied interval between communicating about suicide and actual act; perceived ‎ suicide as a solution for problems and feeling emptiness and sadness (4,5 and 6). Reviews and ‎ management guidelines on suicide attempt have emphasized‎ on interrupting the process of ‎ suicide by providing appropriate education and awareness, proper media reporting, ‎ screening and means restriction etc. (7). Understanding the relationship between the ‎ process of suicide attempt and perception of suicide prevention may have therapeutic and ‎ preventive implication. This study was conducted to determine the relationship between ‎ perception of suicide prevention and the process of suicide attempt and demographic ‎ variables following a suicidal attempt. We hypothesized that perception of suicide ‎ prevention varies with the process of suicide attempt and demographic characteristics.‎ ‎ Original Article Iran J Psychiatry 2016; 11:3: 178-184
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