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Thursday, April 30, 2009
Charles-Edward Amory Winslow (The Hilton Istanbul Hotel )
Abstract Body: Objective:
To describe a prospective follow-up study of all suicide attempts (N: 106) handled during a one-year period (2006-2007) by a public hospital in Rio de Janeiro. We describe the characteristics, such as age, sex, means used in the attempt and psychiatric/psychological features (using the scale Composite International Diagnostic Interview - CIDI 2.1) and identify the main differences between men and man of this sample.
Method:
We utilized assertive outreach methods to recruit participants from our target population. Ratters were blind to the aims of this study. Participants were assessed in face-to-face interviews on their demographic and clinical histories.
Results:
We recruited 90.6% of our sample The majority were female (62.5%), young adults (55.4%) with a low education (66.7%). Over a third (38.6%) was unemployed and 44.8% was single. Half (51%) had a history of prior suicide attempt, 44.8% reported prior psychiatric/psychological treatment and 40.6% had a current history of psychotropic medication use. Women used medication (46.7%) and men used pesticides (38.9%) as the preferred suicide method.
There were statistically significant differences between men and women in unemployment, 47.1% and 17.5%, respectively (X2 8.79; p= 0.01); histories of family mental disorders, 36.1% and 18.3%, respectively, (X²= 10,602; p= 0,007); and only use of alcohol during the suicide attempt, 36.1% and 13.3% respectively (X²= 6.831; p= 0.01). Women were significantly more likely to attempt suicide at home than men, 65% and 35%, respectively (X² 4.6, p=0.03). Mental disorders were observed such as depression (52,3%), post- traumatic stress disorder (41,9%) and drug abuse-dependence (44,2%), however these were not statistically different by gender.
Conclusion:
Our study suggest that suicide prevention needs to be comprehensive, focusing on young people and those individuals with prior suicide attempts and address the distinctive characteristics of women and men at risk for suicide.
To describe a prospective follow-up study of all suicide attempts (N: 106) handled during a one-year period (2006-2007) by a public hospital in Rio de Janeiro. We describe the characteristics, such as age, sex, means used in the attempt and psychiatric/psychological features (using the scale Composite International Diagnostic Interview - CIDI 2.1) and identify the main differences between men and man of this sample.
Method:
We utilized assertive outreach methods to recruit participants from our target population. Ratters were blind to the aims of this study. Participants were assessed in face-to-face interviews on their demographic and clinical histories.
Results:
We recruited 90.6% of our sample The majority were female (62.5%), young adults (55.4%) with a low education (66.7%). Over a third (38.6%) was unemployed and 44.8% was single. Half (51%) had a history of prior suicide attempt, 44.8% reported prior psychiatric/psychological treatment and 40.6% had a current history of psychotropic medication use. Women used medication (46.7%) and men used pesticides (38.9%) as the preferred suicide method.
There were statistically significant differences between men and women in unemployment, 47.1% and 17.5%, respectively (X2 8.79; p= 0.01); histories of family mental disorders, 36.1% and 18.3%, respectively, (X²= 10,602; p= 0,007); and only use of alcohol during the suicide attempt, 36.1% and 13.3% respectively (X²= 6.831; p= 0.01). Women were significantly more likely to attempt suicide at home than men, 65% and 35%, respectively (X² 4.6, p=0.03). Mental disorders were observed such as depression (52,3%), post- traumatic stress disorder (41,9%) and drug abuse-dependence (44,2%), however these were not statistically different by gender.
Conclusion:
Our study suggest that suicide prevention needs to be comprehensive, focusing on young people and those individuals with prior suicide attempts and address the distinctive characteristics of women and men at risk for suicide.
Learning Objectives: Recognize the situation, the meaning of a suicide attempt. Assess the real magnitude of the suicide attempts in the community Prioritize the groups at higher risks, the knowledge about the means available for the attempts Analyze the Surveillance applied and care provided Create protocols and procedures to the identification and adequate physical and psychological care to be provided Discuss the National Health Policy applied to this type of Health Problem Construct a Programm to assure identification of cases, attendance, follow up and social support Evaluate which are those more vulnerables individuals Identify those most commons means used by suicide attempters List the society sectors necessary and available to dicuss the suicide problem as a multiprofessional issue Articulate different society sectors to support health promotion and preventive programms targetting high risk groups Evaluate the number/groups of individuals aimed to protective measures Measure the number of attempts avoided by period of time, in the target population or groups
Sub-Theme: Social determinants of health and disease
See more of: Health Promotion and Behavioral Aspects
See more of: Public Health Research & Policy Development
See more of: Public Health Research & Policy Development