M.D., D.P.M., D.N.B. (Psych.), MNAMS, Lecturer, Department of Psychiatry, Medical College, Calicut.
Indian J Psychiatry. 1998 Oct;40(4):338-45.
Hundred consecutive suicide attempters admitted in the Medical Intensive Care Unit(MlCU) of Christian Medical College, Vellore during the period December 1991 to December 1992 were evaluated in detail with respect to all psycho-socio-demographic variables. Instruments used included a specially designed sociodemographic proforma, Gurmeet Singh's Presumptive Stressful Life Event Scale, Suicide Intent Questionnaire and DSM III R Diagnostic Criteria. Young males constituted major part of the sample. Organophosphorus poisoning was the commonest mode of suicide attempt. More than 90% had psychiatric diagnosis. Adjustment disorder was the commonest psychiatric diagnosis followed by major depression and alcohol abuse/dependence. Many of the risk factors reported earlier was found to be operating in older age group only. Among males the commonest mode of attempt was organophosphorus poisoning whereas in females it was drug over dose and native poisoning. The implication of these findings are discussed in the context of prevention and further management strategies.
1991 年 12 月至 1992 年 12 月期间,在维洛尔基督教医学院的重症监护病房(MICU)连续收治了 100 名自杀未遂者,对他们进行了详细的评估,包括所有心理-社会-人口统计学变量。使用的工具包括专门设计的社会人口学表格、古梅特·辛格的推测性压力生活事件量表、自杀意图问卷和 DSM III R 诊断标准。年轻男性构成了样本的主要部分。有机磷中毒是最常见的自杀方式。超过 90%的人有精神科诊断。适应障碍是最常见的精神科诊断,其次是重度抑郁症和酒精滥用/依赖。早些时候报告的许多风险因素仅在年龄较大的人群中起作用。在男性中,最常见的自杀方式是有机磷中毒,而在女性中则是药物过量和本地中毒。这些发现的意义在预防和进一步管理策略的背景下进行了讨论。