Lingeswaran Anand
Department of Psychiatry, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Indian J Psychol Med. 2016 Nov-Dec;38(6):533-539. doi: 10.4103/0253-7176.194909.
Puducherry has the highest suicide prevalence rate in India by 2014, predominantly among the 14-30 years age group.
The aim of the present study is to study the characteristics of adolescent and youth suicide attempters in Puducherry and measure the suicide intent.
An observational study of 6 months duration was conducted in the Department of Psychiatry, at Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Modified version of World Health Organizations SUicide PREvention Multisite Intervention Study on Suicidal questionnaire was used to collect sociodemographic data and Beck's suicide intent scale was used to measure the suicide intent scores. International Classification of Diseases-10 was used for diagnosis.
Statistical Package for the Social Sciences version 13 was used for descriptive analysis and correlation statistics. value was set as <0.05.
Of 56 eligible participants, 40 formed the sample, their mean age was 18. 13 (±2.50), more females (1.1:1), rural, literate, lower socioeconomic status (67.5%), mostly single (90%), living in nuclear (95%), and Hindu (87.5%). One hundred percent had psychosocial stressors before suicide attempt. Acute stress disorder/adjustment disorder was the most common diagnosis. Emotionally unstable and anankastic personality traits were seen in 12%. Pesticide ingestion (45%) was the most common suicide method. Sixty percent attempted suicide within <30 min of suicidal contemplation. Statistical associations were found between the alleged purpose, seriousness, attitude toward living/dying, conception about medical rescuability, and the overall suicide intent.
Adolescent and youth suicide attempts occur due to psychosocial stressors rather than due to the past or on-going mental health disorders with above personality traits suggest poor coping skills and resilience taken to deal with stressful situations by younger people.
到2014年，本地治里的自杀流行率在印度最高，主要集中在14至30岁年龄组。
本研究旨在探讨本地治里青少年和青年自杀未遂者的特征，并测量自杀意图。
在印度本地治里的斯里马纳库拉维奈亚加尔医学院及医院的精神科进行了一项为期6个月的观察性研究。
采用世界卫生组织自杀预防多中心干预研究自杀问卷的修改版收集社会人口统计学数据，并使用贝克自杀意图量表测量自杀意图得分。采用国际疾病分类第10版进行诊断。
使用社会科学统计软件包第13版进行描述性分析和相关性统计。设定P值<0.05。
在56名符合条件的参与者中，40名组成样本，他们的平均年龄为18.13岁（±2.50），女性较多（1.1:1），来自农村，有文化，社会经济地位较低（67.5%），大多为单身（90%），生活在核心家庭（95%），是印度教徒（87.5%）。100%的人在自杀未遂前有心理社会应激源。急性应激障碍/适应障碍是最常见的诊断。12%的人有情绪不稳定和强迫型人格特质。吞食农药（45%）是最常见的自杀方式。60%的人在产生自杀念头后<30分钟内就尝试自杀。在所谓的目的、严重性、对生存/死亡的态度、对医疗可挽救性的看法以及总体自杀意图之间发现了统计学关联。
青少年和青年自杀未遂是由心理社会应激源引起的，而非过去或正在发生的精神健康障碍，上述人格特质表明年轻人应对压力情况的应对技能和恢复力较差。
