Department of Psychology, International Islamic University, Islamabad, Pakistan.
Department of Psychiatry, National University of Ireland, Galway, Ireland.
Asia Pac Psychiatry. 2018 Dec;10(4):e12338. doi: 10.1111/appy.12338. Epub 2018 Oct 2.
Ascertaining putative sociodemographic and clinical causes for death by probable suicide can potentially help implement region-specific strategies to reduce suicide rates. In this study, we wanted to investigate methods utilized and the psychosocial and mental health characteristics of youths (aged 12-26 y) who died by probable suicide.
We examined data from mental health clinical files and forensic reports and performed qualitative psychological autopsy interview from more than multiple sources for each youth who died by probable suicide between 1 May and 31 December 2015 in the Khyber Pakhtunkhwa Province of Pakistan.
The two most common methods of probable suicide were by firearm use and self-poisoning utilizing pesticides that were significantly associated with male and female gender, respectively. The most common mental health difficulties were major depressive disorder and harmful use of psychoactive substances. Other clinical features particularly evident included thoughts of self-harm, irritability and aggression, low self-esteem, treatment nonadherence, family dispute, and financial distress.
Efforts to reduce the ease of access to firearms and pesticides may potentially have a beneficial effect in reducing the suicide rate in this region of Pakistan.
确定疑似自杀的社会人口学和临床原因，可能有助于实施针对特定地区的策略来降低自杀率。本研究旨在调查可能自杀死亡的青少年（12-26 岁）所采用的方法以及他们的社会心理和心理健康特征。
我们查阅了 2015 年 5 月 1 日至 12 月 31 日期间在巴基斯坦开伯尔-普赫图赫瓦省可能自杀死亡的每位青少年的心理健康临床档案和法医报告数据，并从多个来源对其进行了定性心理解剖访谈。
可能自杀的两种最常见方法是使用枪支和农药自杀，这与男性和女性的性别显著相关。最常见的心理健康问题是重度抑郁症和精神活性物质的有害使用。其他特别明显的临床特征包括自残、易怒和攻击性、低自尊、不遵医嘱、家庭纠纷和经济困难。
努力减少枪支和农药的获取途径，可能会对降低巴基斯坦该地区的自杀率产生有益影响。
