Az Adem, Orhan Cigdem, Sogut Ozgur
Department of Emergency Medicine, Istanbul Provincial Health Directorate Beylikduzu Public Hospital, Istanbul, Turkiye.
Department of Emergency Medicine, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkiye.
North Clin Istanb. 2023 Nov 6;10(6):745-753. doi: 10.14744/nci.2023.81598. eCollection 2023.
We explored the epidemiological characteristics of suicide attempts and identified suicide trends and associated factors.
This retrospective, cross-sectional, observational, and single-center study included consecutive 412 patients who were admitted to Emergency Department for follow-up and treatment after a suicide attempt between June 2019 and June 2022. We assessed patient demographics, suicidal behavior, previous suicide attempts, psychiatric disorders, drug use, visits to the psychiatry clinic within the past 6 months, the persistence of suicidal ideation, and clinical outcomes.
The study population consisted of 259 females (62.86%) and 153 males (37.14%), with a mean age of 29.50±11.51 (range: 13-72) years. Females attempted suicide more often than males, but suicide completion was more common in males. Overall, 79.37% (n=327) of the suicide attempters were aged <40 years and most were 20-29 years old (n=147, 35.68%). Non-fatal suicide attempts were more common in single, unemployed, and poorly educated individuals, but this was not the case for suicide completers. However, there was no significant difference in marital status, education, and occupation among suicide completers. Drug poisoning was the major form of suicide attempt (n=345, 83.74%). Mental disorders, family or relationship conflicts, and separation from a partner were common causes of suicidal ideation. Patient numbers were particularly high in the autumn (i.e., September), and at night.
Females, young adults, singletons, the unemployed, and individuals with psychiatric disorders and low education levels are more likely to attempt suicide, particularly during hours when they are likely to be alone.
我们探讨了自杀未遂的流行病学特征，确定了自杀趋势及相关因素。
这项回顾性、横断面、观察性单中心研究纳入了2019年6月至2022年6月期间因自杀未遂被收治入急诊科进行随访和治疗的412例连续患者。我们评估了患者的人口统计学特征、自杀行为、既往自杀未遂史、精神障碍、药物使用情况、过去6个月内到精神科门诊就诊情况、自杀意念的持续性以及临床结局。
研究人群包括259名女性（62.86%）和153名男性（37.14%），平均年龄为29.50±11.51岁（范围：13 - 72岁）。女性自杀未遂的次数多于男性，但男性自杀死亡更为常见。总体而言，79.37%（n = 327）的自杀未遂者年龄<40岁，其中大多数为20 - 29岁（n = 147，35.68%）。非致命性自杀未遂在单身、失业和受教育程度低的个体中更为常见，但自杀死亡者并非如此。然而，自杀死亡者在婚姻状况、教育程度和职业方面没有显著差异。药物中毒是自杀未遂的主要形式（n = 345，83.74%）。精神障碍、家庭或人际关系冲突以及与伴侣分离是自杀意念的常见原因。秋季（即9月）和夜间的患者人数特别多。
女性、年轻人、单身者、失业者以及患有精神障碍和低教育水平的个体更有可能自杀未遂，尤其是在他们可能独处的时段。
