Platelet Imipramine Binding in Intensive Care Unit Suicidal Patients

3H-imipramine binding in relation to serotonergic function was studied in patients hospitalized following a suicide attempt. Comparison with a control group showed a highly significant difference in Bmax values. The results suggest, at least a posteriori, a biological alteration as the basis of suicidal behaviour. Although it is impossible to attribute a suicide attempt to […]

Correlates and Antecedents of Hospital Admission for Attempted Suicide: a Nationwide Survey in Italy

This study examined data on symptom patterns in the week prior to admission for suicide attempt in a nationwide representative sample of Italian patients. 230 patients (14.8%) in the sample had been admitted to a private or public psychiatric facility for a suicide attempt. No diagnosis was statistically related to admission after suicide attempt, once […]

HIV-Infection as a Self-Reported Risk Factor for Attempted Suicide in South Africa

This study examined variables associated with recently diagnosed HIV-infection as a self-reported suicide attempt risk factor. The study cohort consisted of 112 general hospital inpatients who attempted suicide because of HIV infection. Based on estimated national suicidal behaviour prevalence rates for South Africa, a descriptive HIV-related attempted suicide rate of 67.2 per 100,000 & an […]

Suicidal Behavior by Burns in the Province of Fars, Iran: a Socioepidemiologic Approach

Epidemiologic characteristics of suicidal behaviour by burns in the province of Fars, Iran are described. A prospective population-based study was conducted from March 2005-March 2006. A total of 125 patients were identified, respresenting an overall incidence rate of 4.3 per 100,000 population. Females had a higher rate of suicidal behaviour by burns than males. The […]

Relational Hopes: a Study of the Lived Experience of Hope in Some Patients Hospitalized for Intentional Self-Harm

The aim of this study was to interpret the lived experience of hope in some patients hospitalized for intentional self-harm. 12 persons that had engaged in suicidal behaviour by overdosing on medications were interviewed shortly after hospitalization & asked to narrate about their hopes. Transcripts were analyzed using a phenomenological hermeneutic method inspired by Ricouer’s […]

A Checklist to Identify Inpatient Suicide Hazards in Veterans Affairs Hospitals

This study examines the implementation & effectiveness of using a standardized checklist for mental health units to improve patient safety in a large health care system. In 2006 a Department of Veteran Affairs committee developed both general guidelines to be applied to all areas of the psychiatric unit & detailed guidelines for specific rooms. Some […]

Suicides Among Older Persons in Finland and Time Since Hospitalization Discharge

This study examined the timing of suicide among elderly & middle-aged persons after their final hospitalization & examined characteristics of suicides in relation to the timing of suicide. Data were examined for 370 Northern Finnish middle-aged (50-64 years) & 194 elderly (65 years or older) suicide victims. Compared with elderly persons whose suicide occurred more […]

Suicidality and Depression Among Adult Patients Admitted in General Medical Facilities in Kenya

All consenting adults admitted in a 4-week period at 10 general medical facilities in Kenya were interviewed for suicidal symptoms & depression. In all 2,780 patients responded to Item 9 of the Beck Depression Inventory-II. Thoughts of killing oneself accounted for 9 percent of suicidal symptoms. The younger age group had the highest prevalence of […]

Self Inflicted Burn; a High Tide

This study highighted the demographic profile, examined methods of self-inflicted burns, & explored precipitating factors in Jamshoro, Pakistan over a period of 8 years. 154 cases with self-inflicted burns were divided into 2 groups: sucide attempters & self-immolators. Self-immolators were considerably younger than suicide attempters. Males dominated in the self-immolators group while females outnumbered males […]

Differences in the Outcomes and Treatments of Extensively Burned Patients Between a Chinese Hospital and a Japanese Hospital

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A Hospital-Based Study on Trends in Deliberate Self-Harm in Children and Adolescents

In this letter to the editor, the authors discuss children & adolescents who were admitted to the Teaching Hospital in Karapitiya (Sri Lanks) following deliberate self-harm. Admissions for deliberate self-harm increased by 91% from 2001 to 2007 with girls accounting for most of this increase. Admissions for deliberate self-harm increased consistently with age. Admissions after […]

Assessment Rates and Compliance With Assertive Follow-Up After Self-Harm: Cohort Study

This study identified the proportion of self-harm episodes that resulted in assessment by a specialist self-harm team & offers, attendance, & completion of brief therapy, & the factors associated with these treatment options. A prospective cohort study of 717 hospital presentations of self-harm was conducted. Rates of assessment, offers, & completion of therapy ranged from […]

Suicide Facts: Deaths and Self-Harm Hospitalisations

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Impact of Patient Suicide on Front-Line Staff in Ireland

A survey of 447 front-line Irish professionals’ experiences of patient suicide was undertaken to further explore the issues associated with such a loss. Thematic analysis of open-ended questionnaire items revealed that concerns for the bereaved family, feelings of responsibility for the death, & having a close therapeutic relationship with the client are key factors that […]

Increasing Incidence of Admissions to a General Hospital for Deliberate Self-Harm in Trinidad

This study examined the epidemiology of attempted suicide & self-harm at the Port-of Spain General Hospital, Trinidad & compared it to a study done at the same hospital in 1974. Chi square analysis & significance testing through the use of t tests was done. A total of 368 referrals for attempted suicide or deliberate self-harm […]

Unintended Impact of Psychiatric Safe Rooms in Emergency Departments: the Experiences of Suicidal Males With Substance use Disorders

The authors analyzed issues related to the use of psychiatric assessment rooms using semi-structured interviews with adult, male, suicidal emergency department patients & emergency department staff. An iterative, thematic analytic process was employed. Although these rooms were designed to provide a safe & therapeutic environment, participants held negative attitudes about the physical attributes & the […]

Mortality of Patients With Mood Disorders: Follow-Up Over 34-38 Years

406 hospitalised patients with affective disorders were followed prospectively for 22 years or more. Later, mortality was assessed for 99% of them at which time 76% had died. Standardised mortality ratios were elevated expecially for suicide & circulatory disorders in both men & women. Women actually had higher suicide rates but that did not take […]

Gender, Suicide, and the Sociocultural Context of Deliberate Self-Harm in an Urban General Hospital in Mumbai, India

This study clarifies the role of gender in suicidal behaviour in urban Mumbai by considering psychiatric diagnoses & patient-identified sociocultural features. The study included 92 women & 104 men. A diagnosis of depressive disorder was made for 48.9% of women & 39.4% of men. Many patients did not fulfill the criteria for any diagnosis, or […]

Theory of Planned Behaviour and Parasuicide: an Exploratory Study

This study applied a social cognition model to parasuicidal behaviour. An extended theory of planned behaviour model was tested on 55 individuals drawn from hospital & non-hospital populations in Glasgow. 38% of the sample reported a history of deliberate self-harm. Findings supported the utility of model: attitudes, subjective norm, self-efficacy, moral norm, & anticipated affect […]

Degree of Suicidal Intent and Religious Practice

This study evaluated the relationship between the degree of suicidal intent & religious activities in 2 groups. Cases were chosen from deliberate self-poisoning patients presenting to an emergency department & the control group was patients who were referred to the same department for other reasons. The mean for the severity of suicidal intention in the […]

Toxicity Awareness and Unintended Suicide in Drug Overdoses

This study sought to determine patients’ awareness of the toxicity of the drugs they had used to overdose, the source of these drugs, & whether they would have taken them had they been fully aware of their toxicity. A prospective review was done of 100 consecutive overdoses admitted through an accident & emergency department. Overall […]

Use of a “Secure Room” and a Security Guard in the Management of the Violent, Aggressive or Suicidal Patient in a Rural Hospital: a 3-Year Audit

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Deliberate Self-Harm: Characteristics of Patients Presenting to a Tertiary Care Hospital in Karachi, Pakistan

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