S. Sukumar
The heterogenic nature of suicide and suicidal attempts, in prevalence, age distribution, sex distribution, mode of attempt, cause of attempt, psychiatric morbidity, is a well-recognized fact in recent literatures. Analysing those factors at regional and local levels to plan accordingly for prevention strategies is also an advocated strategy world over. This observational study on suicidal attempt was conducted in an attempt to report from our tertiary care institution. This study was planned to assess the case burden, age and sex distribution, modes of attempt, course and outcome, psychiatric referrals and opinions of suicidal attempts in a medical college hospital. METHODS This cross-sectional retrospective study was conducted at Government Dharmapuri Medical College Hospital. Case records of all suicidal attempts from January to March 2018 were taken up for study. The case records were analysed at medical records office. Information on demographic factors modes of attempt, course and outcome, psychiatric referrals were observed. Statistical analysis was done as necessary. RESULTS 627 cases have been admitted for suicidal attempts during the study period. Self-poisoning alone accounted for 21% of admissions in General Medicine Department. Majority of (45%) cases were in 20-30 years age group. Gender neutrality was observed overall. In age specific groups, females dominated in 13 to 19 years age group, males dominated in 41 to 60 years age group. 85% of the cases were reported from rural area. 69% female patients were married. 39% of cases had attempted with pesticide poisoning. 46% of cases have been referred for psychiatric consultation. Diagnosable mental disorders have been observed in 33% of referred cases. 7 to 10 % have ended up with fatal outcome. 55% of fatal outcomes were because of pesticide poisoning. CONCLUSIONS Age specific, issue based, regular, periodic, school and community based suicidal prevention programs would be helpful in reducing suicidal behaviours.
