Evaluation of Suicide Attempts in Bitlis Province: A Multicenter, Retrospective, Observational Study for 6 years period

Abstract

Background: Suicidal behavior, which is defined as ending the life of the individual voluntarily, is both a personal and social problem with its economic, cultural, social and legal aspects. The increase in suicide attempts in our country is remarkable as in all over the world. The aim of this study was to determine the risk factors by examining the time of suicide attempt and sociodemographic characteristics of the patients who admitted to the emergency departments (ED) suffered from the suicide attempt.

Material-methods: This retrospective, observational study included data from patients who were admitted to the ED for 6-year period between 2013-2018 years. In the study, data of the ED suicide attempt form of 7 public hospitals in the province were scanned and age, gender, marital status, educational status and month and year of suicide attempt were recorded. Data were recorded in SPSS 22.0 (Armonk, NY: IBM Corp.) programme. Categorical measurements were recorded as number and percentage, and continuous measurements were recorded as mean and standard deviation. p <0.05 was accepted as statistically significant.

Results: A total of 230 patients were included in the study. 32% (n = 76) of the patients were admitted to center state hospital; 68% (n = 154) of the patients admitted to district state hospitals. 69.5% (n = 160) of the patients were between 16-24 years of age. 79.1% (n = 182) of the patients were female and 65.2% (n = 150) were single. 42.2% (n = 97) were primary school graduates and 10.0% (n = 23) were illiterate. The most common presentation was in 2015 with 23.9% (n = 55). Most of the patients included in the study were admitted to hospital in June with 15% (n = 33).

Conclusion: It is not always possible to pay attention to the psychosocial aspect of cases with suicide attempts in crowded ED. However, it is important to be aware of the risk factors to decrease the number of suicide attempts, that is among the most common causes of death in our country especially in the young age group, and consult with a psychiatrist. 

Keywords

• suicide
• emergency
• demographics

References

1. 1. Sayar K, Bozkır F. .İntihar girişiminde bulunan ergenlerde intihar niyeti ve ölümcüllüğün belirleyicileri. Yeni Symposium 2004; 42:28-36.
2. 2. Özsoy SD, Eşel E, İntihar (Özkıyım). Anadolu Psikiyatri dergisi 2003; 4: 175-185.
3. 3. Szadoczky E, Vitrai J, Rihmer Z, Furedi J. Suicide attempts in the Hungarian adult population. Their relation DIS/DSM-III-R affective and anxiety disorders. Eur Psychiatry 2000; 15: 343-7.
4. 4. Renberg ES. Self-reported life -weariness, death - wishes, suicidal ideation, suicidal plans and suicide attempts in general population surveys in the north of Sweden 1986 and 1996. Soc Psychiatry Psychiatr Epidemiol 2001;36:429-36.
5. 5. İntihar İstatistikleri 2011. Türkiye İstatistik Kurumu. Erişim Tarihi:10.07.2012. Erişim Adresi: http://www.turkstat.gov.tr/IcerikGetir.do?istab_id=23.
6. 6. Devrimci-Ozguven H, Sayıl I. Suicide attempts in Turkey: results of the WHO-EURO Multicentre Study on Suicidal behaviour. Can J Psychiatry 2003;48:324-9.
7. 7. Roy A. Psychiatric Emergencies. In: Sadock BJ, Sadock VA, eds. Comprehensive Textbook of Psychiatry. Baltimore: Lippincott Williams & Wilkins, 7th ed,2000:2031- 40.
8. 8. Çayköylü A, Coşkun İ, Kırkpınar İ, Özer H. Özkıyım girişiminde bulunanlarda sosyodemografik özellikler ve tanı dağılımı. Kriz Dergisi 1997;5:37-42.

9. 9. Värnik P. Suicide in the World. Int. J. Environ. Res. Public Health 2012;9:760-71.
10. 10. Keten HS, Hakkoymaz H, Aslan U, Bahar S, Keten A, Sucaklı MH, Bozkurt S. Acil Servise İntihar Girişimi Nedeniyle Başvuran Olguların İncelenmesi. Çağdaş Tıp Dergisi 2015; 5(2): 102-105. DOI:10.16899/ctd.18672.
11. 11. Karacaoğlu E , Keten A , Akçan R , İçme F , Karagöl A , Avcı E. Bir eğitim ve araştırma hastanesi acil servisine intihar girişimi nedeniyle başvuran olguların incelenmesi. Adli Tıp Dergisi / Journal of Forensic Medicine, Cilt / Vol.:27, Sayı / No:1.
12. 12. İntihar İstatistikleri 2014. Türkiye İstatistik Kurumu. Erişim Tarihi:19.06.2015. Erişim Adresi: http://www.turkstat.gov.tr/IcerikGetir.do?istab_id=23 .
13. 13. Schmidtke A, Bille-Brahe U, DeLeo D et al. Attempted suicide in Europa: Rates trends and sociodemographic characteristics of suicide attempters during the period 1989- 1992. Acta Psychiatr Scand 1996;93:327-38.
14. 14. Devlet İstatistik Enstitüsü: İntihar İstatistikleri 1997. Ankara, Devlet İstatistik Enstitüsü Matbaası, 1999.
15. 15. Şengül CB, Serinken M, Şengül C, Bozkurt S, Korkmaz A. Acil Servise İntihar Girişimi Nedeniyle Başvurusu Ardından Psikiyatri Polikliniğinde Değerlendirilen Olguların Sosyodemografik Verileri. Türkiye Acil Dergisi 2008;8:127-31.
16. 16. Ersan EE, Kılıc C. Evaluation of Suicide Attempts Referring to Sivas Numune Hospital Emergency Department. Klinik Psikiyatri 2013;16:98-109.
17. 17. V Şenol, D Ünalan, L Avşaroğulları, İ İkizceli. İntihar girişimi nedeniyle Erciyes Üniversitesi Tıp Fakültesi Acil Anabilim Dalı'na başvuran olguların incelenmesi. Anadolu Psikiyatri Dergisi; 2005;6(1):19-29.