A CORRELATIONAL STUDY OF HOPELESSNESS AND SUICIDAL INTENT IN PATIENTS PRESENTING TO ACCIDENT AND EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL AFTER ATTEMPTED SUICIDE
Keywords:
deliberate self-harm, suicide attempt, hopelessness, tertiary care hospitalAbstract
Abstract
Objectives:The aim of the study was to evaluate the sociodemographic data and mode of attempt, hopelessness and suicide intent in suicide attempted patients presented to A&E in tertiary care hospital, Peshawar, Pakistan.
Material and Methods:
A prospective study of 6-month duration was done in tertiary care hospital. Patients with deliberate self-harm and attempted suicide who presented to A&E were included in the study. Those who fulfilled the criteria were evaluated by usingBeck Hopelessness Scale, and Beck Suicidal Intent Scale along with a semi structured proforma for interview. Data were analyzed with statistical tests and psychiatric diagnosis was made by using ICD-10.
Results:
In the planned period of 6-months span, 102 patients were assessed. Women (64%), less than 45 years of age were (74%). 26% had a family history of suicide. 31% have attempted in the past. 71% have attempted through organophosphorus. 39% had psychiatric morbidity. Depression was the major comorbidity. 55% of suicidal attempts have resulted from Dysfunctional family living. Most of the patients had mild (34%) and moderate (40%) degrees of hopelessness, and the mean score was 9.64. The mean suicidal intent in the participants was 25.14, when correlated with hopelessness score, significant positive correlation was found.
Conclusion:
Lethality of the attempt increases with the severity of hopelessness.Furthermore, identifying and treating the underlying psychiatric condition such as depression and hopelessness is an immediate need.
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