Abstract
The purpose of this research was to examine the complexity of circumstances that result in deliberate self-poisoning cases. For the purposes of this paper, the cases were patients that presented for care and were admitted to the specialty hospital in Northwest of Iran. The research examined the problems preceding deliberate self-poisoning and the interrelations among them by applying network analysis methods. The network was scored for degrees of centrality and betweenness centrality. Structural analysis of network also was conducted using block modelling. The results showed that family conflicts had the highest score for degree of centrality among women, while the highest score for degree of centrality among men belonged to those dealing with drug addiction. Analysis for degree of betweenness centrality revealed that drug addiction had the highest score among men, whereas the highest score for women on betweenness centrality was related to physical illness. Structural analysis of the network showed differences in role that various problems played in intentional self-poisoning. The findings from this research can be used by public health authorities to create prevention programs that address the problems leading to deliberate self-poisoning.
Highlights
Incidence rate of suicide attempt in Iran is estimated 91.65 per 100000 (82.2 in men and 115.79 in women) and it is more common in the 15–24 age group [1]
Suicide attempts are not accidents but are deliberate actions taken by individuals that are attempting to free themselves from the pressures that are caused by distressing life circumstances [7]
About 18 percent of the cases were under age 20 years, 67% of them aged between 20 and 40 years, and 15 percent of them were over 40 years old
Summary
Incidence rate of suicide attempt in Iran is estimated 91.65 per 100000 (82.2 in men and 115.79 in women) and it is more common in the 15–24 age group [1]. A common method for suicide attempt in both developed and developing countries is deliberate self-poisoning [2,3,4]. Intentional self-poisoning has been reported as the most common method of selfharm among patients admitted to the hospital for self-harm incidents [5]. This is true in Iran [6]. Suicide attempts are not accidents but are deliberate actions taken by individuals that are attempting to free themselves from the pressures that are caused by distressing life circumstances [7]. The importance of investigation on preceding factors and life stressors on attempting suicide has been highlighted [8, 9]
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