Suicide Risk Assessment in Major Depressive Disorder Patients Attending the Regional Institute of Medical Sciences in Imphal, Manipur.

Abstract

Background: Majority of the clinically depressed persons have suicidal ideation, which is directly related to the severity of depression. Aims: The study aims to identify the socio-demographic factors for suicidal risk behavior and correlation between suicidal risk behavior and clinical variables of depression as well as with the degree of Major depressive disorder severity. It is a hospital based crosssectional study conducted in the Department of Psychiatry, Regional Institute of Medical Sciences (RIMS), Imphal. Materials and methods:50 consecutive cases of attempted suicide attending hospital for a period of 1year were taken up for the study. Consenting Patients fulfilling DSM-IV-TR Criteria for major depressive disorderwere evaluated for socio-demographic profile, precipitating events and mode of attempt. 17-Item Hamilton Rating Scale for depression and Suicide Intent Questionnaire were employed. The data thus obtained was analyzed using SPSS 20.0 windows. Results: Of the fifty (50) suicide attempters (66%) were males and. Mean age of the patients is 29.0400, unmarried males (62%), from joint family (72%), undermatric (52%) , unemployed (40%), from urban background (64%), having poor socio-economic status (42%) were found to be vulnerable factor for suicide attempt. Most common precipitating factors was stressful problems (20%), most common method of suicide attempt was by use of organophosphorus poisoning (38%).MDD severity, highest frequency is found in moderate degree (48%). Maximum SIQ score is found in the definite communicator (5 or more). Among the suicidal behavior, (42%) of depressed patients reported suicidal ideation. Conclusion:Correlation between suicidal behavior & degree of MDD severity was highly significant (P<0.01).