Abstract
BackgroundIn spite of mounting evidence, it is still unclear whether suicide decedents and attempters represent overlapping or completely different populations of suicidal behavior subphenotypes. Hence, the present study aims to investigate the sociodemographic and suicidal behavior variables and the difference between suicide decedents and suicide attempters.MethodsOne hundred fifty suicide attempters and key informants of 206 suicide decedents were interviewed for sociodemographic and suicidal behavior characteristics using a semi-structured interview schedule. The statistical analysis was performed in SPSS ver. 20.ResultsThe sociodemographic and suicidal behavior variables that distinguish suicide and suicide attempt in the multivariate logistics model were higher age (OR, 95% CI = 1.06, 1.032–1.09, p < 0.001), male gender (OR, 95% CI = 2.46, 1.39–4.34, p = 0.002), low socioeconomic status (OR, 95% CI = 0.94, 0.90–0.98, p = 0.005), occurrence in autumn season (OR, 95% CI = 2.53, 1.16–5.50, p = 0.019), and usage of violent suicide method (OR, 95% CI = 17.82, 7.33–43.32, p < 0.001).ConclusionSuicide decedents were more likely to be older males, economically weaker, and commit suicide in an autumn season using violent suicide method. These findings emphasize the significance of distinct suicide prevention strategies for suicide decedents and suicide attempters.
Highlights
In spite of mounting evidence, it is still unclear whether suicide decedents and attempters represent overlapping or completely different populations of suicidal behavior subphenotypes
A previous literature hints that suicide decedents and suicide attempters belong to two distinct yet overlapping populations as only 10% of suicide attempters end their lives by suicide (Runeson et al 2010) while 60% of suicide decedents are devoid of previous suicide attempt (DeJong et al 2010)
Baseline characteristics of study groups The suicide decedents group consisted of 68% males and 32% of females who died in the fourth decade of life
Summary
In spite of mounting evidence, it is still unclear whether suicide decedents and attempters represent overlapping or completely different populations of suicidal behavior subphenotypes. The present study aims to investigate the sociodemographic and suicidal behavior variables and the difference between suicide decedents and suicide attempters. Suicide is the 15th leading cause of death contributing to the premature death of almost one million individuals each year (World Health Organization 2014). It causes over 50 billion USD medical and work loss cost (Florence et al 2015). Research studies evaluating the difference between suicide and suicide attempt are limited. In Telangana state, the DALY (disability-adjusted life year) attributed to self-harm has
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