Cases Of Attempted Suicide Research Articles

Health care utilization as a marker for suicidal behavior on an American Indian reservation

Overall suicide mortality rates are higher among American Indians than in the general population and are particularly high among Indians residing in the upper Midwest. The identification, during encounters with health care providers, of individuals at high risk of suicide is a potential intervention strategy. The purpose of this study was to examine whether increased health care utilization and symptom patterns were associated with suicide and suicide attempts among American Indian patients in an Indian Health Service facility. A case-control study design was used. Cases of completed suicides over a 6-year period and cases of suicide attempts over a 15-month period were identified on a Plains Indian Reservation. The pattern of utilization of health services by these subjects prior to their suicide or attempt was compared with that of control subjects matched for age and gender. Only 24% of subjects who died of suicide used the reservation clinic or hospital for services in the 6 months prior to their suicide, compared with 54% of controls (odds ratio [OR] 0.28; 95% confidence interval [CI], 0.09, 0.87). The patterns of symptom complaints and diagnoses for these visits did not differ significantly between case and control subjects. Case subjects who attempted suicide were more likely to be seen during the 6 months prior to their attempt than control subjects (57% vs 40%, OR 1.72; 95% CI 0.75, 3.93). Persons who attempted suicide were more likely to have documentation of psychological and interpersonal problems than were control subjects. Only 14% of subjects completing suicide had a previous history of suicide attempts. In this region, American Indians who committed suicide were less likely to use clinical services provided by the Indian Health Service prior to their death. However, there was a relatively strong association between suicide attempts and the prior use of health services, particularly the use of mental health services. In this American Indian population, clinic-based methods for early detection and intervention to prevent imminent suicide would reach fewer than one fourth of suicide victims. Further research is needed to identify the usefulness of community outreach efforts to identify and intervene among individuals at high risk of death by suicide.

自殺に用いられる薬毒物と出版物による影響に関する研究

The Japan Poison Information Center (JPIC) received 205, 199 inquiries from citizens and medical personnel for 5 years from April, 1989 to March, 1995. And, the number of inquiries concerning with suicide in those was 5, 778. In July 1993, the book named the Suicidal Manual were published in Japan and since then, the inquiries concerning with suicide attempts have increased. So, I analyzed these data about implicated products and contrasted the data received before the publication of the manual to the data received after that on purpose to make clear the affection of the Suicidal Manual. In regard to the substance that was selected in suicide attempts cases, teen-ager and the twenties tend to use medicines, especially over-the-counter drugs and older people tend to use agricultural chemicals. After the book was published, the number of inquiries about some over-the-counter drugs that were shown as appropriate way for easy and painless death in the book had increased. So, it is very important to give the young people the information of drug toxicity and appropriate management of drugs to decrease the influence of the book.

Changes in the level of biogenic amines in cerebrospinal fluid of suicidal attempt cases

The levels of norepinephrine (NE), dopamine (DA) serotonin (5-HT) and its metabolite 5-hydroxyindole acetic acid (5-HIAA) have been determined in the cerebrospinal fluid (CSF) of normal (n=25) and suicidal attempt cases (n=30). A significant decrease in the level of NE (p<0.01), 5-HT(p<0.001) and 5-HIAA (p<0.001) in the CSF of suicide attempt cases were observed as compared to normal controls. It is concluded that CSF 5-HIAA level which is drastically depleted may be used as an early biochemical indicator of suicidal attempt so that it may be treated by the drugs which can enhance the suppressed neurotransmitter activity.

Akathisia-induced suicidal behaviour

SummaryThree cases of akathisia-induced impulsive suicide attempts are reported. In all three cases the patients admitted that the suicidal ideas occurred suddently. The suicidal attempts may be a result of neuroleptic – induced akathisia as they disappeared as soon as the akathisia was treated.

Do weather, day of the week, and address affect the rate of attempted suicide in Hong Kong?

In the whole year of 1986, psychiatrists saw a total of 307 attempted suicide cases presenting to a regional general hospital in Hong Kong, whether admitted or not. They were committed by 295 different people. There was no significant correlation between the number of attempts and the temperature, relative humidity, rainfall or relative duration of sunshine. Comparison with the general population revealed no evidence that suicide attempters were more likely to live in high density public housing blocks or on higher floor levels. Detailed analysis of the address of each attempter also did not support the social contagion theory of attempted suicide. Yet the suicide attempters were more likely to live in temporary structures, many inhabitants of which were new immigrants. Moreover, suicide attempts by housewives were found to reach a peak on Sundays. The implications of these findings are discussed.

HYSTERIA—SOME COMMON MISCONCEPTIONS

Article1 January 1941HYSTERIA—SOME COMMON MISCONCEPTIONSDAVID LESTER, M.D.DAVID LESTER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-7-1248 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptGreat strides have been made in recent years toward dissemination of psychiatric knowledge so that there now exists within the medical profession a generally wholesome attitude toward psychiatric illnesses. This is particularly true of the psychoses. There still exist, however, attitudes on the part of many members of the profession toward certain psychiatric problems which need dispelling. The attitude toward "hysteria" seems to be the worst. It is not at all unusual to see a physician, who has previously displayed an active interest in an illness and the utmost courtesy to the patient suffering therefrom, alter his attitude completely upon...Bibliography1. CRISPELL RS: Extramural and neuropsychiatry in a general hospital, South. Med. and Surg., 1940, cii, 105. Google Scholar2. SADLER WS: Theory and practice of psychiatry, p. 675, C. V. Mosby Co., St. Louis. Google Scholar3. Ibid: p. 671. Google Scholar4. Ibid: p. 666 and p. 669. Google Scholar5. Ibid: p. 662. Google Scholar6. HENDERSONGILLESPIE DKRD: A textbook of psychiatry, Fourth Edition, p. 450, Oxford University Press. Google Scholar7. Ibid: p. 459. Google Scholar8. ROSANOFF AJ: Manual of psychiatry, Seventh Edition, p. 1055, John Wiley & Sons, Inc. Google Scholar9. Ibid: p. 627. Google Scholar10. MENNINGER KA: The human mind, Second Edition, p. 383, Alfred A. Knopf. Google Scholar11. COBB S: Psychiatric approach to the treatment of epilepsy, Am. Jr. Psychiat., 1940, xcvi, 1009. CrossrefGoogle Scholar12. PIKER P: 1817 cases of suicidal attempt—a preliminary statistical survey, Am. Jr. Psychiat., 1938, xcv, 97. CrossrefGoogle Scholar13. NOYES AP: Modern clinical psychiatry, Second Edition, p. 343, W. B. Saunders & Co. Google Scholar14. BILLINGS EG: A handbook of elementary psychobiology and psychiatry, p. 120, Macmillan, New York. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Durham, North Carolina*Received for publication May 18, 1940.From the Department of Psychiatry, Duke Medical School, Durham, N. C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 January 1941Volume 14, Issue 7Page: 1248-1255KeywordsPsychoses Issue Published: 1 January 1941 PDF downloadLoading ...

EIGHTEEN HUNDRED AND SEVENTEEN CASES OF SUICIDAL ATTEMPT. A PRELIMINARY STATISTICAL SURVEY

Back to table of contents Previous article Next article ARTICLENo AccessEIGHTEEN HUNDRED AND SEVENTEEN CASES OF SUICIDAL ATTEMPT. A PRELIMINARY STATISTICAL SURVEYPhilip PikerPhilip PikerSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.95.1.97AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail PDFThis content is only available as a PDF. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited ByDefining and Refining Self-HarmJournal of Nervous & Mental Disease, Vol. 203, No. 2Archives of Suicide Research, Vol. 5, No. 1Social Science & Medicine. Part D: Medical Geography, Vol. 14, No. 4LITERATUREActa Psychiatrica Scandinavica, Vol. 50The Psychiatric Quarterly, Vol. 41, No. 4LIABILITY OF HOSPITAL AND PSYCHIATRIST IN SUICIDEIRWIN N. PERR1 April 2006 | American Journal of Psychiatry, Vol. 122, No. 6Journal of Epidemiology & Community Health, Vol. 17, No. 4SUICIDE AND SUICIDAL ATTEMPTS IN CHILDREN AND ADOLESCENTSJAMES M. TOOLAN1 April 2006 | American Journal of Psychiatry, Vol. 118, No. 8SUICIDE IN ADOLESCENTSBENJAMIN H. BALSER, and JAMES F. MASTERSON, JR.1 April 2006 | American Journal of Psychiatry, Vol. 116, No. 5Psychology and aggression1 July 2016 | Journal of Conflict Resolution, Vol. 3, No. 3Journal of Mental Science, Vol. 104, No. 435A PRELIMINARY PSYCHIATRIC STUDY OF ATTEMPTED SUICIDE AS SEEN IN A GENERAL HOSPITALPETER E. SIFNEOS, CHARLES GORE, and A. COIT SIFNEOS1 April 2006 | American Journal of Psychiatry, Vol. 112, No. 11Acta Psychiatrica Scandinavica, Vol. 31The Psychiatric Quarterly, Vol. 24, No. 1The Psychiatric Quarterly, Vol. 17, No. 3 Volume 95Issue 1 July 1938Pages 97-115 Metrics PDF download History Published online 1 April 2006 Published in print 1 July 1938

A THOUSAND CASES OF ATTEMPTED SUICIDE

An analysis is presented of a thousand cases of patients admitted to the City of Detroit Receiving Hospital because of attempted suicide. It is pointed out that such a group is somewhat selected, and is not entirely representative of the whole class of patients who attempt suicide, especially because of the absence of patients who used rapidly fatal means, and because of the relative infrequency with which the wealthier patients are brought to the hospital. This group confirmed the usual finding of a higher rate of attempts at suicide among females, with a greater number of successes among males. The curve of distribution by age contained, among females, a conspicuous peak between the ages of 20 and 24 years, and very few cases after the age of menopause. Among males, the peak of the curve came between the ages of 25 and 29 years, and there was very little decline in the rate of suicide with advancing years. Members of the negro race made a relatively larger number of attempts at suicide and achieved relatively smaller number of successes than members of the white race. The marital distribution of the group studied displayed nothing significant except in the large number of divorced women. The data disclosed a relatively much greater incidence of attempted suicide among Protestants than Catholics. It is pointed out, however, that a comparison of the religious preferences of these patients with the religious census of Detroit is likely to be very unreliable. The percentage of unemployed among the gainful workers of this series was significantly greater than in the general population. Attempts at suicide were relatively rare in the early morning, and most frequent in the evening. They were also relatively rare in the middle of the week, and most frequent near the week-end, especially on Sunday and Monday. Serologic tests were completed on nearly half of the patients, and surprisingly, a much higher proportion of positive results was secured among female patients. The leading motives assigned for the attempt by male patients were 500 A THOUSAND CASES OF ATTEMPTED SUICIDE [Nov. economic difficulties, and by female patients, marital, domestic, or amatory discord. Twenty-three per cent of the patients received some psychiatric diagnosis, which in a little more than half of the cases was of some phase of acute or chronic alcoholism. Poisoning was the leading means employed by both sexes, although the relatively greater preferences of males for mechanical methods largely accounted for the greater proportion of deaths among male patients. The almost wholly innocuous tincture of iodine was the most popular poison. It was followed in order of frequency, by the much more dangerous solution of cresol (lysol), mercuric chloride, and phenol, in order of frequency. Only a small number of the patients were committed to institutions for prolonged custodial care. Most of them were released either to their relatives or on their own responsibility. On the basis of the present data, the prediction is made that only a small percentage of these patients will make another attempt at suicide.