Our objective was to elucidate potential causes of higher rates of suicide attempts in females compared to males in southeastern Turkey through a 1-year survey. Gender-related differences observed in 96 subjects who attempted suicide by poisoning for the first time were as follows: in comparison to male, females were predominantly within the age interval of 15-24 years, experienced more stressful events in the previous week before suicide attempt, had lower education level, and had a lower rate of employment. One year after the suicide attempt, unfavorable attitude of family, lack of support, persisting unfavorable lifestyle comparable with that prior to the first attempt, and higher rates of domestic violence were more pronounced in females compared to males. These findings might be contributing factors to the higher suicide attempt rates observed in females compared to the males.
IntroductionSuicidal attempts and suicidal ideation are both frecuent causes of phychiatric assessments in an emergency hospital based unit.Objectives and AimsThe aim was to determine socio-demographic variables and pshychiatric diagnosis associated with suicide attempts in the population admitted to the Emergency Room of a General Hospital in Spain.MethodsWe studied the prevalence of suicidal behaviour in patients assesed in the Emergency Room of Elche University Hospital (Alicante, Spain) during a period of a year. We studied different characteristics such as age, sex, association with abuse substance, the prevalence of admission to a psychiatric ward and psychiatric diagnosis associated.ResultsA third of Hospital Psychiatric Emergency assessments were for suicide attempt or suicide ideation. Emergency Psychiatrists assessed 262 patients with suicide attempt, 91 male and 171 female, mean age was 31 years. 7,25% of the parasuicide patients treated in the Emergency Room were hospitalized, 63,15% of them with history of psychotic symptoms. 8,33% consumed alcohol or cocaine before the suicide attempt.ConclusionsThe parasuicide attempts are more frequent in young women. Suicide attempt is nearly twice more frequent in women than men. The most important variable to decide admission in a psychiatric ward was found to be a previous history of psychosis.
IntroductionFibromyalgia is a chronic pain disorder that includes somatic and emotional symptoms. The evidence supports a relationship between fibromyalgia and varios forms of psychopathology, especially affective disorders.Objectives and AimsThe aim of this study is to determinate whether the patients with Fibromyalgia could be diagnosed with several psychiatric disorders.We were also interested in the perception of their health status and functioning.MethodsWe included 15 outpatients (13 women and 2 men), mean age 49,6 diagnosed with Fibromyalgia (tender points). They completed the Somatoform Dissociation Questionnaire (SDQ-20), the Hamilton Depression Rating Scale, and the Short Form Health Survey (SF-36).The Psychiatrist scheduled an interview to determinate if they met criterias for Histrionic Personality Disorder Diagnostic Criteria (ICD-10) or Somatization Disorder Diagnostic Criteria (ICD-10).ResultsAll patients had scores below 50 on the SF-36 Health Survey.Two-thirds of patients met diagnostic criteria for Somatization Disorder Diagnostic, and the rest of patients would have met diagnostic criteria if age criteria A considered would have been 35 years old. Four patients met diagnostic criteria for Histrionic Personality Disorder and 80% of the patients had scores greater than 20 on the Hamilton Depression Rating Scale.ConclusionsFibromyalgia patients could have more than one psychiatric diagnosis. Most of the patients could met the criteria for somatization disorder. All patients had a low level of funcioning and health perception.
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