Is self-immolation a distinct method for suicide? A comparison of Iranian patients attempting suicide by self-immolation and by poisoning

Rezaie, Leeba; Khazaie, Habibolah; Soleimani, Akram; Schwebel, David C.

doi:10.1016/j.burns.2010.07.003

Cited by 43 publications

(57 citation statements)

References 18 publications

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“…O nível educacional também foi avaliado, sendo constatados poucos anos de estudo em ambos os grupos. Porém, os controles apresentaram menos anos de estudo quando comparados aos casos, resultados semelhantes aos que foram revelados em algumas poucas publicações 12,22,28 e que são divergentes da maioria delas 15,27,[34][35][36] . Possivelmente, o ní-vel educacional com poucos anos de estudo poderia refletir em dificuldades na integração social, bem como na inserção no mercado de trabalho, contribuindo para a intensificação dos estressores, que, por sua vez, poderiam culminar com comportamentos e ideações suicidas 15 .…”

Section: Métodosunclassified

“…Assim, os registros oficiais sobre tentativas são mais escassos e menos confiáveis do que os de suicídio 8 . Sabe-se que a maior incidência ocorre em mulheres e, de modo geral, no público jovem, abaixo de 35 anos 1,6,7,[9][10][11][12] . Tratando-se de um tema complexo, evidencia-se a necessidade de conhecimentos mais consistentes sobre os motivos para o comportamento de autodestruição.…”

Section: Introductionunclassified

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Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Pires

Raposo

Sougey

et al. 2015

J. bras. psiquiatr.

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resumo objetivo: Considerando o envenenamento como o método mais utilizado para a tentativa de suicídio e a escassez de evidências nacionais sobre o tema, investigamos alguns possíveis indicadores de risco nesse tipo de tentativa. métodos: Estudo do tipo caso-controle em uma emergência geral de um hospital público, na cidade do Recife com 220 indivíduos, distribuídos em dois grupos de 110 pacientes cada, que estavam em tratamento, sendo o grupo casos os sobreviventes de tentativa de suicídio por envenenamento e os controles, sem história de intoxicação/envenenamento nem tentativa de suicídio, pareados por gênero e idade. resultados: O gênero feminino predominou na amostra (70,9%), com idade média de 29 anos; 73% declararam etnia branca ou morena; menos da metade vivia em convívio marital; a maioria tinha religião; ambos tinham poucos anos de estudo. Houve diferença significativa (p = 0,003) para dependência financeira entre os grupos, com chance 2,25 vezes maior para tentar suicídio entre os casos. Ter sofrido fatos traumáticos e abuso sexual na infância revelou diferença significativa. Conclusões: Foram considerados indicadores de risco no grupo caso: estar em dependência financeira de terceiros, ter sofrido abuso sexual na infância, ideação suicida, histórico de transtorno mental na família, possuir algum transtorno mental e, principalmente, comorbidade(s) psiquiátrica(s). No modelo de regressão, foi possível estimar uma chance de tentativa de suicídio por envenenamento de até 94,0% na presença conjunta de quatro fatores. A pesquisa representa uma das primeiras iniciativas para ampliação das discussões sobre os fatores de risco para tentativa de suicídio em âmbito nacional. abstraCt objective: As poisoning is most often used method of attempted suicide and data on this topic are scarce in Brazil, we investigated possible indicators of risk for this type of attempt. methods: A case-control study was conducted at the emergency ward of a public hospital in the city of Recife (Brazil) with 220 individuals divided into two groups, each with 110 participants. The case group comprised survivors of attempted suicide by poisoning. The control group was composed of individuals with no history of attempted suicide matched for gender and age. results: The female gender predominated (70.9%). Mean age was 29 years. Self-described skin color was either white or brown among 73%. Less than half lived with a stable partner. The majority had religion and both groups had a low level of schoo-

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Section: Métodosunclassified

Section: Introductionunclassified

Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Pires

Raposo

Sougey

et al. 2015

J. bras. psiquiatr.

View full text Add to dashboard Cite

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“…First, following Rezaie et al [33] we expected females to be more frequently represented among the PSIs than among the PABs. Second, following others [26, 33] we expected PSIs more often to be married and third, to have a lower educational level than PABs. Fourth, following Modjarrad et al [34] we expected that a greater total skin surface would be affected among PSIs than among PABs.…”

Section: Introductionmentioning

confidence: 99%

“…Compared to non-SI suicide attempters, SI attempters were prevalently females, younger, married, and with low educational attainment. Most importantly, Rezaie et al [33] argued that SI may be culturally rooted, in that SI seems to be a cry for help transferred from adult females such as mothers and aunts to girls. Apparently, exclamations which allude to SI are heard repeatedly, and therefore have the potential to become accepted and legitimate coping strategies in the face of continuous stress and despair.…”

Section: Introductionmentioning

confidence: 99%

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Female Gender, Marital and Family Problems, and Feelings of Guilt Are Related to Self-Immolation Suicide Attempts

Ahmadpanah¹,

Rahighi²,

Haghighi³

2017

Neuropsychobiology

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Background: Self-immolation (SI) is considered one of the most painful, dramatic, and at the same time most inexplicable methods of suicide, with a high social impact. Prevalence rates are particularly high in Iran, and in north-western Iran specifically. Here, we report sociodemographic, psychological, and psychiatric characteristics of patients attempting self-immolation (PSIs), compared to patients with accident burns (PABs). Method: Patients referred to the Burns Emergency Unit of the Besat Hospital (Hamadan, Iran) were enrolled in the present study between winter 2015 and summer 2016. After burn-related treatments and surgery, a thorough interview was undertaken covering sociodemographic characteristics, burn-related information, and psychiatric background. Results: A total of 79 patients were enrolled. Among these, 19 (31.7%) had attempted suicide via SI. Compared to the PABs, the PSIs were predominantly females; they reported family and marital problems as the main triggers for SI. The psychiatric interviews indicated that PSIs often suffered from major depressive disorders, adjustment disorders, and bipolar disorders. The prevailing feelings reported were guilt and shame. A binary logistic regression showed that feelings of guilt and marital and family problems predicted SI. Conclusions: The prevalence of SI was surprisingly high. Marital and family conflicts as a proxy for highly distressing social interactions, along with female gender and feelings of guilt and shame were strongly associated with SI. Family and couple counseling specifically tailored to difficulties experienced by women might reduce the risk of SI.

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Reliability and validity of the body image quality of life inventory: Version for Brazilian burn victims

Assunção¹,

Dantas²,

Ciol³

et al. 2013

Research in Nursing & Health

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The aims of this study were to adapt the Body Image Quality of Life Inventory (BIQLI) into Brazilian Portuguese (BP) and to assess the psychometric properties of the adapted version. Construct validity was assessed by correlating the BIQLI-BP scores with the Rosenberg's Self-Esteem Scale, with Burns Specific Health Scale-Revised (BSHS-R), and with gender, total body surface area burned, and visibility of the scars. Participants were 77 adult burn patients. Cronbach's alpha for the adapted version was .90 and moderate linear correlations were found between body image and self-esteem and between BIQLI-BP scores and two domains of the BSHS-R: affect and body image and interpersonal relationships. The BIQLI-BP showed acceptable levels of reliability and validity for Brazilian burn patients.

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Is self-immolation a distinct method for suicide? A comparison of Iranian patients attempting suicide by self-immolation and by poisoning

Cited by 43 publications

References 18 publications

Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Female Gender, Marital and Family Problems, and Feelings of Guilt Are Related to Self-Immolation Suicide Attempts

Reliability and validity of the body image quality of life inventory: Version for Brazilian burn victims

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