Prevalence and correlates of suicidal thought and self-destructive behavior among an elderly hospital population in Iran

Abstract

Hospitalized, physically ill elderly patients have high rates of suicidal ideation and self-destructive behavior and these vary according to psychosocial and clinical factors. The general hospital is therefore a potential site for the recognition of suicidal individuals and implementation of proximal suicide prevention strategies.

Suicide and poverty in low-income and middle-income countries: a systematic review

“…Among the seven studies investigating non-fatal SIB, results were mixed for studies using bivariate analysis, with three 32,46,54 showing positive and three 32,41,46 null associations. When multivariate analysis was performed, only one Iranian study 54 reported a positive association between unemployment rates and suicide attempts (OR=2•54, 95% CI 1•08-5•98).…”

“…We assessed 29 (78%) studies to be of high [30][31][32][33][34][35][36][37][38][39][40][41][42][43] or acceptable [44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] quality (Table 3). Eight studies [59][60][61][62][63][64][65][66] were of low quality due to problems with risk of bias: performance, attrition and detection bias (interrupted-time series); selection bias, unclear case definitions, detection bias, lack of adjustment for confounding factors (case-control studies); detection bias, lack of adjustment for confounding factors (cross sectional and ecological studies).…”

“…Six 31,38,49,51,59,62 focused on completed suicide and six 30,32,39,41,46,54 on non-fatal SIB, with one 52 looking at both dimensions. Among the seven studies reporting on completed suicide, three 31,51,62 reported a positive and one 38 a null association between completed suicide and unemployment using bivariate analysis.…”

“…When multivariate analysis was performed, only one Iranian study 54 reported a positive association between unemployment rates and suicide attempts (OR=2•54, 95% CI 1•08-5•98). Three studies reported a null association with unemployment and hospital admission following intentional self-burning 30 and selfreported responses to the Harmful Behaviour Scale and the Beck Scale for Suicidal Ideation 46 …”

Frequency of Harmful Behaviors in Patients Who are Suffering From Substances Abuse

“…None of the variables, education and marital status, were identified as being effective in the incidence of harmful behaviors. But a study conducted at Shiraz University of Medical Sciences, Iran has shown that the incidence of harmful behaviors is more common in people with lower educational levels (16). Our study had been performed on those who lacked comorbid axis I psychiatric disorders.…”