Suicide: Current Trends

Bailey, Rahn Kennedy; Patel, Tejas C.; Avenido, Jaymie U.; Patel, Milapkumar; Jaleel, Mohammad; Barker, Narviar C.; Khan, Jabbar; Ali, Shahid; Jabeen, Shagufta

doi:10.1016/s0027-9684(15)30388-6

Cited by 52 publications

(33 citation statements)

References 2 publications

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“…Suicide claims over one million lives worldwide each year [1]. In the United States, suicide rates have remained relatively constant over the last 20 years (1/10,000 yearly), and risk factors, such as old age, male gender, gun access, stressful life events, and substance abuse have been identified [2]–[6].…”

Section: Introductionmentioning

confidence: 99%

Descriptive Epidemiology and Underlying Psychiatric Disorders among Hospitalizations with Self-Directed Violence

et al. 2013

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BackgroundSuicide claims over one million lives worldwide each year. In the United States, 1 per 10,000 persons dies from suicide every year, and these rates have remained relatively constant over the last 20 years. There are nearly 25 suicide attempts for each suicide, and previous self-directed violence is a strong predictor of death from suicide. While many studies have focused on suicides, the epidemiology of non-fatal self-directed violence is not well-defined.ObjectiveWe used a nationally representative survey to examine demographics and underlying psychiatric disorders in United States (US) hospitalizations with non-fatal self-directed violence (SDV).MethodInternational Classification of Disease, 9th Revision (ICD-9) discharge diagnosis data from the National Hospital Discharge Survey (NHDS) were examined from 1997 to 2006 using frequency measures and adjusted logistic regression.ResultsThe rate of discharges with SDV remained relatively stable over the study time period with 4.5 to 5.7 hospitalizations per 10,000 persons per year. Excess SDV was documented for females, adolescents, whites, and those from the Midwest or West. While females had a higher likelihood of self-poisoning, both genders had comparable proportions of hospitalizations with SDV resulting in injury. Over 86% of the records listing SDV also included psychiatric disorders, with the most frequent being affective (57.8%) and substance abuse (37.1%) disorders. The association between psychiatric disorders and self-injury was strongest for personality disorders for both males (OR = 2.1; 95% CI = 1.3–3.4) and females (OR = 3.8; 95% CI = 2.7–5.3).ConclusionThe NHDS provides new insights into the demographics and psychiatric morbidity of those hospitalized with SDV. Classification of SDV as self-injury or self-poisoning provides an additional parameter useful to epidemiologic studies.

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Section: Introductionmentioning

confidence: 99%

Descriptive Epidemiology and Underlying Psychiatric Disorders among Hospitalizations with Self-Directed Violence

et al. 2013

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“…The faster change in Indian social structure, influence of social media and advertisements are few influencing factors that might trigger the IHW suicide. [1234] Similarly, the preponderance of certain regions, such as South India, North India (2008) and low incidence in North Eastern part of India is an interesting finding. The preponderance of Tamil Nadu as a highest region experiencing IHW could be best explained by its long-standing cultural ethos.…”

Section: Discussionmentioning

confidence: 99%

“…The authenticity of this data source had been an issue of contention but in the absence of such records in public domain, this data source serves us to provide a robust estimate of the trend and several publications have been based on this government data. [124]…”

Section: Methodsmentioning

confidence: 99%

Ideological Cause and Hero Worship Related Suicides: Indian Perspective and Changing Trends During 2001-2014: An Exploratory Study

Mohandoss

2016

Indian Journal of Psychological Medicine

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Background:Of the various causes of suicides in India, very less number commit it for an ideological cause or due to hero worship (IHW). The prevalence and changing trends in IHW suicides are not much discussed. An attempt is made to draw attention to this subset of suicides during 2001–2014.Materials and Methods:Accessible data from the National Crime Bureau Records in open domain was employed for this study. As only whole sum numbers associated with state, age groups, and genders and years were only available parameters, descriptive statistics of rate of suicides, linear trend with age groups, gender, and geographical divisions are presented.Results:In 14 years period, 1,721,946 suicides with an average of 122,996 suicides per year were observed. In total, a sum of 2395 IHW related suicides was noted accounting an average 171 suicides per year was observed. The difference among genders and age group with respect to various parts of India is presented. Southern India and in particular, Tamil Nadu consistently had the highest IHW related suicides.Discussion:The possible causes behind this unique phenomenon, cultural ethos, and implication are presented. In addition, the implication of changing trends in terms of geographical distribution, age group distribution, and gender dynamics are presented and discussed.

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“…12 Compared to the general population, having an AUD puts one at a 10-fold higher risk for suicide, 13 and the relationship of depression and suicidal behavior is well documented. 14, 15, 16, 17 Therefore, patients with co-occurring AUD and depressive disorders are at a uniquely high risk for suicide, and thus warrant careful evaluation and management.…”

Section: Epidemiological Considerationsmentioning

confidence: 99%

Treatment of the Depressed Alcoholic Patient

DeVido

Weiss

2012

Curr Psychiatry Rep

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Alcohol use disorders (AUDs) and depressive illnesses are highly prevalent, frequently co-occur, and are associated with worse outcomes when paired. The assessment and treatment of patients with co-occurring alcohol use disorders and depressive illnesses is wrought with many significant challenges. When it comes to advocating treatment guidelines for this dually diagnosed population, the data are limited, but nonetheless do suggest that an integrated approach to patients presenting with co-occurring AUD and depressive symptoms can be efficacious. In this approach, ongoing evaluation and treatment are provided under one roof according to the evolving needs of each patient. Utilizing antidepressant medications in conjunction with psychosocial therapies may augment overall treatment efficacy; data also suggest that combining and tailoring psychosocial therapies such as motivational enhancement therapies, cognitive therapies, and twelve-step facilitation may further improve treatment outcomes for patients with co-occurring depressive and alcohol use disorders.

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Suicide: Current Trends

Cited by 52 publications

References 2 publications

Descriptive Epidemiology and Underlying Psychiatric Disorders among Hospitalizations with Self-Directed Violence

Descriptive Epidemiology and Underlying Psychiatric Disorders among Hospitalizations with Self-Directed Violence

Ideological Cause and Hero Worship Related Suicides: Indian Perspective and Changing Trends During 2001-2014: An Exploratory Study

Treatment of the Depressed Alcoholic Patient

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