Chronic alcohol problems among suicide attempters - Post-mortem findings of a 14-year follow-up
Department of Psychiatry, University of Helsinki, Helsinki, Uusimaa, Finland Nordic Journal of Psychiatry
(Impact Factor: 1.34).
02/2005; 59(1):45-50. DOI: 10.1080/08039480510018823
This study set out to describe the clinical characteristics of a subgroup of suicide attempters with clear post-mortem evidence of long-term alcohol misuse, and to investigate the risk factors predicting chronic alcohol misuse/dependence using survival analysis. Data were collected over 14 years on all unselected deliberate self-poisoning patients (n=1018) treated in the emergency unit of Helsinki University Central Hospital. Of the 222 (22.7%) who had died by the end of the follow-up period, 85 (38.5%) showed clear post-mortem evidence of long-term alcohol misuse. Seventy-four per cent of misusers were men. The risk factors for chronic alcohol misuse/dependence among deceased suicide attempters were: male sex, numerous previous suicide attempts, non-impulsive suicide attempts, certain intention to die and subjective motive of the index attempt other than "wish to die". The findings emphasize that more attention should be focused on evaluating alcohol use and the risk of alcohol dependence in suicide attempters encountered in the emergency room of general hospitals.
Available from: Rahmat Awang
- "to have a chronic ethanol intake , a higher reported dose ingested , higher latency time and longer hospital stay . In our study , males had a significantly higher rate of chronic alcohol intake . A direct association between chronic alcohol intake and suicidal behaviour tends to be a gender - specific feature among males ( Zaidan et al . , 2002 ; Suokas et al . , 2005 ; Sudhir Kumar et al . , 2006 ) . Interventions targeted at those with alcohol problems may be a useful strategy in males at risk of suicide . Males had higher amounts of acetaminophen ingested in our study , and therefore the extensive amounts ingested expose the male patients to higher risk . Similar conclusions were reported by other"
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ABSTRACT: The objectives of this study were to determine the risk factors and life stressors that are prevalent among the acetaminophen deliberate self-poisoning (DSP) cases, to identify gender differences in the associated factors, and to determine the prevalence of psychiatric diagnosis and the patterns and types of psychotherapeutic interventions provided by psychiatrists.
This is a cross-sectional study, a retrospective descriptive case review of hospital admissions for acetaminophen DSP.
There were 177 incidences of DSP during the study period. The mean age of the cases was 23.1 +/- 7.3 years and 84.1% of them were females. The risk factors were more significantly associated with males: chronic ethanol intake (p = 0.04), higher reported dose ingested (p = 0.01), higher latency time (p = 0.04) and longer hospital stay (p = 0.03). The most commonly reported psychotherapeutic interventions used by psychiatrists were psychoeducation of the patient, followed by referral to a psychiatric clinic, family psychoeducation and psychotropic medication. Sertraline (SSRI) was the most frequently prescribed antidepressant.
Males have been shown to use more toxic doses and to delay treatment due to high latency time. Most DSP patients have different life stressors and psychiatric diagnoses that may be associated with varying degrees of suicidal intent. All patients presenting following DSP need to be carefully screened for psychiatric illness. Randomized controlled studies need to be conducted on DSP patients with psychiatric illness to determine which treatments are effective.
Human Psychopharmacology Clinical and Experimental 08/2010; 25(6):500-8. DOI:10.1002/hup.1140 · 2.19 Impact Factor
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ABSTRACT: This study had two objectives. To assess the impact of alcohol-related problems on the Emergency Department (ED) of Cork University Hospital (CUH). To assess the non-acute impact of alcohol-related problems on CUH. One hundred patient ED records were chosen at random from each of three study periods--December 23rd 2002 to January 2nd 2003, April 20th 2003 to April 30th 2003, and December 23rd 2003 to January 2nd 2004. Each patient record was examined individually to determine the rate of alcohol-related attendances at CUH ED. Overall, alcohol related attendances accounted for 14.66% of ED attendances. 22.73% of these patients were admitted and 27.27% received an out-patient department appointment. The results of this study were broadly in keeping with previous large-scale studies; it is clear that alcohol-related attendances, admissions and OPD appointments are putting a large strain on EDs and the whole hospital system.
Irish medical journal 05/2006; 99(4):118-20. · 0.51 Impact Factor
Contemporary topics in women's mental health: Global perspectives in a changing society, First 09/2009: chapter Suicidality in women: pages 117-138; Wiley-Blackwell., ISBN: 9780470754115
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