ABSTRACT: This study compares sociodemographic and clinical characteristics of 102 first-time hospital-treated suicide attempters (first-evers) with a group of 101 repeat suicide attempters (repeaters) consecutively admitted to a general hospital in Brazil, during the intake phase of the WHO Multisite Intervention Study on Suicidal Behaviors (SUPRE-MISS).
To compare sociodemographic and clinical characteristics of first-time hospital-treated suicide attempters (first-evers) with a group of repeat suicide attempters (repeaters).
A standardized interview and psychometric scales were administered to all patients. Results: Repetition was associated with being of female sex (OR = 2.7; 95% confidence interval (CI) = 1.2-6.2), a housewife (OR = 3.8; 95% CI = 1.2-11.8), and having a score above median on the Beck Depression Inventory (OR = 5.2; 95% CI = 1.7-15.6).
The findings suggest that repeaters, namely, depressed housewives who have attempted suicide previously, need specific treatment strategies in order to avoid future suicide attempts.
Crisis The Journal of Crisis Intervention and Suicide Prevention 02/2009; 30(2):73-8. · 1.09 Impact Factor
ABSTRACT: To identify sociodemographic, psychosocial and clinical differences between men and women who attempted suicide and were seen at a university general hospital.
This is a non-controlled cross-sectional study, sub-project of the Multisite Intervention Study on Suicidal Behavior by the World Health Organization. A standardized interview that comprised psychometric scales was used. The comparison between genders was made by means of uni and multivariate logistic regression.
210 subjects (68.1% women) participated. Women had worse scores on the WHO Well-Being Index (p = 0.005), the Beck Depression Inventory (p = 0.01) and the Psychiatric Disability Assessment Schedule (p = 0.03). In the multivariate logistic regression, men presented more mental disorders due to alcohol and drug use (26.1% vs 7%, p = 0.02) and used alcohol at the suicide attempt more frequently (28.3% vs 16%, p = 0.03). Men reported that most of the time they had been feeling "active and vigorous" (50% vs 22%, p < 0.001). Women had had more physical and sexual abuse (27% vs 8.7%, p = 0.01).
There are some distinctive characteristics between men and women who attempt suicide. Such differences may also be present in the general population and suggest there is a need for further studies, as well as the adoption of different strategies in suicide prevention for men and women.
Revista Brasileira de Psiquiatria 06/2008; 30(2):139-43. · 1.20 Impact Factor
ABSTRACT: The purpose of this study was to determine the prevalence of depression, anxiety and suicide ideation among pregnant adolescents and verify the relationship between suicide ideation and other variables.
120 pregnant adolescents (40 in each gestational trimester) attended at a public health center in Brazil were assessed. The following research instruments were used: the Clinical Interview Schedule (CIS-R), the Hospital Anxiety and Depression scale (HADS) and the Beck's Suicide Ideation Scale (BSI). The Chi-square test, the Fishers and the Mann-Whitney U tests were performed. Results: There were 28 cases of anxiety (23.3%), 25 (20.8%) of depression and 20 cases of suicide ideation (16.7%). There was no difference in these prevalences in the gestational trimesters. There was a significant relationship between suicide ideation suicide and depression (p = 0.001), single individuals without boyfriends (p = 0.01) and little social support ( p = 0.001). Cases of suicidal ideation presented a high frequency of lack of concentration, anxiety, depression, preoccupations, obsessions, depressive ideas, tiredness, worries concerning body functions and compulsions.
The group of pregnant adolescents showed heterogeneous results regarding mental health. The most common symptom of depression, anxiety, ideation suicide and previous suicide attempts were depressive ideas. The health professionals working with pregnant adolescents should observe them carefully, in order to detect the presence of depressive ideas.
Revista da Associação Médica Brasileira 48(3):245-9. · 0.77 Impact Factor