Intensity and density of stressful life events in first suicide attempters with psychiatric morbidity and comorbidity: A case–control study

Autor: Ranganath R Kulkarni, K Nagaraja Rao, Shamshad Begum
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Annals of Indian Psychiatry, Vol 7, Iss 4, Pp 320-329 (2023)
Druh dokumentu: article
ISSN: 2588-8358
2588-8366
DOI: 10.4103/aip.aip_134_22
Popis: Background: Stressful life events (LEs) have been pivotal to suicidal behavior in vulnerable individuals, although its quantum and clustering have remained unclear. This study aimed to estimate and compare the quantum and clustering of LEs across three time periods, three suicide intentionality–lethality categories, and three diagnostic groups in survivors of first suicide attempt (SoFSA). Materials and Methods: One hundred SoFSA were compared to 100 age- and sex-matched controls for LEs across psychiatric and/or personality comorbidity. Presumptive Stressful LE Scale, Risk-Rescue Rating Scale, Hamilton Depression- and Anxiety-Rating Scales, and structured and semi-structured clinical interviews were administered for comprehensive mental health evaluation. Results: SoFSA with age ≥30 years, male gender, schooling 3 within 1 year or >10 lifetimes) and ambiguous LE (≥1 within 1 year or > 3 lifetimes) posing risk for psychiatric morbidity and medically serious suicidal behavior (especially, if lifetime total LE > 10). SoFSA with comorbid psychiatric and personality disorders experience higher intensity and density of LEs than either disorder alone, across all time periods.
Databáze: Directory of Open Access Journals
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