Keywords
Suicide
Emergency
Hospital
Profile
Sociodemographic
Clinic
Categories
How to Cite
Abstract
Objective: Over the past decade, and despite the increasing awareness of suicide attempts among adults in Morocco, there was no complete system of statistics. As a result, the socio-demographic profile of reported adult suicide attempts varied in some studies. The purpose of this study was to provide the socio-demographic and clinical profile of suicide attempts in adults in a Moroccan hospital.
Methods: A retrospective study of a descriptive type carried out in Psychiatric University Hospital Arrazi-Salé during one and a half year (January 2016 to April 2017). The information was collected using a pre-established questionnaire based on medical records. The data entry and statistical evaluation were performed by the SPSS software (20.0).
Results: A total of 62 patients were recruited, 32 women and 30 men who met the eligibility criteria. The profile of the suicidal attempters who must be kept in the hospital to prevent a suicidal recidivism is a young adult between the ages of 25 and 40, male, with psychiatric disorder: mood disorder, schizophrenia, anxiety disorder, borderline personality disorder, histrionic or psychopathic personality, alcohol or other psychoactive substance dependence, familial and emotional connectedness, material deprivation with previous suicide attempt that demonstrates the possibility of acting out because as we known that the risk of recidivism increases with the number of previous attempts.
Conclusion: The development of repeated epidemiological surveys makes it possible to better understand the prevalence of suicide attempts in Morocco and to implement suicide prevention programs.
References
Saxena S, Krug EG, Chestnov O. World Health Organization, editors. Preventing suicide: a global imperative. Geneva: World Health Organization; 2014: 89.
Weissman MM, Bland RC, Canino GJ, Greenwald S, Hwu HG, Joyce PR, et al. Prevalence of suicide ideation and suicide attempts in nine countries. Psychol Med. 1999 Jan;29(1):9–17. https://doi.org/10.1017/s0033291798007867
Moussaoui D. La santé mentale au Maroc: enquête nationale sur la prévalence des troubles mentaux et des toxicomanies. L’Encéphale Supplément: 4 (2007);S125-S126.
Agoub M, Moussaoui D, Kadri N. Assessment of suicidality in a Moroccan metropolitan area. J Affect Disord. 2006 Feb;90(2–3):223–6. https://doi.org/10.1016/j.jad.2005.09.014
World Health Organization. Prvention du suicide: l’tat d’urgence mondiad. Place of publication not identified: World Health Organization; 2015. Available from: https://www.who.int/mental_health/suicide-prevention/world_report_2014/fr/
Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016 Mar;387(10024):1227–39. https://doi.org/10.1016/S0140-6736(15)00234-2
Guelfi J-D. Mini DSM-IV-TR: Critères diagnostiques. Elsevier Masson; 2010. Available from: https://www.cirris.ulaval.ca/fr/criteres-diagnostiques
Suleiman MA, Nashef AA, Moussa MAA, El-Islam MF. Psychosocial profile of the parasuicidal patient in Kuwait. Int J Soc Psychiatry. 1986;32(3):16–22. https://doi.org/10.1177/002076408603200303
Manuel-diagnostique-troubles-mentaux.pdf. Available from: https://psychiatrieweb.files.wordpress.com/2011/12/manuel-diagnostique-troubles-mentaux.pdf
Hajji K, Marrag I, Bouanene I, Ben Mohamed B, Younes S, Hadj Ammar Met al. Facteurs associés aux tentatives de suicide. Toxicol Anal Clin. 2016 Jun;28(2):158–63.
LaRosa E, Consoli SM, Hubert-Vadenay T, LeClésiau H. Facteurs associés au risque suicidaire chez les jeunes consultants d’un centre de prévention sanitaire et sociale. L’Encéphale. 2005 Jun 1;31(3):289–99. https://doi.org/10.1016/S0013-7006(05)82393-0
SS C. Women and suicidal behavior: a cultural analysis. Am J Orthopsychiatry.2008 Apr;78(2):259-66. https://doi.org/10.1037/a0013973
Casadebaig F, Philippe A. [Mortality in schizophrenic patients. 3 years follow-up of a cohort]. Encephale. 1999 Jul-Aug;25(4):329-37.
Lorant V, Kunst AE, Huisman M, Bopp M, Mackenbach J. A European comparative study of marital status and socio-economic inequalities in suicide. Soc Sci Med. 2005 Jun;60(11):2431–41. https://doi.org/10.1016/j.socscimed.2004.11.033
Makhbul ZM, Idrus D. Work stress issues in Malaysia. Malays Labour Rev. 2009;3(2):13–26. Available from: https://www.researchgate.net/publication/286145961_Work_stress_issues_in_Malaysia
Qin P, Agerbo E, Mortensen PB. Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: a national register–based study of all suicides in Denmark, 1981–1997. Am J Psychiatry. 2003;160(4):765–772. https://doi.org/10.1176/appi.ajp.160.4.765
Garno JL, Goldberg JF, Ramirez PM, Ritzler BA. Bipolar disorder with comorbid cluster B personality disorder features: impact on suicidality. J Clin Psychiatry.2005 Mar;66(3):339-45. https://doi.org/10.1176/appi.ajp.160.4.765
Sidharta T, Jena S. Suicidal behaviors in adolescents. Indian J Pediatr.2006 Sep;73(9):783-8. https://doi.org/10.1007/BF02790385
Monnin J, Thiemard E, Vandel P, Nicolier M, Tio G, Courtet P, et al. Sociodemographic and psychopathological risk factors in repeated suicide attempts: Gender differences in a prospective study. J Affect Disord. 2012 Jan;136(1–2):35–43. https://doi.org/10.1016/j.jad.2011.09.001
Roy A. Family history of suicidal behavior and earlier onset of suicidal behavior. Psychiatry Res. 2004 Dec;129(2):217–9. https://doi.org/10.1016/j.psychres.2004.08.002
Fouilhoux N. Troubles bipolaires et suicide. L’Encéphale. 2006;32(3):6–9. Available from: https://www.encephale.com/content/download/85873/1482193/version/1/file/main.pdf
Reutfors J, Bahmanyar S, Jönsson EG,Ekbom A, Nordström P, Brandt Let al. Diagnostic profile and suicide risk in schizophrenia spectrum disorder. Schizophr Res. 2010 Nov;123(2–3):251–6. https://doi.org/10.1016/j.schres.2010.07.014
Latalova K, Kamaradova D, Prasko J. Suicide in bipolar disorder: a review. Psychiatr Danub. 2014;26(2):0–114.
Isometsä E. Suicidal behaviour in mood disorders—who, when, and why? Can J Psychiatry. 2014;59(3):120–130. https://doi.org/10.1177/070674371405900303
Rihmer Z, Kiss K. Bipolar disorders and suicidal behaviour. Bipolar Disord. 2002;4(s1):21–25. https://doi.org/10.1034/j.1399-5618.4.s1.3.x
Swann AC, Dougherty DM, Pazzaglia PJ, Pham M, Steinberg JL, Moeller FG. Increased impulsivity associated with severity of suicide attempt history in patients with bipolar disorder. Am J Psychiatry. 2005;162(9):1680–1687. https://doi.org/10.1176/appi.ajp.162.9.1680
Suominen K, Henriksson M, Suokas J, Isometsä E, Ostamo A, Lönnqvist J. Mental disorders and
comorbidity in attempted suicide. Acta Psychiatr Scand. 1996;94(4):234–240. https://doi.org/10.1111/j.1600-0447.1996.tb09855.x
Suominen KH, Isometsä ET, Henriksson MM, Ostamo AI, Lönnqvist JK. Suicide attempts and personality disorder. Acta Psychiatr Scand. 2000;102(2):118–125. https://doi.org/10.1034/j.1600-0447.2000.102002118.x
Sher L, Oquendo MA, Galfalvy HC, Grunebaum MF, Burke AK, Zalsman G, et al. The relationship of aggression to suicidal behavior in depressed patients with a history of alcoholism. Addict Behav. 2005 Jul;30(6):1144–53. https://doi.org/10.1016/j.addbeh.2004.12.001
Rossow I, Amundsen A. Alcohol abuse and suicide: A 40-year prospective study of Norwegian conscripts. Addiction. 1995;90(5):685–691. https://doi.org/10.1046/j.1360-0443.1995.9056859.x
McCloud A, Barnaby B, Omu N, Drummond C, Aboud A. Relationship between alcohol use disorders and suicidality in a psychiatric population. Br J Psychiatry. 2004;184(5):439–445. https://doi.org/10.1192/bjp.184.5.439
Afifi TO, Asmundson GJG, Cox BJ, deGraaf R, Sareen J, ten Have Met al. Anxiety disorders and risk for suicidal ideation and suicide attempts. Arch Gen Psychiatry. 2005;62:1249–1257. https://doi.org/10.1001/archpsyc.62.11.1249
Fawcett J. Treating impulsivity and anxiety in the suicidal patient. Ann N Y Acad Sci. 2001;932(1):94–105. https://doi.org/10.1111/j.1749-6632.2001.tb05800.x
Pillai A, Andrews T, Patel V. Violence, psychological distress and the risk of suicidal behaviour in young people in India. Int J Epidemiol. 2009 Apr 1;38(2):459–69. https://doi.org/10.1093/ije/dyn166
OMS | Méthodes de suicide : détermination de schémas internationaux de suicide à partir de la base de données de mortalité de l’OMS [Internet]. WHO. Available from: http://www.who.int/bulletin/volumes/86/9/07-043489-ab/fr/
Ghachem R, Boussetta A, Benasr A, Oumaya N. Suicide et pathologie mentale à Tunis : étude rétrospective sur 12 ans à l’hôpitalRazi. Inf Psychiatr. 2009;85(3):281. https://doi.org/10.1684/ipe.2009.0462
Luscomb RL, Clum GA, Patsiokas AT. Mediating factors in the relationship between life stress and suicide attempting. J Nerv Ment Dis.1980 Nov;168(11):644-50. https://doi.org/10.1097/00005053-198011000-00002
Beautrais AL, Joyce PR, Mulder RT. Precipitating factors and life events in serious suicide attempts among youths aged 13 through 24 years. J Am Acad Child Adolesc Psychiatry. 1997;36(11):1543–1551. https://doi.org/10.1016/S0890-8567(09)66563-1
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2021 Laboudi F
