Factors Affecting Suicidality among Patients with Chronic Illness at the Outpatient Department in Maechai Hospital, Phayao Province
Main Article Content
Abstract
Objectives: To determine the factors affecting suicidality among patients with chronic illness at the outpatient department , Maechai Hospital.
Method: This was an unmatched case-control study conducted with patients with chronic illness The sample was divided into a case group of 75 patients with risk of suicide and a control group of 450 patients without risk of suicide. They were selected by simple sampling. Data were statistically analyzed in terms of frequency distribution and percentage. Chi-square tests were used to analyzed odd ratios. Multiple logistic regression was used to analyzed the factors affecting suicidality.
Results: Factors affecting suicidality are old age (age over 65 years) (ORadj =2.85 ;95% CI =1.23-6.40), disability (ORadj =1.92; 95% CI = 1.02-4.09), duration of illness of more than 10 years (ORadj =2.52; 95% = CI 1.33-4.75), and depression (ORadj = 16.47; 95% CI = 8.87-30.57)
Conclusion: The findings suggest that factors affecting suicidality are old age, disability, long duration of illness, and the presence of depression.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
References
Ongkosit C. Burden of depression in Thailand. Thai Health Promotion Foundation 2007 [Online]. Available from: https://www.thaihealth.or.th/Content/6659-Physician quote Thai people had suffer from major depressive disorder about ten thousand a year.html [2019 Feb 22]. (in Thai)
World Health Organization. World health statistics annual. Geneva: Switzerland; 2018.
Jutrakul P. Thai Mental Health Department show thai people has suicide 6 persons per Hour 2018 [Online]. Available from: https://www.dmh.go.th/new-dmh/view.asp?id= 28187 [2019 Feb 22].
Department of Mental Health, Ministry of Public Health. Top 10 health service region, of suicide report in Thailand [Online]. 2018. Available from: http://www.dmh.go.th/report/ suicide /stat_service.asp [2019 Feb 22].
The national Suicide Prevention, Ministry of Public Health. Suicide Thailand [online]. 2018. Available from: http://506s.dmh.go.th/app.from-search.html [2019 Feb 22].
Brown G, Ebert M, Goyer P, Jimerson D, Klein W, Bunney W, et al. Aggression, suicide, and serotonin: Relationships to CSF amine metabolites. Am J Psychiatry 1982;139:741-8.
Bourne HR< Bunney WE Jr, Colburn RW, Davis JN, Shaw DM, et al. Noradrenaline, 5-hydroxytryptamine, and 5-hydroxyindoleacetic acid in hindbrains of suicidal patients. Lancet 1968 Oct 12;2(7572):805-8.
Baldessarini RJ, Hennen J. Genetic of suicide: an overview. Harv Rev Psychiatry 2004 Jan-Feb;12(1):1-13.
Gunnell DJ, Peters TJ, Kammerling RM, Brooks J. The relation between parasuicide, suicide, psychiatric admissions< and socioeconomic deprivation. BMJ. 1995;31 1(6999):226-30.
Ribeiro JD, Huang X, Fox KR, Franklin JC. Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies. Br J Psychiatry 2018;212:279-86.
Soreff S, Glen L Xiong. Suicide [Online]. Available from: https://emedicine.medscape.com/ article/2013085-overview#3. [2019 Feb 24].
Goldstein TR, Ha W, Axelson DA, Goldstein BI, Liao F, Gill MK, et al. Predictors of prospectively examined suicide attempts among youth with bipolar disorder. Arch Gen Psychiatry 2012;69:1113-22.
Department of Mental Health. Interesting topic in suicide 2005 [Online]. Available from:
https://www.dmh.go.th/news/view.asp?id=947. [2019 Feb 24].
Beck A. Cognitive therapy of depression. New York: The Guilford Press: 1979.
Shneidman ES. Suicide as psychache. J NervMent Dis 1993;181:145-7.
Korda RJ, Paige E, Yiengprugsawan V, Latz I, Friel S. Income-related inequalities in chronic conditions, physical functioning and psychological distress among older people in Australia: Cross-sectional findings from the 45 and up study. BMC Public Health 2014;14:741.
Sarkar S, Balhara YPS. Diabetes mellitus and suicide. Indian J Endocrinol Metab 2014:18(4):468-74.
Elamoshy R, Bird Y, Thorpe L, Moraros J. Risk of depression and suicidality among diabetic patients: A systematic review and meta-analysis. J Clin Med. 2018:7(11):445.
Igwe MN, Uwakwe R, Ahanotu CA, Onyeama GM, Bakare MO, Ndukuba AC. Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital. Afr Health Sci 2013;13(1):68-77.
Timonen M, Viilo K, Hakko H, Särkioja T, Ylikulju M, Meyer-Rochow VB, et al. Suicides in persons suffering from rheumatoid arthritis. Rheumatology 2003;42(2):287-91.
Zhu J, Xu L, Sun L, Li J, Qin W, Ding G, et al. Chronic disease, disability, psychological distress and suicide ideation among rural elderly: Results from a population survey in Shandong. Int J Environ Res Public Health. 2018 Aug;15(8):1604.
Department of Mental Health. Strategy plan of Mental Health Department. In: National Economic and Social Development Plan 12th(2017-2021) 2016 [Online]. Available from:
https://www.dmh.go.th/intranet/p2554/download/view.asp?id=159.[2019 Feb 24].
Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The Scale for Suicide Ideation. J Consult Clin Psychol 1979;47:343-52.
Australian Government the Department of Health. The Mental Health of Australians: the suicidality 2009 [Online]. Available from: http://www.health.gov.au/internet/publications/
publishing.nsf/Content/mental-pubs-m-mhaust-toc~mental-pubs-m-mhaust2-hig-sui. [2019 Feb 24].
Sriruenthong W, Kongsuk T, Pangchuntr W, Kittirattanapaiboon P, Kenbubpha K, Yingyeun R, et al. The Suicidality in Thai population. J Psychiatr Assoc Thailand 2011;56(4):413-24.
Suppaso P. The prevalence of depression among type 2 diabetic patients in PhangKhon Hospital. Srinagarind Med J 2010;25(4):272-9.
Department of Mental Health. Psychological assessment guideline for health care provider in community hospital (NCD clinic). 2nd. Nonthaburi: Department of Mental Health, Ministry of Public Health: 2015.
Roberson C. Suicide assessment and prevention. Ala Nures 2015-2016:42(4):8-14.
Lotrakul M. Suicide risk assessment. Ramathibodi Medical Journal 2010:34:187-9.
Igwe MN, Uwakwe R< Ahanotu CA, Onyeama GM, Bakare MO, Ndukuba AC. Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital. Afr Health Sci 2013 Mar;13(1):68-77.
Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis with readings. Englewood Cliffs, NJ: Prentice-Hall; 1998.
Sheehan DV, Lecrubier Y, Harnett-Sheehan K, Janavs J, Weiller E, Bonara LI, et al. Reliability and validity of the Mini International Neuropsychiatric Interview (M.I.N.I.): According to the SCID-P. Eur Psychiatry 1997;12(5):232-41.
Kittirattanapaiboon P, Khamwongpin M. The validity of the Mini International Neuropsychiatric Interview (M.I.N.I.)-Thai version. Journal of Mental Health of Thailand. 2005:13:125-35.
Varnik P. Suicide in the world. Int J Environ Res Public Health 2012;9(3):760-71.
Forsell Y. Death wishes in the very elderly: Data from a 3-year follow-up study. Acta Psychiatr Scand 2000;102(2):135-8.
Kharuhayothin T. Factors associated with depression in diabetic patients. Buddhachinaraj Medical Journal 2012; 29(3):321-6.
Department of Mental Health. Guidebook for prevention and management suicidal problem of village health volunteer (HITAP). Nonthaburi: Department of Mental Health, Ministry of Public Health.
Mackenzie TB, Popkin MK. Suicide in the medical patient. Int J Psych Med 1987;17(1):3-22.
Lee HY, Hahm MI, Lee SG. Risk of Suicide ideation in diabetes varies by diabetes regimen, diabetes duration, and HbA1c level. J Psychosom Res 2014;76:275-9.
Beck A. Depression: Clinical, experimental, and theoretical aspects. New York: Hoeber Medical Division; 1967.
Harris EC, Barraclough BM. Suicide as an outcome for medical disorders. Medicine 1994;73(6):281-8.
Singhal A, Ross J, Seminog O, Hawton K, Goldacre MJ. Risk of self-harm and suicide in people with specific psychiatric and physical disorders: comparisons between disorders using English national record linkage. J R Soc Med 2014;107(5):194-204.
Nandidarbha R. Suicide risk among patients from the internal medicine ward of Nakornping Hospital. APPJ 2016;32(1):1-15. (in Thai)
Charoensri H, Khiewyoo J. Suicidal risk prevalence and factors related to suicidal risk among people in Ben Tak District, Tak Province. KKU RESEARCH J 2017;17(3):77-93.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.