Incidence of Suicidal Attempts at Emergency Department Khon Kaen Hospital During the COVID-19 Pandemic

Main Article Content

Patipan Thongsri
ratrawee pattanarattanamolee
Pinchanok Puttalaka

Abstract

Background and objective: Suicide is a major health problem globally and causes of premature deaths. Suicide rate and method vary depending on the various factors including sex, age and society. Suicide rate in Khon Kaen province, Thailand, has increased in the recent year. Study of suicidal attempt incidence and methods could promote healthcare workers to understand and prepare for initial treatment properly, especially when the COVID-19 pandemic has been involved. This study aimed to study the incidence and method of suicide in order to understand the suicidal behavior which would help to prevent the suicidal event, and prepare to handle the treatable cause of suicidal attempt.


Methods: A retrospective descriptive study. All data were collected from medical records of suicidal attempts patients, who visited Emergency Department (ED) at Khon Kaen Hospital between March 2020 and July 2021. The descriptive statistics were used for all data analyzed.


Results: There were 408 suicide attempted cases. The majority were female (53.2%), age group between 15 and 24 (32.8%), single status (64.2%), employee (48.5%). The major methods were drug overdose (39.0%) and chemical substances (33.8%). Acetaminophen and toilet cleaners were dominantly agent for suicidal method.


Conclusion: The incidence of patients who attempt suicide during the COVID-19 was 30 %. Female and age group of 15 and 24 are dominant factor. Drug overdose and chemical substances used were the most common method of suicide.

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How to Cite
1.
Thongsri P, pattanarattanamolee ratrawee, Puttalaka P. Incidence of Suicidal Attempts at Emergency Department Khon Kaen Hospital During the COVID-19 Pandemic . SRIMEDJ [Internet]. 2022 Apr. 28 [cited 2023 Feb. 7];37(2):146-53. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/253543
Section
Original Articles
Author Biographies

Patipan Thongsri, Emergency department of Khon Kaen hospital

The Third-year resident of the emergency department.

Pinchanok Puttalaka, Khon Kaen Hospital

Attending medical staff of the emergency department. 

References

Saxena S, Krug EG, Chestnov O, World Health Organization, eds. Preventing Suicide: A Global Imperative. World Health Organization; 2014.

กรมสุขภาพจิต กระทรวงสาธารณสุข. Published July 7, 2021. Accessed July 7, 2021. https://www.dmh.go.th/report/suicide/stat_prov.asp

หน่วยงานเวชระเบียนโรงพยาบาลขอนแก่น. รายงานผู้ป่วย Intentional self-harm ที่แผนกฉุกเฉินประจำเวร : ทุกเวร ประจำวันที่ 1 มค 2560 ถึง 31 ธค 2562. Published online มปป.

Jordans MJ, Kaufman A, Brenman NF, et al. Suicide in South Asia: a scoping review. BMC Psychiatry 2014;14(1):358. doi:10.1186/s12888-014-0358-9

การระบาดทั่วของโควิด-19 ในประเทศไทย. ใน: วิกิพีเดีย. ; 2021. Accessed July 7, 2021. https://th.wikipedia.org/w/index.php?title=%E0%B8%81%E0%B8%B2%E0%B8%A3%E0%B8%A3%E0%B8%B0%E0%B8%9A%E0%B8%B2%E0%B8%94%E0%B8%97%E0%B8%B1%E0%B9%88%E0%B8%A7%E0%B8%82%E0%B8%AD%E0%B8%87%E0%B9%82%E0%B8%84%E0%B8%A7%E0%B8%B4%E0%B8%94-19_%E0%B9%83%E0%B8%99%E0%B8%9B%E0%B8%A3%E0%B8%B0%E0%B9%80%E0%B8%97%E0%B8%A8%E0%B9%84%E0%B8%97%E0%B8%A2&oldid=9496569

รัฐบาลประกาศ พ.ร.ก.ฉุกเฉิน สกัดโควิด-19 วันพฤหัสบดีนี้. BBC News ไทย. [Accessed July 17, 2021]. Available from: https://www.bbc.com/thai/thailand-52014435.

โควิด-19 : จน เครียด ฆ่าตัวตาย. BBC News ไทย. [Accessed July 17, 2021]. Available from: https://www.bbc.com/thai/thailand-52562321. Published July 7, 2021.

Daniel, Wayne W.: Biostatistics — A Foundations for Analysis in the Health Sciences. Wiley & Sons, New York—Chichester—Brisbane—Toronto—Singapore, 6th ed. 1995, 780 S., £58.—, ISBN 0–471–58852‐0 (cloth) - Enderlein - 1995 - Biometrical Journal - Wiley Online Library. Published July 7, 2021. [Accessed July 7, 2021]. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/bimj.4710370610

Shrestha R, Siwakoti S, Singh S, Shrestha AP. Impact of the COVID-19 pandemic on suicide and self-harm among patients presenting to the emergency department of a teaching hospital in Nepal. PLos ONE 2021;16(4):e0250706. doi:10.1371/journal.pone.0250706

Canner JK, Giuliano K, Selvarajah S, Hammond ER, Schneider EB. Emergency department visits for attempted suicide and self harm in the USA: 2006–2013. Epidemiol Psychiatr Sci 2018;27(1):94-102. doi:10.1017/S2045796016000871

Mirahmadizadeh A, Rezaei F, Mokhtari AM, Gholamzadeh S, Baseri A. Epidemiology of suicide attempts and deaths: a population-based study in Fars, Iran (2011–16). J Public Health 2020;42(1):e1-e11. doi:10.1093/pubmed/fdy218

Serisathien P, Ucharatana W, Boonchome R. An Epidemiological Study of Suicidal Attempt Patients in Governmental Hospitals at Rayong Province. J Psychiatr Assoc Thai 1998;43(1):14-21.

Boonrut T. Suicidal Behaviors of Patients in Psychiatric Clinic in Hatyai Hospital. Reg 11 Med J 2016;30(1):101-9.

Aiamsaart N, Thaweeses P. Epidemiological Study of Suicidal Attempt And Completed Suicide Patients at Phra Phutthabat Hospital. Department of Health Service Support J 2020; 16(3): 23-30.

Lortrakul M. Suicide trends in Thailand: categorized by age and gender. J Psychiatr Assoc Thai 1998;43(1):67-83.

Schrijvers DL, Bollen J, Sabbe BGC. The gender paradox in suicidal behavior and its impact on the suicidal process. J Affect Disord 2012;138(1):19-26. doi:10.1016/j.jad.2011.03.050

Sukhawaha S, Arunpongpaisal S. Risk factor and suicide theory associated with suicide in adolescents: A narrative reviews. J Psychiatr Assoc Thai 2017;62(4):359-378.

Bachmann S. Epidemiology of suicide and the psychiatric perspective. Int J Environ Res Public Health 2018;15:1425. doi:10.3390/ijerph15071425

Pompili M, Serafini G, Innamorati M, et al. Suicidal Behavior and Alcohol Abuse. Int J Environ Res Public Health 2010;7(4):1392-431. doi:10.3390/ijerph7041392

Prateepteranun W. Rate of suicide and factors related to suicidal behavior at chaophayayommarat hospital suphanburi province. The Journal of Psychiatric Nursing and Mental Health 2014;28(3):90-103.

Spiller HA, Ackerman JP, Smith GA, et al. Suicide attempts by self-poisoning in the United States among 10–25 year olds from 2000 to 2018: substances used, temporal changes and demographics. Clin Toxicol 2020;58(7):676-687. doi:10.1080/15563650.2019.1665182