Persons with an established psychiatric diagnosis among those who committed suicide by self-hanging and falling from a height (based on the example of city of Ryazan, Ryazan and Rybnovsky regions)

Автор: A.V. Merinov, Z.E. Gazaryan, A.V. Kosyreva, S.V. Nagibina, V.V. Komarov

Журнал: Суицидология @suicidology

Статья в выпуске: 2 (55) т.15, 2024 года.

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At the moment, there are only a few works concerning the post-mortem assessment of previously given psychiatric diagnoses of persons who subsequently committed suicide. Aims of the study: to study the representation of established psychiatric diagnoses among those who committed suicide by self-hanging and jumping from a height in 2013-2015 and 2019-2021 (using the example of city of Ryazan, Ryazan and Rybnovsky districts). Materials and methods: more than 20 thousand death reports were analyzed, of which 540 were selected, including ICD-10 codes for two causes of death: hanging, strangulation and strangulation with undetermined intentions (ICD-10 code - Y20) and intentional self-harm by jumping from height (ICD-10 code – X80). At the second stage of the study, the data of the deceased was compared with the databases of those who had previously sought psychiatric or drug treatment at the State Budgetary Institution of the Russian Federation “Regional Clinical Psychiatric Hospital named after. N.N. Bazhenov" and State Budgetary Institution of Ryazan Region "Regional Clinical Narcological Dispensary", which established a psychiatric or drug addiction diagnosis. Results. Of the total number of observations (540 reports), lifetime psychiatric and drug addiction diagnoses were found in 26.5% (143 reports). Of the 406 dead men, 109 (26.9%) had a verified diagnosis; in the female group this figure was 25.4% (34 cases out of 134 observations). During the time periods under consideration, with an annual assessment, there is a significant scatter in the values of the studied parameter (from 0 to 60%), which was significantly smoothed out when the assessed periods were enlarged to three years, being in the range of 20-36%. The frequency of detection of intravital psychiatric or drug addiction diagnoses does not have a significant connection with the method of suicide (falling from a height and self-hanging) and the gender of the victims. In the group of men who committed suicide, the most frequently encountered diagnostic categories were (in descending order of values): F10 (Mental and behavioral disorders caused by alcohol use), F00-09 (Organic, including symptomatic, mental disorders), F11-19 (Mental disorders and behavioral disorders associated with (caused by) the use of psychoactive substances), F20-29 (Schizophrenia, schizotypal and delusional disorders). In the female group, a similar list is as follows: F00-09 (Organic, including symptomatic, mental disorders), F20-29 (Schizophrenia, schizotypal and delusional disorders), F10 (Mental and behavioral disorders caused by alcohol consumption), F30-39 (Mood disorders (affective disorders)). The method of suicide did not have a significant impact on the identified rating of diagnoses, and no noticeable differences were found in the time periods assessed (2013-2015 and 2019-2021). Conclusions: The frequency of certain diagnostic categories is expectedly associated not only with their “index” of prospective suicidogenicity: to a large extent, these values are determined by their prevalence and the likelihood of seeking (voluntary or involuntary) specialized medical care.

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Suicidology, suicide, suicide, lifetime psychiatric diagnoses in those who committed suicide

Короткий адрес: https://sciup.org/140306973

IDR: 140306973   |   DOI: 10.32878/suiciderus.24-15-02(55)-76-93

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