The characteristics of suicide attempters in Chinese patients: Comparison of adolescents, youths, middle-aged and elderly

IF 1.2 4区 医学 Q3 MEDICINE, LEGAL Journal of forensic and legal medicine Pub Date : 2024-02-01 DOI:10.1016/j.jflm.2024.102658
Meijia Chen , Xinlu Wang , Yuxin Wang , Liya Ren , Hao Jiang , Lin Xia , Liping Zhang , Chaoqun Dong
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Abstract

Background

Potential risk factors for suicide differ by age group. Therefore, this study aims to investigate the characteristics of patients with suicide attempts according to age group and any the relevant risk factors.

Methods

This study retrospectively reviewed the medical records of attempted suicide patients who were admitted to the emergency departments (ED) of the First Affiliated Hospital of Wenzhou Medical University between January 1, 2017, and December 31, 2021. Demographic information and clinical characteristics were collected. The participants were divided into four age groups and the characteristics of each group were compared.

Results

A total of 834 participants were included in this study. Suicide attempts were more prevalent in females, and the gender difference decreased with age. Having religious belief and less educated suicide attempts were concentrated in the elderly groups. Adolescents suicide attempts were more likely to occur in the spring, autumn and during non-office hours. Mental disorders were the major motivation for suicide among adolescents, and interpersonal and social problems were more prevalent among youths. Psychiatric medication was the leading suicidal substances among adolescents, while pesticides and herbicides were more prevalent in adults. The history of psychiatric diagnosis was more common in adolescents, while the history of somatic disorder was more prevalent in the elderly.

Conclusion

This study confirmed differences in the demographic and clinical characteristics of patients in different age groups. Therefore, it is necessary to construct individualized intervention strategies for each age group based on the characteristics of the patients in order to reduce suicide.

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中国患者中自杀企图者的特征:少年、青年、中年和老年自杀者的比较
背景不同年龄组的自杀潜在风险因素各不相同。因此,本研究旨在调查不同年龄段自杀未遂患者的特征,以及相关的风险因素。方法本研究回顾性分析了温州医科大学附属第一医院急诊科(ED)在2017年1月1日至2021年12月31日期间收治的自杀未遂患者的病历。研究人员收集了这些患者的人口统计学信息和临床特征。将参与者分为四个年龄组,并比较各组的特征。自杀未遂者以女性居多,性别差异随年龄增长而减小。有宗教信仰和受教育程度较低的自杀未遂者主要集中在老年人群体中。青少年自杀未遂多发生在春季、秋季和非上班时间。精神障碍是青少年自杀的主要动机,人际关系和社会问题在青少年中更为普遍。精神药物是青少年的主要自杀物质,而杀虫剂和除草剂在成年人中更为普遍。结论:本研究证实了不同年龄组患者在人口统计学和临床特征方面的差异。因此,有必要根据不同年龄段患者的特点,为其制定个性化的干预策略,以减少自杀现象的发生。
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来源期刊
CiteScore
2.70
自引率
6.70%
发文量
106
审稿时长
57 days
期刊介绍: The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.
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