Psychiatric Disorders among Suicidal Behavior Patients Attending Mental Health Facilities: A Descriptive Crosssectional Study

摘要

Background : Suicide is a leading cause of death worldwide. This is the first study in Bangladesh to find out the psychiatric morbidity profile and suicidal behavior. The study was aimed to delineate the types of suicidal behavior and the psychiatric morbidity profile, and sociodemographic status of patients. Methods : A descriptive cross-sectional study was done in Depatrment of Psychiatry, Cumilla Medical College, Cumilla from October 2015 to March 2017. A total 120 patient aged 9 to 40 years who fulfilled the enrolment criteria included in the study. The Composite International Diagnostic Interview (CIDI) module was used to assess the suicidal behavior. DSM-5 was used to diagnose the psychiatric disorders. Semi structural questionnaire were used for collecting information about the risk factors for psychiatric morbidity and sociodemographic information. Result: Of 120 suicidal behavior patients’ psychiatric disorders was 65%. Among suicidal behavior patients neurotic disorders was 19%, psychotic disorders was 15%, personality disorders was 39% and others disorder was 27%. Among 78 psychiatric patients borderline personality disorder was 25.64%, adjustment disorders were 15.38%, mood disorders were 11.53%, psychotic disorder was 7.69%, multiple personality disorder and oppositional defiant disorder were 6.42%, hystrionic personality disorder and substance use disorder were 3.84%, antisocial personality disorder, conduct disorder and anxiety disorder were 2.57%, and composite disorder was 11.53%. Among suicidal behavior in psychiatric patients suicidal ideation was 54, suicidal plan was 13, suicidal attempt was 45 , ideators only proceeded to plan was 17, ideation to attempt was 59. Among suicidal behavior in total 120 participants suicidal ideation was 84, suicidal plan was 19, suicidal attempt was 56, ideators only proceeded to plan was 26, ideation to attempt was 76, planned attempt was 14 and impulsive attempt was 62. Most of the suicidal behavior participants were female (77.5%) and age group of 24 years (60%). Conclusions : Psychiatric disorders are important risk factors for the onset and persistence of suicidal behaviour, with this risk being the greatest in childhood, and early adult.