Assessment of Suicidal Triggers of Depression among Adulthood at Sir Cowasjee Hospital Hyderabad: A Cross Sectional Study

Tasleem Akhtar; Parveen Akhtar; Binafsha Manzoor Syed; Gobind Rai; Sana Areej; Mansoor Ul Haq

doi:10.70749/ijbr.v2i02.245

Authors

Tasleem Akhtar People's Nursing School, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Parveen Akhtar People's Nursing School, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Binafsha Manzoor Syed Clinical Research Division, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Gobind Rai Liaquat College of Nursing, Jamshoro, Sindh, Pakistan.
Sana Areej People's Nursing School, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Mansoor Ul Haq People's Nursing School, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v2i02.245

Keywords:

Suicidal Triggers, Suicidal Ideation, Depression

Abstract

Background: Suicide represents a significant public health issue, resulting in extensive social, economic, and emotional effects; annually Over 800,000 people lose their lives to suicide. with 78% occurring in low- and middle-income nations. The figures surrounding suicide among adolescents are particularly alarming: in 2015, it was the second leading cause of death for people aged 15 to 29 globally (World Health Organization, 2018). Objective: To measure the magnitude of the suicidal triggers associated with depression among adults at Sir Cowasjee Hospital, Hyderabad. Methodology: A descriptive cross sectional study was conducted on 326 patients of depression at Sir Cowasjee Institute of Psychiatric Hospital, Hyderabad. Using simple random sampling. Frequencies and percentages were calculated for categorical variables, suicide crisis inventory questionnaire was transformed into scores, multiple linear regression was run to predict significant suicidal triggers of depression value less than 0.05 was considered significant. Results: Demographic triggers of suicidal ideation among depression patients were Illiteracy, low level of education, urban residency, marital conflicts, cheap labor, challenging own business, low monthly income are the main suicidal triggers among depressed adults. Early detection of depressive symptoms is vital in providing early treatment and prevention of suicide. Conclusion: Suicidal crises have been predominantly affecting the daily life activities of adolescents with depression. Early detection of depressive symptoms is vital in providing early treatment and prevention of suicide. There is a need to develop a comprehensive mental health policy to create awareness and curb this suicidal crisis among adults in order to make them productive assets to society.

References

Rosa, G. S. da, Andrades, G. S., Caye, A., Hidalgo, M. P., Oliveira, M. A. B. de, & Pilz, L. K. (2019). Thirteen Reasons Why: The impact of suicide portrayal on adolescents’ mental health. Journal of Psychiatric Research, 108(0022-3956), 2–6. https://doi.org/10.1016/j.jpsychires.2018.10.018

Cai, H., Xie, X.-M., Zhang, Q., Cui, X., Lin, J.-X., Sim, K., Ungvari, G. S., Zhang, L., & Xiang, Y.-T. (2021). Prevalence of Suicidality in Major Depressive Disorder: A Systematic Review and Meta-Analysis of Comparative Studies. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.690130

Abdu, Z., Hajure, M., & Desalegn, D. (2020). Suicidal Behavior and Associated Factors Among Students in Mettu University, South West Ethiopia, 2019: An Institutional Based Cross-Sectional Study. Psychology Research and Behavior Management, Volume 13, 233–243. https://doi.org/10.2147/prbm.s240827

Desalegn, G. T., Wondie, M., Dereje, S., & Addisu, A. (2020). Suicide ideation, attempt, and determinants among medical students Northwest Ethiopia: an institution-based cross-sectional study. Annals of General Psychiatry, 19(1). https://doi.org/10.1186/s12991-020-00295-2

Beautrais, A. L. (2000). Risk Factors for Suicide and Attempted Suicide among Young People. Australian & New Zealand Journal of Psychiatry, 34(3), 420–436. https://doi.org/10.1080/j.1440-1614.2000.00691.x

Wagenaar, B. H., Hagaman, A. K., Kaiser, B. N., McLean, K. E., & Kohrt, B. A. (2012). Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti. BMC Psychiatry, 12(1). https://doi.org/10.1186/1471-244x-12-149

Blazer D, Burchett B, Service C, George LK. The association of age and depression among the elderly: An epidemiologic exploration. Journals Gerontol. 1991;46(6).

Teoh, K. R.-H., Dunning, A., Taylor, A. K., Gopfert, A., Chew-Graham, C. A., Spiers, J., Appleby, L., Hove, M. V., Buszewicz, M., & Riley, R. (2024). Working conditions, psychological distress and suicidal ideation: cross-sectional survey study of UK junior doctors. BJPsych Open, 10(1), e14. https://doi.org/10.1192/bjo.2023.619

Pompili, M. (2019). Critical appraisal of major depression with suicidal ideation. Annals of General Psychiatry, 18(1). https://doi.org/10.1186/s12991-019-0232-8

Su, Y., Ye, C., Qin, X., & Si, T. (2023). Major depressive disorder with suicidal ideation or behavior in Chinese population: A scoping review of current evidence on disease assessment, burden, treatment and risk factors. Journal of Affective Disorders, 340, 732–742. https://doi.org/10.1016/j.jad.2023.08.106

Kalin, N. H. (2021). Anxiety, Depression, and Suicide in Youth. American Journal of Psychiatry, 178(4), 275–279. https://doi.org/10.1176/appi.ajp.2020.21020186

Orsolini, L., Latini, R., Pompili, M., Serafini, G., Volpe, U., Vellante, F., Fornaro, M., Valchera, A., Tomasetti, C., Fraticelli, S., Alessandrini, M., La Rovere, R., Trotta, S., Martinotti, G., Di Giannantonio, M., & De Berardis, D. (2020). Understanding the Complex of Suicide in Depression: from Research to Clinics. Psychiatry Investigation, 17(3), 207–221. https://doi.org/10.30773/pi.2019.0171

Galynker, I., Yaseen, Z. S., Cohen, A., Benhamou, O., Hawes, M., & Briggs, J. (2016). Prediction of suicidal behavior in high risk psychiatric patients using an assessment of acute suicidal state: The suicide crisis inventory. Depression and Anxiety, 34(2), 147–158. https://doi.org/10.1002/da.22559

Kurniawan, D., Fitriawan, A. S., Susanti, B. A. D., Firdaus, I., Suparmanto, G., Kafil, R. F., Wulandari, A. N., Setyaningsih, W. A. W., Puspitarini, Z., & Wijoyo, E. B. (2024). Predictors of suicidal behaviors among school-going adolescents: a cross sectional study in Indonesia. Middle East Current Psychiatry, 31(1). https://doi.org/10.1186/s43045-024-00429-2

Marthoenis, M., & Yasir Arafat, S. M. (2022). Rate and Associated Factors of Suicidal Behavior among Adolescents in Bangladesh and Indonesia: Global School‐Based Student Health Survey Data Analysis. Scientifica, 2022, 1–7. https://doi.org/10.1155/2022/8625345

Szanto, K., Galfalvy, H., Kenneally, L., Almasi, R., & Dombrovski, A. Y. (2020). Predictors of serious suicidal behavior in late-life depression. European Neuropsychopharmacology, 40, 85–98. https://doi.org/10.1016/j.euroneuro.2020.06.005

Vanyukov, P. M., Szanto, K., Hallquist, M., Moitra, M., & Dombrovski, A. Y. (2016). Perceived burdensomeness is associated with low-lethality suicide attempts, dysfunctional interpersonal style, and younger rather than older age. International Journal of Geriatric Psychiatry, 32(7), 788–797. https://doi.org/10.1002/gps.4526

Li, L., Sun, W., Luo, J., & Huang, H. (2022). Associations between education levels and prevalence of depressive symptoms: NHANES (2005–2018). Journal of Affective Disorders, 301, 360–367. https://doi.org/10.1016/j.jad.2022.01.010

Rosoff, D. B., Kaminsky, Z. A., McIntosh, A. M., Davey Smith, G., & Lohoff, F. W. (2020). Educational attainment reduces the risk of suicide attempt among individuals with and without psychiatric disorders independent of cognition: a bidirectional and multivariable Mendelian randomization study with more than 815,000 participants. Translational Psychiatry, 10(1), 1–15. https://doi.org/10.1038/s41398-020-01047-2

Cheng, J. et al., (2023). Pridictors of suicidal ideation in adolescent patients with depression in rural areas. Journal of Affective Disorders119(1), 115-121.

Szanto, K., Galfalvy, H., Vanyukov, P. M., Keilp, J. G., & Dombrovski, A. Y. (2018). Pathways to Late-Life Suicidal Behavior. The Journal of Clinical Psychiatry, 79(2), 17m11611. https://doi.org/10.4088/jcp.17m11611

Szücs, A., Szanto, K., Wright, A. G. C., & Dombrovski, A. Y. (2020). Personality of late‐ and early‐onset elderly suicide attempters. International Journal of Geriatric Psychiatry, 35(4), 384–395. https://doi.org/10.1002/gps.5254

Xue, S., Hodsoll, J., Khoso, A. B., Husain, M. O., Chaudhry, I. B., Young, A. H., Zaheer, J., Husain, N., & Mulsant, B. (2021). Suicidality in patients with bipolar depression: findings from a lower middle-income country. BJPsych Open, 7(S1), S61–S61. https://doi.org/10.1192/bjo.2021.207

Shah, A., Khan, I., Aziz, A., Ullah, I., & Asim, M. (2024). CROSS SECTIONAL STUDY ON PROTECTIVE FACTORS AGAINST SUICIDE IN INDIVIDUALS WITH SEVERE DEPRESSION. Journal of Pakistan Psychiatric Society, 21(02). https://doi.org/10.63050/jpps.21.02.366

Murphy, E., Kapur, N., Webb, R., Purandare, N., Hawton, K., Bergen, H., Waters, K., & Cooper, J. (2012). Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study. British Journal of Psychiatry, 200(5), 399–404. https://doi.org/10.1192/bjp.bp.111.094177