Citation

Khan TM, Sulaiman SA, Hassali MA. Arch. Med. Sci. 2012; 8(4): 697-703.

Affiliation

College of Clinical Pharmacy, King Faisal University, Alahsa, Saudi Arabia.

Copyright

(Copyright © 2012, Termedia Publishing House)

DOI

10.5114/aoms.2012.28601

PMID

23056083

Abstract

INTRODUCTION: This study aims to highlight the factors associated with suicidal behavior among patients with depressive disorders. MATERIAL AND METHODS: A retrospective (Jan 2002 - Dec 2007) evaluation of medical records was done at the psychiatric clinic at the Penang (Malaysia) Public Hospital. Data was analyzed using Statistical Package for Social Science SPSS version 13(®). Chi-square (χ(2)) test was used to assess the association among variables. Odds ratios were calculated. Multiple logistic regression was applied to identify the predictors for suicidal behavior. RESULTS: Of 298 patients, 99 patients reported having thoughts of suicide. Overall, female respondents, particularly Chinese, constituted the majority reporting suicidal thoughts (p = 0.01). Cigarette (p < 0.01) and alcohol use (p < 0.01) were found to be associated with suicidal ideation. Among patients with medical comorbidities, diabetics were at a high risk for suicidal thoughts (odds ratio - OR = 1.05, 95% confidence interval - CI 0.45-2.46). In terms of social problems, marital and relationship difficulties were the main risk factors (OR = 2.03, 95% CI: 1.16-3.58). The significant predictors for suicidal behavior were found to be smoking and alcohol use (adjusted R(2) = 0.39, F change = 75.55, p < 0.01). CONCLUSIONS: Chinese females were found at higher risk of suicidal ideation, as were smokers and alcohol users. The elderly aged 50 and over were also at a higher risk, followed by adolescents and youths aged 15-24 years. Comorbid medical complications and social problems were other factors that may contribute to suicidal ideation among the patients with depressive disorders.

Language: en