Main Article Content
Abstract
Background: Suicide is a major concern worldwide. Understanding the various methods and tools used for suicide is crucial for developing effective preventive strategies. The objective of this study is to investigate and assess methods of suicide in Sudan.
Methods: This study is a cross-sectional hospital-based investigation of individuals who presented with attempted suicide at the Emergency Departments of four major general hospitals in Khartoum State, Sudan. The study was conducted between January 2014 and December 2014. A total of 200 respondents agreed to participate in the study and completed a questionnaire covering various topics, including methods of attempted suicide.
Results: Hair dye was the major method of attempted suicide (79%, N= 158), followed by drug overdose (13.5%, N=27). There is a significant relationship between the methods used for suicide, age, and gender.
Conclusion: Restricting access to commonly used and highly lethal methods of suicide is highly effective in reducing the overall number of suicides. It is important to implement this strategy along with other suicide prevention measures to achieve the best results.
Keywords
Article Details
References
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- Bachmann S. (2018). Epidemiology of suicide and the psychiatric perspective. International Journal of Environmental Research and Public Health, 15(7), 1425. https://doi.org/10.3390/ijerph15071425
- Elgamel, A., & Ahmed, N. (2013). Complications and management of hair dye poisoning in Khartoum. Sudan Medical Monitor, 8(3), 146-152. https://doi.org/10.4103/1858-5000.132603
- Fawzi, M., Fawzi, M., & Abu Hindi, W. (2012). Arabic version of the Major Depression Inventory as a diagnostic tool: reliability and concurrent and discriminant validity. EMHJ-Eastern Mediterranean Health Journal, 18 (4), 304-310. https://iris.who.int/handle/10665/118314
- Hamid M, Thron C, Fageeri S. Demographics of Sudanese university students in relation to regional conflict and underdevelopment. Social Sciences, 10(3), 89. https://doi.org/10.3390/socsci10030089
- Hautzinger, M. (1991). The beck depression inventory in clinical practice. Der Nervenarzt, 62(11), 689-696.
- Hawton, K. (2002). Studying survivors of nearly lethal suicide attempts: An important strategy in suicide research. Suicide and Life‐Threatening Behavior, 32, 76-84. https://doi.org/10.1521/suli.32.1.5.76.24215
- Johnson, R. M., & Coyne-Beasley, T. (2009). Lethal means reduction: What have we learned? Current Opinion In Pediatrics, 21(5), 635–640. https://doi.org/10.1097/MOP.0b013e32833057d0
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- Kay, S. R., Opler, L. A., & Lindenmayer, J. P. (1988). Reliability and validity of the positive and negative syndrome scale for schizophrenics. Psychiatry Research, 23(1), 99–110. https://doi.org/10.1016/0165-1781(88)90038-8
- Kyu, H. H., Pinho, C., Wagner, J. A., Brown, J. C., Bertozzi-Villa, A., Charlson, F. J., Coffeng, L. E., Dandona, L., Erskine, H. E., & Ferrari, A. J. (2016). Global and national burden of diseases and injuries among children and adolescents between 1990 and 2013: Findings from the global burden of disease 2013 study. JAMA pediatrics, 170(3), 267-287. https://doi.org/10.1001/jamapediatrics.2015.4276
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- Pantuliano, S., Buchanan-Smith, M., Metcalfe, V., Pavanello, S., & Martin, E. (2011). City limits: Urbanisation and Vulnerability in Sudan Synthesis Report. https://www.ircwash.org/resources/city-limits-urbanisation-and-vulnerability-sudan-synthesis-report
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- Putowski, M., Piróg, M., Podgórniak, M., Zawiślak, J., & Piecewicz-Szczęsna, H. (2015). Analiza epidemiologiczna występowania samobójstw w Polsce w latach 2000-2013. Probl Hig Epidemiol, 96(1), 264-268. http://www.phie.pl/pdf/phe-2015/phe-2015-1-264.pdf
- Sarchiapone, M., Mandelli, L., Iosue, M., Andrisano, C., & Roy, A. (2011). Controlling Access to Suicide Means. International Journal of Environmental Research and Public Health, 8(12), 4550-4562. https://doi.org/https://doi.org/10.3390/ijerph8124550
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- United Nations Population Fund (2019). World Population Dashboard. https://www.unfpa.org/data/world-population/SD Population Fund: World Population Dashboard. New York; 2019. Accessed on June 2021
- Värnik, A., Kõlves, K., van der Feltz-Cornelis, C. M., Marusic, A., Oskarsson, H., Palmer, A., Reisch, T., Scheerder, G., Arensman, E., Aromaa, E., Giupponi, G., Gusmäo, R., Maxwell, M., Pull, C., Szekely, A., Sola, V. P., & Hegerl, U. (2008). Suicide methods in Europe: A gender-specific analysis of countries participating in the "European Alliance Against Depression". Journal of epidemiology and community health, 62(6), 545–551. https://doi.org/10.1136/jech.2007.065391
- World Health Organisation. (2018, May 8). Household air pollution and health. https://www.who.int/news-room/fact-sheets/detail/household-air-pollution-and-health
- World Health Organization. (2014). Preventing Suicide: A Global Imperative. https://apps.who.int/iris/bitstream/handle/10665/131056/97892?sequence=1
- World Health Organization. (2019). Suicide in the world: Global health estimates. who-msd-mer-19.3-eng.pdf
- Zetterqvist, M. (2015). The DSM-5 diagnosis of nonsuicidal self-injury disorder: A review of the empirical literature. Child and Adolescent Psychiatry and Mental Health, 9(1), 31. https://doi.org/10.1186/s13034-015-0062-7
References
Ajdacic-Gross, V., Weiss, M. G., Ring, M., Hepp, U., Bopp, M., Gutzwiller, F., & Rössler, W. (2008). Methods of suicide: International suicide patterns derived from the WHO mortality database. Bulletin of the World Health Organization, 86(9), 726–732. https://doi.org/10.2471/blt.07.043489
Bachmann S. (2018). Epidemiology of suicide and the psychiatric perspective. International Journal of Environmental Research and Public Health, 15(7), 1425. https://doi.org/10.3390/ijerph15071425
Elgamel, A., & Ahmed, N. (2013). Complications and management of hair dye poisoning in Khartoum. Sudan Medical Monitor, 8(3), 146-152. https://doi.org/10.4103/1858-5000.132603
Fawzi, M., Fawzi, M., & Abu Hindi, W. (2012). Arabic version of the Major Depression Inventory as a diagnostic tool: reliability and concurrent and discriminant validity. EMHJ-Eastern Mediterranean Health Journal, 18 (4), 304-310. https://iris.who.int/handle/10665/118314
Hamid M, Thron C, Fageeri S. Demographics of Sudanese university students in relation to regional conflict and underdevelopment. Social Sciences, 10(3), 89. https://doi.org/10.3390/socsci10030089
Hautzinger, M. (1991). The beck depression inventory in clinical practice. Der Nervenarzt, 62(11), 689-696.
Hawton, K. (2002). Studying survivors of nearly lethal suicide attempts: An important strategy in suicide research. Suicide and Life‐Threatening Behavior, 32, 76-84. https://doi.org/10.1521/suli.32.1.5.76.24215
Johnson, R. M., & Coyne-Beasley, T. (2009). Lethal means reduction: What have we learned? Current Opinion In Pediatrics, 21(5), 635–640. https://doi.org/10.1097/MOP.0b013e32833057d0
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276. https://doi.org/10.1093/schbul/13.2.261
Kay, S. R., Opler, L. A., & Lindenmayer, J. P. (1988). Reliability and validity of the positive and negative syndrome scale for schizophrenics. Psychiatry Research, 23(1), 99–110. https://doi.org/10.1016/0165-1781(88)90038-8
Kyu, H. H., Pinho, C., Wagner, J. A., Brown, J. C., Bertozzi-Villa, A., Charlson, F. J., Coffeng, L. E., Dandona, L., Erskine, H. E., & Ferrari, A. J. (2016). Global and national burden of diseases and injuries among children and adolescents between 1990 and 2013: Findings from the global burden of disease 2013 study. JAMA pediatrics, 170(3), 267-287. https://doi.org/10.1001/jamapediatrics.2015.4276
La Vecchia, C., Lucchini, F., & Levi, F. (1994). Worldwide trends in suicide mortality, 1955-1989. Acta Psychiatrica Scandinavica, 90(1), 53–64. https://doi.org/10.1111/j.1600-0447.1994.tb01556.x
Lim, M., Lee, S. U., & Park, J. I. (2014). Difference in suicide methods used between suicide attempters and suicide completers. International Journal of Mental Health Systems, 8(1), 54. https://doi.org/10.1186/1752-4458-8-54
O'Connor, R. C., O'carroll, R. E., Ryan, C., & Smyth, R. (2012). Self-regulation of unattainable goals in suicide attempters: A two-year prospective study. Journal of Affective Disorders, 142(1-3), 248-255. https://doi.org/10.1016/j.jad.2012.04.035
Pantuliano, S., Buchanan-Smith, M., Metcalfe, V., Pavanello, S., & Martin, E. (2011). City limits: Urbanisation and Vulnerability in Sudan Synthesis Report. https://www.ircwash.org/resources/city-limits-urbanisation-and-vulnerability-sudan-synthesis-report
Paris J. (2006). Predicting and preventing suicide: do we know enough to do either? Harvard Review of Psychiatry, 14(5), 233–240. https://doi.org/10.1080/10673220600968662
Putowski, M., Piróg, M., Podgórniak, M., Zawiślak, J., & Piecewicz-Szczęsna, H. (2015). Analiza epidemiologiczna występowania samobójstw w Polsce w latach 2000-2013. Probl Hig Epidemiol, 96(1), 264-268. http://www.phie.pl/pdf/phe-2015/phe-2015-1-264.pdf
Sarchiapone, M., Mandelli, L., Iosue, M., Andrisano, C., & Roy, A. (2011). Controlling Access to Suicide Means. International Journal of Environmental Research and Public Health, 8(12), 4550-4562. https://doi.org/https://doi.org/10.3390/ijerph8124550
Shah, A., & Buckley, L. (2011). The current status of methods used by the elderly for suicides in England and Wales. Journal of Injury and Violence Research, 3(2), 68. https://doi.org/http://dx.doi.org/10.5249/jivr.v3i2.78
Spicer, R. S., & Miller, T. R. (2000). Suicide acts in 8 states: incidence and case fatality rates by demographics and method. American Journal of Public Health, 90(12), 1885–1891. https://doi.org/10.2105/ajph.90.12.1885
United Nations Department of Economic and Social Affairs. (2022). World Population Prospects 2022. https://population.un.org/wpp/. Accessed on June 2023
United Nations Population Fund (2019). World Population Dashboard. https://www.unfpa.org/data/world-population/SD Population Fund: World Population Dashboard. New York; 2019. Accessed on June 2021
Värnik, A., Kõlves, K., van der Feltz-Cornelis, C. M., Marusic, A., Oskarsson, H., Palmer, A., Reisch, T., Scheerder, G., Arensman, E., Aromaa, E., Giupponi, G., Gusmäo, R., Maxwell, M., Pull, C., Szekely, A., Sola, V. P., & Hegerl, U. (2008). Suicide methods in Europe: A gender-specific analysis of countries participating in the "European Alliance Against Depression". Journal of epidemiology and community health, 62(6), 545–551. https://doi.org/10.1136/jech.2007.065391
World Health Organisation. (2018, May 8). Household air pollution and health. https://www.who.int/news-room/fact-sheets/detail/household-air-pollution-and-health
World Health Organization. (2014). Preventing Suicide: A Global Imperative. https://apps.who.int/iris/bitstream/handle/10665/131056/97892?sequence=1
World Health Organization. (2019). Suicide in the world: Global health estimates. who-msd-mer-19.3-eng.pdf
Zetterqvist, M. (2015). The DSM-5 diagnosis of nonsuicidal self-injury disorder: A review of the empirical literature. Child and Adolescent Psychiatry and Mental Health, 9(1), 31. https://doi.org/10.1186/s13034-015-0062-7