Summary:
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.
Key Word: Suicide, Interpersonal Conflicts, Composite
International Diagnostic Interview (CIDI).
(J Bangladesh Coll Phys Surg 2019; 37: 130-134)
DOI: https://doi.org/10.3329/jbcps.v37i3.41735