| 1. |
- Alsén, Margot, et al.
(författare)
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Medicine self-poisoning and the sources of the drugs in Lund, Sweden
- 1994
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Ingår i: Acta Psychiatrica Scandinavica. - : Wiley. - 1600-0447 .- 0001-690X. ; 89:4, s. 255-261
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate the prevalence of toxic agents in attempted and completed suicides. The purpose was also to explore the sources of the drugs taken by suicide attempters. Verbal information on drug intake was collected from 280 suicide attempters during 1987-1990 in the Lund-Orup catchment area. Information on the sources of the drugs was collected from 143 of these attempters. The study also includes toxicological screening from 73 fatal poisonings in southern Sweden during 1989. According to verbal information, the most common drugs used by suicide attempters were benzodiazepines (51%), analgesics (29%) and antidepressants (20%). In suicide attempters, diazepam and levomepromazine were reported more than expected from prescription data. Toxicological screenings of fatal poisonings showed that benzodiazepines were most common (55%), followed by analgesics (38%), mainly propoxyphene (29%) and antidepressants (30%), mainly amitriptyline (22%). Amitriptyline and diazepam were more commonly detected in completed suicides than expected from prescription data. The most common sources of drugs to attempted suicides were physicians, and especially psychiatrists. We therefore conclude that continuous information to physicians on drug overdose is important, and it is also important to introduce alternative strategies to prevent suicidal behaviour.
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| 2. |
- Borna, Petter, et al.
(författare)
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Self-poisonings with drugs by adolescents in the Lund catchment area
- 2001
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 55:5, s. 325-328
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Tidskriftsartikel (refereegranskat)abstract
- Our objective was to investigate which drugs young people who attempt suicide use in the Lund catchment area-eight municipalities in Skane, southern Sweden. All patients aged up to 18 years admitted to Lund University Hospital after deliberate or probably deliberate self-poisoning from 1 January 1991 until 31 December 1995 were included. Forty-nine (58%) had used a single drug; 20 (24%) had used 3 or more drugs. Fifty-two (61%) used analgesics-paracetamol was used by 38 (45%) and propoxyphene by 17 (20%). Thirty-one (36%) had ingested psychotropics-13 used benzodiazepines, 10 antidepressants, and 8 antipsychotics. Eleven (15%) had used drugs in combination with alcohol. We conclude that it is important to follow changes in self-poisoning patterns, to monitor the effects of preventive work and discover new trends in drug use.
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| 3. |
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| 4. |
- Niméus, Anders, et al.
(författare)
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High Suicidal Intent Scores Indicate Future Suicide
- 2002
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Ingår i: Archives of Suicide Research. - : Informa UK Limited. - 1543-6136 .- 1381-1118. ; 6:3, s. 211-219
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Tidskriftsartikel (refereegranskat)abstract
- he aim of this study was to scrutinize individual items as well as total scores of the Suicidal Intent Scale (SIS) in order to find out its usefulness for predicting suicide. Consecutive patients (N=555) were evaluated and rated with SIS shortly after a suicide attempt. When followed up at a mean time of 4.5 years, 22 (4%) had committed suicide. Those who later committed suicide had been scored significantly higher than those who did not commit suicide. In an effort to find a score-limit of the SIS which could be associated with future suicide, we formulated a receiver operating characteristic curve. From this we were able to detect a sensitivity of 90% and a specificity of 60.3% of scores of 19 and above in people aged 55 years and older. In a logistic regression analysis we also found that age above 55 years, mood disorder diagnoses and SIS scores of 19 or above significantly predicted suicide. Our conclusion is that the SIS could be a valuable tool in predicting suicide, especially in elderly suicide attempters.
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| 5. |
- Skogman, Katarina, et al.
(författare)
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Sex differences in risk factors for suicide after attempted suicide - A follow-up study of 1052 suicide attempters
- 2004
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 39:2, s. 113-120
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Tidskriftsartikel (refereegranskat)abstract
- Aim This study aims to investigate suicide risk factors after attempted suicide and whether and how these risk factors differ between the sexes. Method A total of 1052 suicide attempters admitted to the Medical Emergency Inpatient Unit, Lund University Hospital, Sweden were followed up concerning suicide and death from other causes after a median period of 6 years and 5 months. in all, 50 persons committed suicide during follow-up. At the index suicide attempt, socio-demographic data and information about clinical characteristics were gathered in a standardised manner. Risk factors were identified among these data using survival analyses for the whole sample and for each sex separately. Result Men had a higher frequency of suicide and a greater overall mortality than women. Cox regressions showed that suicide attempt(s) prior to the index attempt and the use of a violent method for the index attempt were risk factors for men only, whereas older age and a high suicidal intent (Beck SIS score) were female ones. Major depression was a risk factor for both sexes. Conclusion More attention probably needs to be paid to the importance of gender in assessment of suicide risk and treatment of suicide attempters.
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| 6. |
- Träskman Bendz, Lil, et al.
(författare)
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The role of monoamines in suicidal behavior
- 1993
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Ingår i: Acta Psychiatrica Scandinavica. Supplementum. - : Wiley. - 0065-1591 .- 0001-690X .- 1600-0447. ; 87:S371, s. 45-47
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Tidskriftsartikel (refereegranskat)abstract
- Cerebrospinal fluid (CSF), urine, platelet and neuroendocrine challenge tests of monoaminergic function give evidence of monoamines, especially serotonin, playing an important role in suicidal behavior. However, additional clinical, social and biochemical factors are necessary to better define suicide-prone psychiatric patients.
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