RESUMO
The aim of this cross-sectional 1-year study was to estimate the prevalence and to identify the risk factors for suicidal and self-injurious behaviours among patients with depression. A convenience sample of 557 out- and inpatients diagnosed with mood disorders was selected from 3 treatment settings in Riyadh, Saudi Arabia. Eligible patients completed data on sociodemographic variables and the Columbia suicide severity rating scale risk assessment version. The reported prevalence of attempted suicide in the previous week was 36.6%, interrupted suicide attempt 29.8%, aborted suicide attempt 34.6% and self-injurious behaviour without suicide intent 7.7%. Concerning suicide ideation, 47.2% reported suicidal thoughts, 36.6% suicidal thoughts with methods but without a specific plan and 35.4% suicidal intent without a specific plan. Male sex, joint family type, literate education, being in employment, smoking and physical co-morbidities were significantly associated with all types of suicide behaviour.
Assuntos
Transtorno Depressivo/epidemiologia , Comportamento Autodestrutivo/epidemiologia , Fumar/epidemiologia , Ideação Suicida , Tentativa de Suicídio/estatística & dados numéricos , Adolescente , Adulto , Comorbidade , Estudos Transversais , Transtorno Depressivo/psicologia , Escolaridade , Emprego , Características da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Medição de Risco , Arábia Saudita/epidemiologia , Comportamento Autodestrutivo/psicologia , Distribuição por Sexo , Fumar/psicologia , Tentativa de Suicídio/psicologia , Adulto JovemRESUMO
The aim of this cross-sectional 1-year study was to estimate the prevalence and to identify the risk factors for suicidal and self-injurious behaviours among patients with depression. A convenience sample of 557 out- and inpatients diagnosed with mood disorders was selected from 3 treatment settings in Riyadh, Saudi Arabia. Eligible patients completed data on sociodemographic variables and the Columbia suicide severity rating scale risk assessment version. The reported prevalence of attempted suicide in the previous week was 36.6%, interrupted suicide attempt 29.8%, aborted suicide attempt 34.6% and self-injurious behaviour without suicide intent 7.7%. Concerning suicide ideation, 47.2% reported suicidal thoughts, 36.6% suicidal thoughts with methods but without a specific plan and 35.4% suicidal intent without a specific plan. Male sex, joint family type, literate education, being in employment, smoking and physical co-morbidities were significantly associated with all types of suicide behavior
Assuntos
Comportamento Autodestrutivo , Depressão , Estudos Transversais , Prevalência , Fatores de Risco , Ideação Suicida , Tentativa de Suicídio , SuicídioRESUMO
Data about psychiatric problems among young people are scarce in the Gulf countries. This retrospective review of records describes the pattern of child and adolescent psychiatric disorders among patients consulting 3 child psychiatric clinics in Saudi Arabia during the year 2008. Most patients were referred from the public health sector (92.8%). Psychotropic drugs were prescribed for 86.2% of patients and psychotherapy for 55.2%. Maternal perinatal complications and other psychosocial stressors were noted in almost 45.8% of cases. Family history of psychiatric disorder was reported in 31.5% of patients. Psychiatric comorbidity was noted in 40.5% of cases while physical diseases were noted in 29.9%. The outcome was classified as unstable at the last consultation in 17.9% of cases. In a linear regression analysis the only factors significantly associated with unstable outcome were a higher load of symptoms (OR 2.64) and perinatal complications (OR 2.84).
Assuntos
Transtornos Mentais , Adolescente , Criança , Pré-Escolar , Comorbidade , Família , Feminino , Humanos , Lactente , Masculino , Prontuários Médicos , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Mentais/etiologia , Transtornos Mentais/terapia , Complicações do Trabalho de Parto , Gravidez , Complicações na Gravidez , Estudos Retrospectivos , Fatores de Risco , Arábia Saudita/epidemiologia , Adulto JovemRESUMO
Data about psychiatric problems among young people are scarce in the Gulf countries. This retrospective review of records describes the pattern of child and adolescent psychiatric disorders among patients consulting 3 child psychiatric clinics in Saudi Arabia during the year 2008. Most patients were referred from the public health sector [92.8%]. Psychotropic drugs were prescribed for 86.2% of patients and psychotherapy for 55.2%. Maternal perinatal complications and other psychosocial stressors were noted in almost 45.8% of cases. Family history of psychiatric disorder was reported in 31.5% of patients. Psychiatric comorbidity was noted in 40.5% of cases while physical diseases were noted in 29.9%. The outcome was classified as unstable at the last consultation in 17.9% of cases. In a linear regression analysis the only factors significantly associated with unstable outcome were a higher load of symptoms [OR 2.64] and perinatal complications [OR 2.84]
Assuntos
Psiquiatria , Criança , Adolescente , Estudos Retrospectivos , Psicotrópicos , Psicoterapia , Modelos Lineares , Comorbidade , Transtornos MentaisRESUMO
Based on the World Health Organization's Mental Health Atlas, the first Mental and Social Health Atlas in Saudi Arabia describes the historical background of mental health and social services in the country and identifies several deficiencies in the system including infrastructure and logistics and lack of epidemiological data. There is now great progress in strategic planning for developing and improving mental health care services across the nation, with suggestions to develop psychiatric services for identified special populations, to establish community mental health care services, to improve research and training in mental health, and to update mental health annual information systems using advanced information technology.
Assuntos
Atlas como Assunto , Planejamento em Saúde/organização & administração , Pesquisa sobre Serviços de Saúde/organização & administração , Serviços de Saúde Mental/organização & administração , Serviço Social/organização & administração , Orçamentos/organização & administração , Hospital Dia/organização & administração , Previsões , Política de Saúde , Hospitais Gerais/organização & administração , Hospitais Psiquiátricos/organização & administração , Humanos , Sistemas de Informação/organização & administração , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Programas Nacionais de Saúde/organização & administração , Avaliação das Necessidades/organização & administração , Atenção Primária à Saúde/organização & administração , Psiquiatria/organização & administração , Arábia Saudita/epidemiologia , Organização Mundial da SaúdeRESUMO
Based on the World Health Organization's Mental Health Atlas, the first Mental and Social Health Atlas in Saudi Arabia describes the historical background of mental health and social services in the country and identifies several deficiencies in the system including infrastructure and logistics and lack of epidemiological data. There is now great progress in strategic planning for developing and improving mental health care services across the nation, with suggestions to develop psychiatric services for identified special populations, to establish community mental health care services, to improve research and training in mental health, and to update mental health annual information systems using advanced information technology