Author/Authors :
Shahrabi Farahani ، Hadi - Tehran University of Medical Sciences , Behnoush ، Behnam - Tehran University of Medical Sciences , Taghaddosinejad ، Fakhreddin - Tehran University of Medical Sciences , Chouhdari ، Arezoo - Shahid Beheshti University of Medical Sciences
Abstract :
Background: Suicide is a complicated phenomenon which is influenced by the interaction of psychological and environmental factors. The aim of the present study was to investigate the rate of depressive disorder in suicide attempters using drugs or toxins. Methods: In the present cross-sectional descriptive study, Beck Depression standardized questionnaire and demographic/socioeconomic information form were filled by 248 admitted suicide attempters. Results: Based on EAT-26 scores, 153 (24.7%) students had eating attitude disorders. There was no relationship between abnormal eating attitudes and both individual and socioeconomic factors (P 0.05). Logistic regression analysis demonstrated that eating attitude disorders were significantly associated with depression [OR=1.8 (1.2-2.8), P=0.007], anxiety [OR=1.6 (1.1-2.4), P=0.04], and perception of body shape as overweight [OR=2.7 (1.7-4.3), P 0.001]. In the present study, from among 248 cases hospitalized due to suicide attempt with drugs or toxins, 87.2% were diagnosed with depressive disorders. Chi2 analysis revealed statistically significant associations between depression disorders and marital status (p=0.001), housewife (P=0.002), family monthly income below 10000000 Rials (P=0.005), and substance use (P=0.001). In full model multiple logistic regression analysis, significant associations were found between depressive disorder and gender, woman (P=0.03, OR=6.2, 95%CI=1.33-3.44), age 25-15 years (P=0.002, OR=22.7, 95%CI=3.16-154.9), marital status (P=0.007, OR=10.2, 95% CI=1.87-55.5), worker (P=0.02, OR=15.66, 95%CI=1.41-172.25), self-employment (P=0.02, OR=14.97, 95%CI=1.32-162.5), and family monthly income below 10000000 Rails (P0.001, OR=11.30, 95%CI=3.16-40.8. Also, family monthly income below 10000000 Rials (P0.001, OR=5.34, 95%CI=2.05-13.91), marital status and divorced or widowed (P0.001, OR=3.93, 95%CI=11.5-33.74), (P=0.01, OR=3.27, 95%CI=16.57-83.71), and age ranges 15-25 and 26-35 (P=0.02, OR=9.15, 95%CI=2.32-36.08), (P=0.01, OR=5.34, 95%CI=1.36-21.03) were observed to be predictor factors to suicide attempt in depressive disorder. Conclusion: Future planning should focus on solving risk factors associated with depressive disorder to prevent suicide.