Pattern of deliberate self-harm in young people in Karachi, Pakistan

Crisis
Ehsan Ullah Syed, Murad M Khan

Abstract

Globally, suicide remains one of the leading causes of death among individuals aged 10 to 64 years and it ranks between second and fourth among those age 10 to 45 years. Data on suicidal behavior from Pakistan is sparse, especially for children and adolescents. A retrospective descriptive case note study was carried out of all patients under the age of 18 years (n = 69) admitted with deliberate self-harm (DSH) to a university hospital in Karachi, Pakistan. Females (63.8%) outnumbered males by 1.7:1. The mean age of the group was 16 years (+/- 2.2). The most frequent method used was benzodiazepine overdose (30.4%). "Family conflicts" was the main stressor reported by 66.7%. The most frequent diagnosis made was major depressive disorder in 18%. Despite the fact that 98% of our sample was Muslims and suicide is strictly forbidden in Islam, 76.8% expressed their intent to die. Multivariate logistic regression found current stressor to be significantly associated with an intention to die. Patients with nonfatal suicidal behavior form a pool for future suicides. Preventive efforts should be directed at this group. School based programs would be an effective way of addressing this.

References

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Citations

Aug 3, 2010·Health Care for Women International·Mahmoud Keyvanara, Abbas Haghshenas
Apr 12, 2013·BMC Public Health·Thilini RajapakseHelen Christensen
Oct 15, 2009·The Keio Journal of Medicine·Donald E Greydanus, Daniel Shek
Mar 29, 2014·The British Journal of Psychiatry : the Journal of Mental Science·Nusrat HusainImran B Chaudhry
Mar 6, 2009·Crisis·Annette Beautrais
Mar 30, 2017·The International Journal of Social Psychiatry·Shilpa AggarwalMichael Berk
Feb 13, 2018·BMC Psychiatry·Sualeha S ShekhaniMurad M Khan
Sep 12, 2020·Psychological Medicine·Piumee BandaraDuleeka Knipe

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