Relations between means of attempted suicide and psychiatric disorders

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  • 自殺企図手段と精神障害の関係

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Purpose: Three systems for classifying means of attempted suicide are used in research on suicide behaviors: the International Classification of Diseases, Ninth Revision (ICD-9), the ASUKAI classification (relatively dangerous, absolutely dangerous), and the invasiveness classification (non-violent, violent). This study was performed to clarify whether the differences in classification have an impact on the relations between means of attempted suicide and psychiatric disorders.<BR>Subjects and Methods: The study population consisted of 169 cases, transported by ambulance, with five main psychiatric disorders (depression, bipolar disorder, schizophrenia, adjustment disorder, and personality disorder). The relations between means of attempted suicide according to the three classifications and psychiatric disorders were analyzed by correspondence analysis.<BR>Results: Strong relations were found between E953 (hanging, strangulation, and suffocation) and depression, E950 (poisoning by solid or liquid substance) and adjustment disorder by ICD-9 classification. The code E957 (jumping from a high place) was weakly related to schizophrenia. Although the relatively dangerous group of the ASUKAI classification was not related to psychiatric disorders, the absolutely dangerous group was strongly related to schizophrenia. The non-violent and violent groups according to the invasiveness classification were strongly related to bipolar disorder and schizophrenia, respectively.<BR>Conclusion: The relations between means of attempted suicide and psychiatric disorders varied markedly between classifications.

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