2. Uluslararası ve 26. Ulusal Klinik Eğitim Sempozyumu, Mersin, Turkey, 9 - 12 May 2024, vol.35, no.1, pp.43, (Summary Text)
Attempted suicide is a self-destructive act carried out with the intent to
end one’s life but does not result in death. The term suicidal ideation
describes a range of preoccupations with death and suicide. As literature
shows, people presenting to emergency departments with suicidal
ideation vary in age, gender and socio-economic status. This study aims
to identify the age and gender differences of patients who are referred to
emergency unit due to suicide attempts and suicidal ideation.
Data of the patients who visited the emergency unit and received
psychiatric care at Eskişehir Osmangazi University Hospital between
01.01.2019-31.12.2023 are included. Consultation reports of the
patients were examined by 3 researchers and classified as suicide
attempt, suicidal ideation or other, utilizing Nock’s algorithm(2010).
Duplicated consultations(n=4) were excluded. Eskişehir Osmangazi
University Non-invasive Clinical Research Ethics Committee approved
the study(02.01.2024/24).
Among the emergency psychiatric applications (n=2681), 396 were
suicide attempts, mean age was 33.95 ± 13.24, and 60.9% (n=241)
were women. Suicidal ideation was detected in 429 applications; the
mean age was 38.39 ± 15.47, and 51.3% (n=220) were men. Ratio
of women was significantly higher in 2019, 2020, 2022, and 2023
regarding suicide attempts (respectively 15.7% vs. 6.8% p=0.001,
20.7% vs. 12.4% p=0.016, 20.2% vs. 14.1% p=0.041, 19.4% vs. 11.%
p=0.002). Suicidal ideation also had sex differences: In 2023, men had
higher ratio of suicidal ideation (19.5% vs 13.0% p=0.010).
The present study demonstrates growing suicidal ideation among
men who apply Eskişehir Osmangazi University Hospital emergency
deparment. The significant increase in suicide attempts between 20192020 in both genders can be attributed to the effect of the Covid-19
pandemic on mental stressors. Ratio of men who have suicidal ideation
in 2023 is higher than the years before. This finding may be related to
growing financial difficulties in terms of sociocultural roles assigned to
men.
Keywords: suicide attempt, attempted suicide, suicidal ideation,
emergency department, emergency psychiatric care