GENDER DIFFERENCES IN SUICIDAL IDEATION AND SUICIDE ATTEMPTS IN EMERGENCY PSYCHIATRIC CONSULTATIONS: A UNIVERSITY HOSPITAL SAMPLE


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Ulusoy H., Yılmaz Karaman İ. G., Öztürk S., Demircan T., Çanakçı M. E., Karbeyaz K.

2. Uluslararası ve 26. Ulusal Klinik Eğitim Sempozyumu, Mersin, Turkey, 9 - 12 May 2024, vol.35, no.1, pp.43, (Summary Text)

  • Publication Type: Conference Paper / Summary Text
  • Volume: 35
  • City: Mersin
  • Country: Turkey
  • Page Numbers: pp.43
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

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