A Study on Neurological Outcomes following Suicidal Hanging in a Tertiary Care Centre

Liju, A (2020) A Study on Neurological Outcomes following Suicidal Hanging in a Tertiary Care Centre. Masters thesis, Stanley Medical College, Chennai.

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Abstract

INTRODUCTION AND OBJECTIVE: Hanging is one of the most common methods of suicide in India. It defined as suspension of a person by a noose or ligature around the neck. The objective of the study was to determine the clinical profile and neurological outcome of the patients of suicidal hanging in a tertiary care centre. MATERIALS AND METHODS: During May 2018-April 2019, patients aged >13years admitted with history of suicidal hanging were in included in the study. After getting informed consent, Study population were evaluated with detailed history, clinical examination, basic investigations and neuroimaging. Statistical analysis was done with SPSS software. RESULTS: Out of 70 patients studied, 43 % belonged to the age group of 21-30 years and 26% belonged to the age group of 31-40 years. 60% were male and 40% were female.71% of the patients had chosen partial hanging. The remaining were complete hanging. Saree(36%) is the most commonest material used followed by rope and dupata. More than 40% of the patients were under the influence of alcohol. 40% of them had prior suicidal attempts. 40% of the patients had pulmonary edema at initial presentation. 37% of the patients needed mechanical ventilation at initial presentation. 16% had features of cerebral edema in CT barin. 27% of the patients had retrograde amnesia. Out of 70 patients, only 5 of them expired and the remaining survived. CONCLUSION: Suicidal hanging is one of the most common method of committing suicide in India. Suicidal hanging is predominantly seen in the age group of 20-40 years. Prevalence is more common in males than females. Partial hanging is more common than complete hanging. Saree is the most common material used for hanging followed by rope and dupata, in this part of the country. Many patients had previous history of suicidal attempts. So it is mandatory to undergo psychiatric evaluation and counselling before getting discharged from the hospital. Most of the patients were under the influence of alcohol during the attempt. So it is difficult to ascertain whether low GCS at presentation is due to alcoholic intoxication or cerebral anoxia. CT Brain should be done for all patients and it can help in confirming the cause of low GCS score. Routine CT cervical spine is not indicated unless the patient shows some evidence of cord injury either in clinical history or examination. Low GCS, Low MAP and presence of pulmonary edema during the initial presentation of the patient is associated with poor prognosis.

Item Type: Thesis (Masters)
Additional Information: 201711057
Uncontrolled Keywords: Hanging, neurological outcomes, Amensia.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 28 Jan 2021 12:44
Last Modified: 28 Jan 2021 12:44
URI: http://repository-tnmgrmu.ac.in/id/eprint/13228

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