Josh Thomas, Georgy (2018) A study of the clinical, socioeconomic and psychological impact of deliberate self-harm by poisoning in patients presenting to a tertiary care center in South India. Masters thesis, Christian Medical College, Vellore.
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Abstract
OBJECTIVES : To determine the long term clinical, social and sychological outcome in deliberate self-harm (DSH) due to poisoning METHODS : STUDY DESIGN: Observational cohort study from July 2016 to July 2017 CLINICAL METHODS: Medical records of poisoning admissions between 2009-14 (437 cases) were reviewed. Patients were interviewed on telephone with verbal consent and requested to come to CMC hospital for a detailed assessment of their clinical, psychological, social, and economic status. STATISTICAL METHODS: The data entry forms were designed using epidata manager and data entry was done using the epidata entry client. Chi-square/ Fisher's exact test was used to assess the association between the variables. RESULTS: Telephonic study (100 patients): 24% had new physical symptoms. 8% had PHQ2 score of >3 (depression present). Proportion married increased (65% to 86%) and unemployed reduced (44% to 30%) between poisoning and follow-up. 47% had expressed financial difficulty. 4 patients had a successful repeat suicide attempt (4%). Clinical evaluation (20 patients): 5 had peripheral neuropathy and 3 upper airway obstruction. Seven had a GHQ score >3 (presence of a psychiatric illness). Conclusion: Poisoning related DSH has low physical morbidity, good psychological and social outcomes and low rates of repeat attempt.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | suicide; deliberate self-harm; parasuicide; repetition of suicide; poisoning; socioeconomic; psychological; clinical outcomes |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Aug 2018 01:37 |
| Last Modified: | 10 Aug 2018 01:37 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/9216 |
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