Factors associated with suicidal behavior among people in Phichit Province,Thailand

Abstract

     This survey research aims To determine the risk factors associated with suicidal behavior among people in Phichit Province. Materials and Methods : A retrospective case-control study included patients aged ≥ 18 years with suicidal behavior who had been documented in suicidal medical record(506S) between 2015 and 2020. Collected data included demographic information, underlying conditions(physical and mental illness) , suicidal methods, risk factor, previous suicidal attemps and pre-suicidal signs, causes of suicidal behaviors and clinical outcome of suicidal behaviors. The possible factors associated with suicidal behavior were analyzed.

     Results : Of the adults 147 suicidal patients included, 69.4% were completed suicide. The mean age of patients was 47 years, 40.8% had physical underlying illness, 20.4% had mental underlying illness and 12.9% had previous suicidal attempts. The risk factors significantly associated with suicidal behavior were male with OR 3.39 (p<0.01), having physical illness (OR=5.98, p<0.01) such as hypertension (OR=2.46, p<0.01), diabetes mellitus (OR= 1.66 , p<0.01), dyslipidemia OR=1.87, p<0.01), disabled (OR=4.53, p<0.01), and mental illness (OR=2.53, p<0.01) such as alcohol use disorder (OR=3.66,p<0.05), having previous suicidal attempts (OR=7.75, p<0.01), having pre-suicidal signs(OR=2.01, p<0.01) and intending to die (OR=8.82, p<0.01), For the relationship problems (OR=19.27, p<0.01), alcoholism (OR=13.272, p<0.01)and having economic problems (OR=1.031, p<0.01) were also significantly associated with suicidal behavior.