Suicidal Ideation, Suicide Attempt and Associated Factors in Thai Patients with Acutely Treated Depressive Disorder
Author(s): Mayteewat Chiddaycha, Peeraphon Lueboonthavatchai?
Background: The suicide rate in Thailand has increased over the last ten years. Most of the people who died from suicide were depressed, and social problems were thought to be an important crisis for them.
Aim: The aim of this study was to examine the prevalence of suicidal ideation, suicide attempt and associated sociodemographic, clinical, and social factors in Thai patients with acutely treated depressive disorders.
Methods: A sample of 178 patients with depressive disorders who were treated within the six-month period of being diagnosed or of a recurrent episode were recruited from a tertiary hospital. Multinomial logistic regression was used to determine the associated factors of suicidal ideation and suicide attempt.
Results: Most of the subjects were single (80.9%), female (68%), and in early adulthood. The prevalence of suicidality, suicidal ideation, and suicide attempt within one month were 76.4%, 62.4% and 35.4%, respectively. Associated factors of suicidal ideation compared with those with absence of suicidality were unemployment (OR 4.30; 95% CI 1.16 – 15.92) and family relationship (OR 0.93; 95%CI 0.86 – 0.99). Compared with the suicidal ideators, the suicide attempters were more likely to have more severe depression (OR 1.07; 95%CI 1.02 – 1.12), use benzodiazepines (OR 2.71; 95%CI 1.05 – 7.03) and have interpersonal deficits (OR 3.85; 95%CI 1.03 – 14.45).
Conclusions: Determinants of suicidal ideation and suicide attempt varies among population. Knowledge of these associated factors may raise awareness of suicide prevention during the early phase of treatment of depression in Thai patients.