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Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa
Background: Suicide is the second leading cause of death among 15 to 29 year olds and 79% of global suicides occur in low- to-middle income countries. South Africa has the eight highest rate of suicide in the world, evidence that suicide is a serious public health concern. Identifying socio-demograp...
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| Format: | Thesis |
| Language: | English |
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Department of Psychiatry and Mental Health
2022
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| _version_ | 1867613203022741505 |
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| access_status_str | Open Access |
| author | Tayob, Imraan |
| author2 | Lewis, Ian |
| author_browse | Lewis, Ian Tayob, Imraan |
| author_facet | Lewis, Ian Tayob, Imraan |
| author_sort | Tayob, Imraan |
| collection | Thesis |
| description | Background: Suicide is the second leading cause of death among 15 to 29 year olds and 79% of global suicides occur in low- to-middle income countries. South Africa has the eight highest rate of suicide in the world, evidence that suicide is a serious public health concern. Identifying socio-demographic and clinical factors associated with high risk of serious self-harm or suicide, may be useful for improving patient care and strengthening appropriate referral pathways. Aim: To determine the sociodemographic and clinical factors associated with elevated levels of suicidal intent among self-harm patients who presented for treatment in the emergency room of an urban hospital in Cape Town, South Africa. Setting: A retrospective folder review of all patients who presented for treatment of deliberate self-harm to Groote Schuur Hospital. Methods: During the time period, 238 consecutive presentations for deliberate self-harm were identified and recorded on a data capture form.which obtained information about demographics, clinical characteristics and suicidal intent. The data was analysed using bivariate and multivariate analyses. Results: In our sample of 238 patients, 128 (54%) self-reported an elevated level of suicidal intent. Being of male gender, higher levels of education and having multiple reasons for selfharm were significant predictors of an elevated level of suicidal intent. Conclusion: Suicide is increasingly recognised as a serious public health problem globally, and in South Africa. Determining the socio demographic and clinical correlates for those at increased risk of suicidal behaviours, provides useful information on identifying vulnerable patients. This allows clinicians to improve patient risk assessment and public health awareness interventions may be closer targeted to at risk groups |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/35521 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:24.523Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Department of Psychiatry and Mental Health |
| publisherStr | Department of Psychiatry and Mental Health |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/35521 Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa Tayob, Imraan Lewis, Ian Bantjes, Jason Suicide South Africa Self-Harm Socio-demographic Background: Suicide is the second leading cause of death among 15 to 29 year olds and 79% of global suicides occur in low- to-middle income countries. South Africa has the eight highest rate of suicide in the world, evidence that suicide is a serious public health concern. Identifying socio-demographic and clinical factors associated with high risk of serious self-harm or suicide, may be useful for improving patient care and strengthening appropriate referral pathways. Aim: To determine the sociodemographic and clinical factors associated with elevated levels of suicidal intent among self-harm patients who presented for treatment in the emergency room of an urban hospital in Cape Town, South Africa. Setting: A retrospective folder review of all patients who presented for treatment of deliberate self-harm to Groote Schuur Hospital. Methods: During the time period, 238 consecutive presentations for deliberate self-harm were identified and recorded on a data capture form.which obtained information about demographics, clinical characteristics and suicidal intent. The data was analysed using bivariate and multivariate analyses. Results: In our sample of 238 patients, 128 (54%) self-reported an elevated level of suicidal intent. Being of male gender, higher levels of education and having multiple reasons for selfharm were significant predictors of an elevated level of suicidal intent. Conclusion: Suicide is increasingly recognised as a serious public health problem globally, and in South Africa. Determining the socio demographic and clinical correlates for those at increased risk of suicidal behaviours, provides useful information on identifying vulnerable patients. This allows clinicians to improve patient risk assessment and public health awareness interventions may be closer targeted to at risk groups 2022-01-19T23:12:02Z 2022-01-19T23:12:02Z 2021 2022-01-19T23:11:00Z Master Thesis Masters MMed http://hdl.handle.net/11427/35521 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences |
| spellingShingle | Suicide South Africa Self-Harm Socio-demographic Tayob, Imraan Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa |
| thesis_degree_str | Master's |
| title | Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa |
| title_full | Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa |
| title_fullStr | Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa |
| title_full_unstemmed | Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa |
| title_short | Factors associated with increased suicidal intent among deliberate self-harm patients treated in the emergency room of an urban hospital in South Africa |
| title_sort | factors associated with increased suicidal intent among deliberate self harm patients treated in the emergency room of an urban hospital in south africa |
| topic | Suicide South Africa Self-Harm Socio-demographic |
| url | http://hdl.handle.net/11427/35521 |
| work_keys_str_mv | AT tayobimraan factorsassociatedwithincreasedsuicidalintentamongdeliberateselfharmpatientstreatedintheemergencyroomofanurbanhospitalinsouthafrica |