ABSTRACT
Background: Suicide is the result of an act deliberately initiated and performed by a person in the full knowledge or expectation of its fatal outcome. Suicide attempts are a significant public health problem. The present study aimed to explore the variousclinical characteristics of suicideattempters in a tertiary care hospital of Shimla, Himachal Pradesh, a northern state of India.Methods: We conducted a descriptive study among patients with attempted suicide to the department of Psychiatry, Indira Gandhi Medical College (IGMC) Shimla. A structured, self-designed interview schedule and short-form revised Eyseneck personality questionnaire-Hindi (EPQRS-H) was used for data collection. Data was analyzed using Epi info software v 7.2.0.Results: There were total 77 participants in the study out of which 44 (57.1%) were females. Mean age (Standard deviation) of participants was 30.8 years (9.9 years). Relationship problems were the most common (48.1%) recent life event followed by health events (28.6%). Depression was found to be the most common diagnosis (62.3%). Pesticide consumption was the method of attempting suicide in 72.7% of females compared to 66.7% of males.Conclusions: Recent major life events especially relationship problems may lead to majority of suicide attempts. There is urgent need to focus on patients suffering from depression by health personnel as well as family members. The sale of the pesticides should be regulated to keep in check the misuse of the same.
ABSTRACT
A contaminação por agrotóxicos gera discussão pelos impactos no meio ambiente e saúde. Os períodos natal e neonatal constituem janelas com susceptibilidade às consequências dos agrotóxicos. O estudo possui um desenho ecológico descritivo com o objetivo de verificar a existência de associação entre o consumo per capta dos agrotóxicos e eventos da gravidez e nascimento, através da quantidade consumida em 1997 e 2001 nos estados brasileiros. Os dados são do Instituto Brasileiro de Geografia e Estatística e do Sistema de Informações sobre Nascidos Vivos. O estudo não recebeu financiamento, utilizou bases de dados populacionais públicas sem análises individuais. Nos cálculos foi utilizado o consumo per capta de agrotóxicos classificados em três grupos com os tercis de distribuição em ordem crescente. O banco de dados do Departamento de Informática do SUS foi utilizado na análise das variáveis de desfecho de gravidez. Os resultados evidenciam associação entre praguicida e prematuridade, bem como uma relação com baixo o peso ao nascer, porém, que pode ser também um efeito confundidor.
Contamination with pesticides has generated discussion about their impacts on the environment and health. Natal and neonatal periods represent windows of susceptibility to the effects of pesticides. In this study we used a descriptive ecological design with the aim of verifying a possible association between the per capita consumption of pesticides and events of pregnancy and birth, using the amount of pesticides consumed in 1997 and 2001 in Brazilian states. The data was obtained from the Brazilian Institute of Geography and Statistics and the Live Birth Information System. The study received no funding, and thus employed public databases of populations without individual analysis. For the calculations we used the per capita consumption of pesticides classified into three groups with the distribution of the tertiles in ascending order. The database of the Information Department at the SUS (Unified Health System) was used to analyze the pregnancy outcome variables. The results show an association between pesticide consumption and premature births, and pesticide consumption and low birth weight, although the latter could also be a confounding effect.