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Attempted suicide in Hanoi, Vietnam

  • Huong Tran Thi Thanh
  • Guo-Xin Jiang
  • Tuong Nguyen Van
  • Duc Pham Thi Minh
  • Hans Rosling
  • Danuta Wasserman
ORIGINAL PAPER

Abstract

Background

Attempted suicide is a key predictor of suicide, which is among the dominant causes of young people’s deaths worldwide. Very little is known about the characteristics of suicide attempters in Asia, especially in Vietnam.

Methods

Medical records of 509 patients (515 attempted-suicide events) admitted to Bach Mai General Hospital in Hanoi, Vietnam from 1 January 1999 to 30 April 2001 were analysed according to the criteria of the WHO Multicentre Study of Attempted Suicide.

Results

The suicide attempters’ mean age was 28.3±12.9 years. Nearly half (48.7%) were aged 15–24. The female-to-male ratio of patients living in urban areas (2.1:1) was higher than in rural areas (1.2:1). In urban areas, students (32 %) and homeworkers (28%) and, in rural areas, farmers (56 %) and students (17%) were the salient occupational categories. Acute life stressors were the main causes (73.8%) of suicide attempts. Only in some 6% of cases had a psychiatric illness been diagnosed before the suicide attempts. As a means of attempting suicide, intoxication with analgesics and antipyretics (e. g. paracetamol) with low medical lethality scores was a frequent method among the urban patients, the majority of whom (81%) consequently stayed in hospital less than 24 h. Pesticide and rat poison, more commonly (57.2%) used by attempters in rural areas, had higher medical lethality scores and also necessitated more prolonged hospital treatment.

Conclusions

Some suicide-preventive strategies used in the West for young people may be applicable in Vietnam. Reducing access to pesticides and rat poison is comparable to western efforts to make paracetamol or firearms less freely available. Skills in resolving family and other conflicts can be taught in schools according to WHO’s suicide-prevention resources for teachers.

Key words

attempted suicide hospital records age gender causes methods psychiatric diagnoses prevention Vietnam 

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References

  1. 1.
    WHO World Health Report 2001 (2001) Geneva: WHOGoogle Scholar
  2. 2.
    Wasserman D (ed) (2001) Suicide: an Unnecessary Death. London: Martin DunitzGoogle Scholar
  3. 3.
    WHO World Report on Violence and Health (2002) Geneva: WHOGoogle Scholar
  4. 4.
    Ministry of Health (2000) Yearbook of Health Statistics. Hanoi: Medical Publishing House (in Vietnamese)Google Scholar
  5. 5.
    Adityanjee DR (1986) Suicide attempts and suicides in India: cross-cultural aspects. Int J Soc Psychiatry 32:64–73Google Scholar
  6. 6.
    Chiu LP (1989) Attempted suicide in Hong Kong. Acta Psychiatr Scand 79:425–430Google Scholar
  7. 7.
    Pan PC, Lieh-Mak F (1989) A comparison between male and female parasuicides in Hong Kong. Soc Psychiatry Psychiatr Epidemiol 24:253–257Google Scholar
  8. 8.
    Wai BH, Hong C, Heok KE (1999) Suicidal behavior among young people in Singapore. Gen Hosp Psychiatry 21:128–133CrossRefGoogle Scholar
  9. 9.
    Retterstøl N, Mehlum L (2001) Attempted suicide as a risk factor for suicide: treatment and flow-up. In:Wasserman D ed. Suicide: an Unnecessary Death. London: Martin Dunitz, pp 125–132Google Scholar
  10. 10.
    Schmidtke A, Bille-Brahe U, et al. (1996) Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand 93:327–338PubMedGoogle Scholar
  11. 11.
    Hjelmeland H, Nordvik H, et al. (2000) A cross-cultural study of suicide intent in parasuicide patients. Suicide Life Threat Behav 30:295–303Google Scholar
  12. 12.
    Beautrais AL (2001) Suicides and serious suicide attempts: two populations or one? Psychol Med 31:837–845CrossRefGoogle Scholar
  13. 13.
    Beck AT, Beck R, Kovacs M (1975) Classification of suicidal behaviors: I.Quantifying intent and medical lethality. Am J Psychiatry 132:285–287PubMedGoogle Scholar
  14. 14.
    Ramberg IL, Wasserman D (2000) Prevalence of reported suicidal behaviour in the general population and mental health-care staff. Psychol Med 30:1189–1196CrossRefGoogle Scholar
  15. 15.
    Beautrais AL, Joyce PR, Mulder RT (1998) Unemployment and serious suicide attempts. Psychol Med 28:209–218CrossRefGoogle Scholar
  16. 16.
    WHO (2000) Department of Mental Health. Preventing suicide: a resource for teachers and other school staff. Geneva: WHOGoogle Scholar
  17. 17.
    Wasserman D, Narboni V (2001) Guidelines for suicide prevention in schools. National Centre for Suicide Research and Prevention of Mental Ill-Health. Stockholm, pp 1–95Google Scholar
  18. 18.
    Ostamo A, Lönnqvist J (2001) Attempted suicide rates and trends during a period of severe economic recession in Helsinki, 1989–1997. Soc Psychiatry Psychiatr Epidemiol 36:354–360CrossRefGoogle Scholar
  19. 19.
    Pirkola S, Isometsa E, Heikkinen M, Lonnqvist J (1997) Employment status influences the weekly patterns of suicide among alcohol misusers. Alcohol Clin Exp Res 21:1704–1706Google Scholar
  20. 20.
    Garnefski N, Arends E (1998) Sexual abuse and adolescent maladjustment: differences between male and female victims. J Adolesc 21:99–107CrossRefGoogle Scholar
  21. 21.
    Phillips MR, Yang G, Zhang Y, Wang L, Ji H, Zhou M (2002) Risk factors for suicide in China: a national case-control psychological autopsy study. Lancet 360:1728–1736CrossRefGoogle Scholar
  22. 23.
    Leenaars A (2001) Controlling the environment to prevent suicide. In: Wasserman D (ed) Suicide: an Unnecessary Death. London: Martin Dunitz, pp 259–264Google Scholar
  23. 24.
    Persson ML, Runeson BS, Wasserman D (1999) Diagnoses, psychosocial stressors and adaptive functioning in attempted suicide. Ann Clin Psychiatry 11:119–128CrossRefGoogle Scholar
  24. 25.
    Üstün TB, Kessler RC (2002) Global burden of depressive disorders: the issue of duration. Br J Psychiatry 181:181–183CrossRefPubMedGoogle Scholar
  25. 26.
    Nielsen AS, Bille-Brahe U, Hjelmeland H, Jensen B, Ostamo A, Salander-Renberg E, Wasserman D (1996) Alcohol problems among suicide attempters in the Nordic countries. Crisis 17:157–166Google Scholar
  26. 27.
    Wasserman D, Varnik A (1998) Suicide-preventive effects of perestroika in the former USSR: the role of alcohol restriction. Acta Psychiatr Scand 394(Suppl):1–4Google Scholar
  27. 28.
    Vijayakumar L, Rajkumar S (1999) Are risk factors for suicide universal? A case-control study in India. Acta Psychiatr Scand 99:407–411PubMedGoogle Scholar
  28. 29.
    Teoh J (1974) An analysis of completed suicide by psychological post-mortem. Ann Acad Med Singapore 3:117–123Google Scholar
  29. 30.
    de Silva HJ, Kasturiaratchi N, Seneviratne SL, et al. (2002) Suicide in Sri Lanka: points to ponder. Ceylon Med J 45:17–24Google Scholar
  30. 31.
    Eddleston M, Sheriff MH, Hawton K (1998) Deliberate self harm in Sri Lanka: an overlooked tragedy in the developing world. BMJ 317:133–135Google Scholar
  31. 32.
    Wasserman D (1989) Passive euthanasia in response to attempted suicide: one form of aggressiveness by relatives. Acta Psychiatr Scand 79:460–467Google Scholar
  32. 33.
    Daradkeh TK (1992) Parasuicide during Ramadan in Jordan. Acta Psychiatr Scand 86:253–254Google Scholar

Copyright information

© Steinkopff Verlag 2005

Authors and Affiliations

  • Huong Tran Thi Thanh
    • 1
    • 3
  • Guo-Xin Jiang
    • 3
  • Tuong Nguyen Van
    • 1
  • Duc Pham Thi Minh
    • 1
  • Hans Rosling
    • 2
  • Danuta Wasserman
    • 3
  1. 1.Hanoi Medical UniversityHanoiVietnam
  2. 2.Division of International Health, Dept. of Public Health SciencesKarolinska InstitutetStockholmSweden
  3. 3.Swedish National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) and Dept. of Public Health SciencesKarolinska Institutet SolnaStockholmSweden

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