Document Type
Presentation
Publication Date
May 2015
Abstract
Background One of the main challenges in suicide prevention is that it cannot be predicted. Significant number of patients attempt suicide while being under psychiatric treatment. Lethality and intent of each risk factor varies and remains inconsistent. Though structured instruments have also been useful with limited success search for newer methods remains an urgent clinical need. We believe risk is multifactorial and a scale based upon fundamental domains of biological, psychological, social, environmental, spiritual and clinical origin can elucidate more specific factors. Scale for impact of suicidality- Management, Assessment and Planning of care-brief screener (SISMAP-bcs) is 23 item scale which is valid, reliable and easy to administer . In this study we are trying to examine significant risk factors for suicide based upon findings of this scale. Method This is open level, naturalistic study. Consenting psychiatric patients from out patient and in-patient facility of a tertiary psychiatric hospital were recruited . All patients were assessed on of clinical, phenomenological and psychopathological parameters using standard psychometric tools and SIS-MAP brief screener was used for assessment of suicide-related variables. We completed assessment of 79 patients, in this sample 37 were males .mean age was 38.26 (SD 14.78, range 19-75). 44 patients were hospitalized and 35 were on outpatient treatment. The score of SISMAP cut-off score is 6 for outpatient treatment, 7 and 8 for decision based upon clinical judgment and 9 and above for hospitalization. A score of 8 and above was suggestive of high risk. Out findings suggest significant factors for suicide. 1) Shorter duration of illness (r=0.0334, p
