EVALUATION OF THE SUICIDAL MENTAL STATE OF PATIENTS HOSPITALIZED AT THE “SOCOLA” INSTITUTE OF PSYCHIATRY IAȘI

Abstract

Suicidal ideation and attempts are the most important predictive factors for death by suicide. Accordingly, in this study we performed a retrospective analysis of cases admitted to the “Socola” Psychiatric Institute in Iași regarding suicide attempts and/or suicidal ideation throughout 8 years of pre-pandemic period. Materials and methods: This retrospective study was based on data collected from the electronic archive of the “Socola” Institute of Psychiatry. To search for primary and secondary diagnoses, we used the following keywords: suicide attempts, suicidal attempt, suicidal ideation and autolytic ruminations. For statistical analysis, was used Microsoft Excel 2007. Results: The search yielded 257 cases, more than a quarter of which were young people, mostly women (63%). Of the patients whose brain activity was investigated (43%), 6% presented an altered EEG. In terms of occupation, 31% were professionally active people or students, the majority being retirees and those without occupation (56.4%). Of the 37% of patients whose religious denomination was recorded, 95% were Orthodox Christians. Also, 55% of all patients consumed alcohol, 69.6% suffered from family conflict, 6.6% were in a state of mourning, 18% performed the act for demonstrative purposes, and 42% were subjected to a psych stressful context. It was observed that depression, in various forms, represented around 35% of the total disease codes associated with suicidal attempts and ideation. Hypertension was the most frequent associated organic condition. It was also observed that people in the segment with primary or secondary education had the most suicidal attempts and ideation, and more than half of the patients presented an IQ bordering on normality. Conclusions: The analysis found that suicidal ideation and attempts continued to have a significant incidence in hospitalized cases, while depression, alcohol, and family conflicts were the most significant triggers. The study may represent an important landmark in relation to the Covid-19 pandemic and post-pandemic period.