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Ajay Risal 1 , Pushpa Prasad Sharma 2 1 Lecturer, 2 Professor Department of Psychiatry

STUDY OF PSYCHIATRIC ILLNESSES AMONG THE PATIENTS ADMITTED FOR SELF-POISONING IN A TERTIARY CARE HOSPITAL. Background: Self poisoning is the commonest mode of ISH & a major medical and social problem [1, 2] Greatly increases risk of completed suicide [3]

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Ajay Risal 1 , Pushpa Prasad Sharma 2 1 Lecturer, 2 Professor Department of Psychiatry

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  1. STUDY OF PSYCHIATRIC ILLNESSES AMONG THE PATIENTS ADMITTED FOR SELF-POISONING IN A TERTIARY CARE HOSPITAL • Background: • Self poisoning is the commonest mode of ISH & a major medical and social problem [1, 2] • Greatly increases risk of completed suicide [3] • One million people die from self poisoning each year equating to one every 40 seconds [4] • Mostly managed in Emergency [5] • Aim: • To study the patterns and determinants of psychiatric illnesses in the patients admitted for self-poisoning in a tertiary care hospital Ajay Risal1, Pushpa Prasad Sharma2 1 Lecturer, 2 Professor Department of Psychiatry Dhulikhel Hospital, Kathmandu University School of Medical Sciences (KUSMS), Kavre, Nepal 65TH ANNUAL NATIONAL CONFERENCE OF INDIAN PSYCHIATRIC SOCIETY; JAN 10-13, 2013, BANGALORE, INDIA

  2. STUDY OF PSYCHIATRIC ILLNESSES AMONG THE PATIENTS ADMITTED FOR SELF-POISONING IN A TERTIARY CARE HOSPITAL • Methodology: • A cross-sectional study • All patients being managed for self-poisoning and brought for psychiatric evaluation during the period of one year (1st June 2011- 30th June 2012) at Dhulikhel Hospital • Each patient underwent a detailed psychiatric evaluation by a consultant psychiatrist once they were medically stable • Psychiatric diagnoses were considered as per ICD-10 criteria • Analysis: • Socio-demographics, psychiatric diagnosis, treatment and outcome was tabulated and analyzed using SPSS-16 Ajay Risal1, Pushpa Prasad Sharma2 1 Lecturer, 2 Professor Department of Psychiatry Dhulikhel Hospital, Kathmandu University School of Medical Sciences (KUSMS), Kavre, Nepal 65TH ANNUAL NATIONAL CONFERENCE OF INDIAN PSYCHIATRIC SOCIETY; JAN 10-13, 2013, BANGALORE, INDIA

  3. STUDY OF PSYCHIATRIC ILLNESSES AMONG THE PATIENTS ADMITTED FOR SELF-POISONING IN A TERTIARY CARE HOSPITAL Ajay Risal1, Pushpa Prasad Sharma2 1 Lecturer, 2 Professor Department of Psychiatry Dhulikhel Hospital, Kathmandu University School of Medical Sciences (KUSMS), Kavre, Nepal 65TH ANNUAL NATIONAL CONFERENCE OF INDIAN PSYCHIATRIC SOCIETY; JAN 10-13, 2013, BANGALORE, INDIA

  4. STUDY OF PSYCHIATRIC ILLNESSES AMONG THE PATIENTS ADMITTED FOR SELF-POISONING IN A TERTIARY CARE HOSPITAL • Discussion: • Most were in Younger age group as in [2] • Equal gender distribution; though females more in [ 1, 5] • Prescription drugs more commonly used in European countries [1]while OP in our part of the world [2] • [1] has also quoted considerable increase during Summer • Majority were single attempters , with depression or personality disorder as in [ 6] • Marital disharmony/ family conflicts were major psycho-social factors as in [ 1, 5, 6]  • Limitations: Results cannot be generalized Ajay Risal1, Pushpa Prasad Sharma2 1 Lecturer, 2 Professor Department of Psychiatry Dhulikhel Hospital, Kathmandu University School of Medical Sciences (KUSMS), Kavre, Nepal 65TH ANNUAL NATIONAL CONFERENCE OF INDIAN PSYCHIATRIC SOCIETY; JAN 10-13, 2013, BANGALORE, INDIA

  5. STUDY OF PSYCHIATRIC ILLNESSES AMONG THE PATIENTS ADMITTED FOR SELF-POISONING IN A TERTIARY CARE HOSPITAL • Conclusion • Self-poisoning common in ER • Prevalent on young age • Usually due to OP • Associated with depression • Psychiatric care is essential • References: • 1.Tountas C, Sotiropoulos A, Skliros SA, et al. Voluntary self-poisoning as a cause of admission to a tertiary hospital internal medicine clinic in Piraeus, Greece within a year.BMC Psychiatry 2001, 1:4. http://www.biomedcentral.com/1471-244X/1/4 • Priyalatha NR, Maity N, Shivamurthy MC. Intentional Poisoning as a Cause of Admission to Accident and Emergency in a Tertiary Care Hospital within a Year.Al Ame en J Med Sci 2011(4); 396-400 • Christopher JB. Trends in self-poisoning: admissions to a Central London Hospital, 1991-1994. J R Soc Med 1997; 90:496-8 • Hawton K, Harlingen KV. Suicide-The risk factors. Medical News Today 19th April-2009 • Exiara T, Mavrakanas TA, Papazoglou L, Papazoglou D, Christakidis D, Maltezos E. A prospective study of acute poisonings in A sample of Greek patients.CentEur J Public Health 2009; 17 (3): 158–160 • Bansal PD, Barman R. Psychiatric Morbidity and the Socio-Demographic Determinants of Deliberate Self Harm. Journal of Clinical and Diagnostic Research 2011; 5(3): 601-4 Ajay Risal1, Pushpa Prasad Sharma2 1 Lecturer, 2 Professor Department of Psychiatry Dhulikhel Hospital, Kathmandu University School of Medical Sciences (KUSMS), Kavre, Nepal 65TH ANNUAL NATIONAL CONFERENCE OF INDIAN PSYCHIATRIC SOCIETY; JAN 10-13, 2013, BANGALORE, INDIA

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