RISK FACTORS IN SUICIDE AMONG MALE ALCOHOL DEPENDENTS

BACKGROUND: Alcohol dependence is a potent risk factor for completed suicide but data are limited on factors that distinguish risk within this high risk population. AIM: To study the risk factors for suicide attempts among male alcohol dependents. METHODS: This was a case control study conducted from January to July in the Year 2014. Cases and controls were recruited from Department of Psychiatry, Rajah Muthiah Medical College, using various tools such as semi structured proforma, Short term Alcohol dependence Data questionnaire, Beck's suicidal Intent scale, Hamilton Depression Rating scale. RESULTS: Descriptive analysis of the cases show that mean age of suicide was Around 35 years of which 43.3% had poor educational qualification, 50% of cases. Belong to low income group, 60% of the cases belong to joint families rather than Nuclear families, 36.7% had attempted suicide in the morning hours, 70%. Had attempted suicide in their home, 60% were hospitalized and treated, 90%. Were intoxicated at the time of attempt, 56.7% self-poisoned, 43% attempted, hanging, and about 53.3% had previous suicidal attempts. There was significant, difference between cases and controls regarding the level of dependence, Stressful life events and depression. CONCLUSION: The study concluded that Alcohol dependent individuals with Poor educational status - (up to primary school completion) and who live in joint families are at higher risk for suicide. Stressful life events (family conflict, financial loss, unfulfilled commitments) and higher degree of dependence with Co - morbid depressive disorder is also one of the major risk factor in the study