Characteristics and Management of Parasuicides at a Tertiary Hospital in Gaborone: A Retrospective Study at the Emergency Department of Princess Marina Hospital
Abstract:
Parasuicide
has become one of the major public health problems worldwide. The WHO is estimated
that for every suicide that occurs worldwide, there are up to 20 suicide attempts;
however reliable data are not available for most countries. Furthermore, much less
is known about attempted suicide across the African continent. Therefore, it was
opportune to conduct such project which will provide some valuable statistics on
Parasuicide in Botswana. The major objective is to establish the characteristics
of Parasuicide at the Princess Marina hospital. Therefore, a retrospective descriptive
design (188 patients with Parasuicide) was conducted at the emergency room (January
- December 2015). The prevalence of parasuicide is estimated at 0.88%. Overall,
females are predominant (79.7%). The age group 21-30 is predominant, mostly students.
The factors influencing parasuicide are passional conflict (30.8%), family conflict
(20.7%), and social problems (7.9%). Toxic agents (88.2%) were largely used, mostly
by females. Among the toxic agents, pharmaceuticals (68.62%) and chemicals (17.55%)
were predominant. The overall outcome is largely good (98%). Although patients were
widely managed by internal medicine (75.53%), a multidisciplinary approach was established
in 10.64% of cases. The study demonstrates that there was no correlation between
waiting time, the code of severity and the outcome, as well as the deranged blood
and the outcome. In conclusion, Characteristics, and management of Parasuicide were
studied. The findings are above described. Further studies may be necessary to elaborate
different parameters of parasuicide.
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