Is self-immolation a distinct method for suicide? A comparison of Iranian patients attempting suicide by self-immolation and by poisoning.
OBJECTIVE
Patients who attempted suicide by self-immolation were compared to patients who attempted suicide by poisoning to identify features that might discriminate risk of self-immolation from other suicide methods.


METHODS
Consecutive referrals for attempted suicide were recruited over a 4-month period (June-September 2008) from Kermanshah Imam Khomeini Hospital, Iran. Using questionnaire and interview techniques, demographic characteristics (age, gender, marital status, education level), psychosocial risk factors (prior suicide attempt, family history of suicide attempt, previous history of physical and mental disorders, family/marital conflict), and suicidal intent behavior were assessed from 200 patients who had attempted suicide (n = 63 by self-immolation; n = 137 by poisoning).


RESULTS
Several significant differences between the groups emerged. Patients who had attempted suicide by self-immolation were more frequently female (p < 0.001), older (p < 0.007), less educated (p < 0.001), and married (p < 0.001). Suicidal intent was associated with increased risk of suicide by poisoning (p < 0.001). No other significant differences were found.


CONCLUSIONS
In Iran, patients who attempt suicide by self-immolation have distinct and specific risk factors compared to patients who commit suicide by poisoning. Results have implications for intervention development targeting at-risk populations.
Rezaie
Leeba
L
Sleep Research Center, Department of Psychiatry, Farabi Hospital, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran. la_rezaie@yahoo.com
Khazaie
Habibolah
H
Soleimani
Akram
A
Schwebel
David C
DC
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002056:Burns / Q000453:epidemiology / Q000523:psychology*; D004522:Educational Status; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D017533:Marital Status; D011041:Poisoning / Q000453:epidemiology / Q000523:psychology*; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology / Q000523:psychology*; D012737:Sex Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult