Suicidal drownings with psychiatric disorders in Shanghai: a retrospective study from 2010.1 to 2014.6.
Psychiatric disorders exhibited in 13% suicidal drownings in Southwestern Croatia and 63% in Milan, but in China is unknown. This study is committed to outline the feature of a suicidal drowning with psychiatric disorder, show mental status and reveal key factor to high incidence in China. Immersed corpses were handled by SPSBMPH in its jurisdiction range. Half of immersed corpses were suicidal, and nearly half of suicides had psychiatric disorders. 104 suicidal drownings with psychiatric disorders cases from 2010.1 to 2014.6 were reviewed (21.5% of all immersed corpses, 42.1% of suicides). Most victims clothed normally, and only 2 fastened attached weights. Male victims were more and younger than female. Psycho were prone to commit suicidal drowning in warm and hot season. Psycho were prone to choose familiar area to commit suicide, 45 decedents were found in their familiar areas. Suicidal drowings were occult without suicide attempts, suicide note or abnormal clothing, but showed abnormal mental or behavior changes prior to suicide. The three leading psychiatric disorders were depression (33.7%), depression status (30.8%) and schizophrenia (20.2%). Only 44.2% decedents had visited psychiatric disorder specialist, and merely less than 10% patients could adhere to regular medication. No regular medication on psychiatric disorder was the key factor contributing to high incidence of suicide in psycho. Professional psychiatric and psychological intervention should be taken as soon as possible when they had psychiatric symptoms or suffered misfortune. Guardians should be alert to patients' abnormality to detect their suicidal ideation and intervene, especially in warm season.
Department of Neurology, Huashan Hospital, Fudan University, Shanghai, P. R. China.
You-Xin
YX
Fang
Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, Shanghai, P. R. China.
Meng
M
He
Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, Shanghai, P. R. China.
Jun-Yi
JY
Lin
Shanghai Key Laboratory of Crime Scene Evidence, Institute of Forensic Science, Shanghai Public Security Bureau, Shanghai, P. R. China.
Kai-Jun
KJ
Ma
Shanghai Public Security Bureau Marine Police Headquarter, Shanghai Public Security Bureau, Shanghai, P. R. China.
Hai
H
Zhao
Department of Neurology, Huashan Hospital, Fudan University, Shanghai, P. R. China.
Zhen
Z
Hong
Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, Shanghai, P. R. China.
Bei-Xu
BX
Li
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014150:Antipsychotic Agents / Q000627:therapeutic use; D002648:Child; D002681:China / Q000453:epidemiology; D003863:Depression / Q000188:drug therapy / Q000453:epidemiology* / Q000523:psychology; D003866:Depressive Disorder / Q000188:drug therapy / Q000453:epidemiology* / Q000523:psychology; D004332:Drowning / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D005260:Female; D006358:Hot Temperature; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D012559:Schizophrenia / Q000188:drug therapy / Q000453:epidemiology*; D012621:Seasons; D017678:Sex Distribution; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data*; D000092864:Suicide Prevention
D014150:Antipsychotic Agents