Research Article :
Suicide has its own trends and path. An
emotional set back may leads to suicide is seemed to happen instantly but it is
not true, it takes times to complete .All most all of us have to experience
death wishes but never reach to that point when said completed. Very few will
reach to that point where assessed. This study has aim to decide the path by
which completion occurs. Study has used the various discrete data of various
studies freely available on internet. They were analyzed and arranged logically
in sequence to set the path and trends. Lot of the people have suicidal ideation but few succeed.
This behavior does not direct to its final destination. It has to proceed in
succession. The aim of this study is to establish the successive stage and
patternize the suicide in different form, require further statistical approval.
The postulated model has four major components that pass through them as a)
ideation b) threat c) attempt d) completion. Ideation may be situational or
persistent .Threat can be seen without self-harm or with self-harm if it occurs
with self-harm can be evident with self-mutilation or deliberate self-harm or
self-throttling. In case if attempts are taken can be identified as true or
threat. If truly taken with ideation which may be situation or momentarily with
or without idea or accidental to proceed further to complete or incomplete.
Completion of suicide may be associated with mental illness a) with
psychotic symptoms
b) without psychotic symptom c) under distress d) under substance influence e)
adjustment problem and associated family conflict 2) without mental illness a)
under serial forced circumstance b) accidental. These are the components that
are identified in clinical practice. The only survivors are negotiable and
those who are psychiatrically ill are assessed with precaution but those who
are free from mental illness remained untouched, need further approval for wide
acceptance. Study of prevalence of suicide ideation across nine diverse
nation has slight variation in life time prevalence rate of suicide rate pr 100
is ranged from 2.09 to 18.51 and attempt ranged from 0.72 to 5.93. Suicide
ideation among female has marginally higher than male but attempt is two to
three folds higher than male each year 300000 death occurred every year and one
million die due to suicide [1-3]. Trend of suicide ideation plan gesture or
attempts are studied from between 1990-1992 and 2001-2003 has no significant changes found in this
study suicidal ideation (2.8% vs 3.3%;
P=.43), plans (0.7% vs 1.0%; P=.15), gestures (0.3% vs 0.2%; P=.24), or
attempts (0.4%-0.6%; P=.45), whereas conditional prevalence of plans among
ideators increased significantly (from 19.6% to 28.6%; P=.04), and conditional
prevalence of gestures among planners decreased significantly (from 21.4% to
6.4%; P=.003). Treatment increased dramatically among ideators who made a
gesture (40.3% vs 92.8%) and among ideators who made an attempt (49.6% vs
79.0%). Conclusions despite a dramatic increase in treatment, no significant
decrease occurred in suicidal thoughts, plans, gestures, or attempts in the
United States during the 1990s. Continued efforts are needed to increase
outreach to untreated individuals with suicidal ideation
before the occurrence of attempts and to improve treatment effectiveness for
such cases. Suicide is one of the leading causes of death worldwide. As a
result, the World Health Organization and the US surgeon general have
highlighted the need [2]. The assumption that information on suicide-related behaviors,
including thoughts, plans, gestures, and nonfatal attempts, is important for
understanding completed suicides can be called into question because only a
small fraction of suicide attempters eventually complete suicide. It is known
stronger predictor of suicide at 5.4%, completed suicide prevalence in this
community cohort of suicide attempters was almost 59% higher than previously
reported [4-5]. An innovative aspect of this study explains the discrepancy: by
including index attempt deaths-approximately 60% of total suicides- suicide
prevalence more than doubled [6-11]. Several study has been conducted to
estimate prevalence of suicide ideation planning and attempt for life time 12
months and 6 months of time has great focus on decreasing trends of these
events from 6 months to 12 months and life time .The range and average of
suicide ideation plan and attempt shown in table They showed decreasing trend
but does not fix pattern [12-73]. Table 1: Showed
life time 12 months and 6 months ideation, plan, and attempt [12-73]. Table 2: Showed
the value of different phenomenon and its graph of their trend. Figure 1: Showed
the prevalence of different suicide phenomena in succession. Figure 2: Showed
the pattern of suicide forms and their stipness. Table 3: Life
event of suicide overall trends. Figure 4: Showed
trends of all phenomena in the span. To find out path and progression of suicide. Method Observation 1. Prevalence
rate/100 Suicidal ideation 2.09-18.51 Suicidal attempt 0.2-5.93 2. Suicide
ideation; 2.8-3.3 suicide planner; 0.7-1.0; gesture; 0.3-0.2 suicidal attempt;
0.4-0.6 3. 247
relatives suicide completer matched with 171 relatives of matched group of
community comparison AXIS 1 disorder 80% alcohol abuse=44% Depressive disorder
40%, 56%, 24% drug abuse and dependence
AXIS II 56% ,Cluster B-52%, Cluster A-4% , 4% AXIS II in comparison group Linkage study relative of suicide completers
has outnumber of prevalence of aggression depression childhood abuse and
ideation than relatives of non-suicide 4. Suicidal
attempt 148.8 per 100000 person per year and suicide ideation-449.9 per 100000
person years 5. Suicidal
ideation 5.6%, suicidal planner 2.7%, 0.7% suicide attempt 6. N=4866
, suicide ideation 2.4% female, 2.3% male, Para suicide 0.9% in women and 1.1% in male 7. N=700
death wishes 34%, suicidal ideation 12.5%, attempt 2.6% 8. 11583
of DSH, repeated DSH 39%, RR 2.24% of suicide 9. 11583
DSH- Suicide in 5 yrs n=300, RR in 1st yrs e first year of follow-up was 0.7% (95%
CI 0.6-0.9%), which was 66 (95% CI 52-82) times the annual risk of suicide in
the general population. The risk after 5 years was 1.7%, at10 years 2.4% and at
15 years 3.0%. 10. DSH
16 % non-fatal, 2% fatal after 9 yrs 7% suicide. 11. N=11572
ratio between completed suicide and attempted suicide 1: 23 The available data obtained from internet survey arranged in
sequence and its proportion emphasized that death wishes are highest in ranking
followed by attempt and suicide completion [7]. The ration of suicide attempt
and suicide is 1:23 but there is always a gap exist to full fill in between the
suicide ideation and completion [11]. The analysis and visual impact of data
presume that celebrate self-harm fatal and non-fatal repeaters will have to
full fill the gap [8,9,10]. The other factors associated to death completion in
linkage study suggest aggression and impulsivity is force to complete suicide
[3]. Psychiatric co morbid or psychiatric condition
such as mood disorder,
substance use traumatic experiences have role in transmission of ideation or
death wishes to suicide. Considering the average of life time prevalence, 12 month
and 06 month prevalence of suicide as 17.8, 12.7 and 17.7% [3,12-73]. The most
of suicide prevalence exist infinitival 06 month and remained high throughout
the life span and most of the attempt were taken in initial first six months as
mentioned in table above the plan were persistently high throughout the life
span. In all these succession death wishes are 34% statistically it stand far
before the prevalence of life time ideation [7]. DSH 16% non-fatal, 2% fatal
after 9 yrs 7% suicide Deliberate self-harm stands somewhere in between
ideation planning as and attempts [9,11]. The ratio of attempted suicide and completed suicide is
1:23 then it completion in attempted
suicide of 2.43% is 0.07%. (y=1*2.43/23). Flow charts -
Represents the successive path to complete suicide. Everyone in their life at least has to wish die but very few
complete it. It progress in certain path as wish further strengthen by idea
following deliberate self-harm may repeat or accidentally completed if not
further proceeds to take attempt. It may be completed or rest as further risk of suicide.
Furthermore the life time plan and plan wit in the 12 months has to prolong
further in their form. The earlier intervention in 06 months duration may
decrease the incidence of suicide and also transition to continue as 12 month
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Psyi Open Access 3: 14-19. Suicide, Celebrate self-harm, Attempt and Completion.Typifying and Characterizing Suicide and its Dynamics of Progression towards Completion: A Model
Gautam Anand
Abstract
Conclusion: Everyone in their life
at least has to wish to die but very few complete it. It progress in certain
path as wish further strengthen by idea following celebrate self-harm may
repeat or accidentally completed if not further proceeded to take attempt. It
may be completed or rest as further are risk of suicide. Full-Text
Introduction
Review of
literature
Aim and
Objective
Selected more than 50 papers and documents available on different site
study evaluated and analyzed logically and best suited data available across
word wide on internet were sequential arranged. They were put in series may
appear in the form of trends to reach completion were considered. Discussion
and Interpretation
Conclusion
References
*Corresponding
author
Citation
Keywords
