| Objective(s): By analyzing the demographic characteristics and clinical data of all suicide patients taking psychotropic drugs who were treated by the Affiliated Hospital of Yunnan University,Gejiu People’s Hospital,Pu’er People’s Hospital and the Emergency Department of Dehong People’s Hospital from January 2011 to December2021,we can understand and master the epidemiological characteristics and epidemic trend of suicide patients taking psychotropic drugs in different ethnic groups,and provide basis for further study of suicide patients taking psychotropic drugs,It is expected to provide scientific guidance for the prevention and treatment of suicide patients taking psychotropic drugs in the region.Methods: Retrospective analysis was used.Collect the demographic characteristics and clinical data of all suicide patients taking psychotropic drugs from the Affiliated Hospital of Yunnan University,Gejiu People’s Hospital,Pu’er People’s Hospital and the Emergency Department of Dehong People’s Hospital describe and analyze their gender,age,occupation,patient source,poison type,poisoning time,poisoning reason,poisoning route,hospitalization time and outcome.IBM SPSS26.0statistical software was used to analyze the epidemiological characteristics of suicide caused by acute psychotropic drugs.Results: This study collected 594 cases of suicidal patients taking psychotropic drugs from January 2011 to December 2021.The number of patients seeking medical treatment in the past ten years showed an overall upward trend,especially in the period from 2019 to 2021,with the majority of patients seeking medical treatment in December and January.The average hospitalization time of patients was 3.11 ± 2.06 days,and the drug type was mainly single drug.The number of suicides taking mixed drugs showed a significant upward trend from 2018 to 2021.130 men,accounting for 21.89%;There are 464 women,accounting for 78.11%.The ratio of male to female is 1 :3.57,with more females.In general,the age distribution of suicide patients taking psychotropic drugs is mostly 10-19 years old,and there is no difference between male and female groups.There are 193 people in total,accounting for 32.49% of psychotropic drugs.According to regional distribution,553 people from urban areas(93.10%)and 41 people from rural areas(6.90%).54.9% of the patients had mental illness in the past.According to the occupational distribution,the majority of students who committed suicide by taking psychotropic drugs were 197(33.2%),followed by 160 unemployed(26.9%).The causes of suicide patients taking psychotropic drugs were divided into quarrels and self-medication.519 people were poisoned by self-medication,accounting for 87.4%.The ratio of male and female suicide patients taking self-medication was1:4.22.In addition,75 people(12.6%)committed suicide by taking drugs due to quarrels,and the ratio of male to female was 1 :1.59(P<0.05).At the same time,we observed that the 30-39 age group accounted for the largest proportion of cases of suicide due to taking drugs due to quarrels,accounting for 28.0%,and the staff accounted for the largest proportion,accounting for 37.3%(P<0.05);Among the suicide cases of self-medication,students accounted for the largest proportion(35.3%).In terms of age,the proportion of 10-19 years old was 34.5%(P<0.05).From the perspective of disease outcome,373 of 594 patients improved(62.8%),4 died(0.7%),and 217(36.5%)were discharged automatically.Among the automatic discharge cases,the unemployed accounted for the largest proportion,accounting for 46.9%(P<0.001).Among the cases of different sexes in the prognosis correlation analysis,the proportion of male patients with improvement was the largest,accounting for 71.5%;Among the automatic discharge cases,women accounted for 38.8%(P<0.05),and the 4 death cases were women.From the perspective of ethnic distribution,there are 438 Han people(73.7%)and 156 ethnic minorities(including Hui,Yi,Hani,Dai,Jino,Wa,Miao,Zhuang,etc.)(26.3%).In different age groups of different nationalities,the proportion of ethnic minority groups in the age groups of 10-19,20-29,30-39 and 40-49 years old is 37.2%,21.8%,17.9% and 10.3% respectively,and that of the Han group is 30.8%,20.8%,10.3% and 9.4% respectively.The proportion of ethnic minority groups in these age groups is more than that of the Han group.The proportion of Han nationality in the age groups of 50-59,60-69 and over 70 years old was 12.1%,4.3% and 12.3%respectively,and that of minority nationality group was 7.7%,1.9% and 3.2%respectively.The proportion of Han nationality in these age groups was higher than that of minority nationality group(P<0.05).In different ethnic groups and different occupations,the proportion of farmers,retirees,unemployed,students and staff in the Han nationality group was 5.5%,15.1%,27.4%,32.4% and 19.6% respectively,and the proportion of minority nationality group was 9.6%,3.8%,25.6%,35.3% and 25.6%respectively.The proportion of farmers,students and staff in the minority nationality group was higher than that in the Han nationality group(P<0.05).Among the different outcomes of different nationalities,the proportion of improvement,death and automatic discharge in the Han group was 60.3%,2% and 39.3% respectively,and the proportion of minority group was 69.9%,1.3% and 28.8% respectively.The proportion of automatic discharge in the Han group was higher than that in the minority group,and the proportion of improvement in the minority group was higher than that in the Han group(P<0.05).Among all cases of psychotropic drugs,the average age of the Han nationality group(36.57 ± 21.41)was higher than that of the minority nationality group(29.92 ± 15.58),with a statistically significant difference(t=4.118,P<0.001).Conclusion(s): Suicide patients taking psychotropic drugs in some areas of Yunnan have obvious epidemiological characteristics in terms of general characteristics and poisoning,and the overall prognosis is good.Among them,women are more than men,mainly young people,mainly students,and more than rural people in urban areas.Among patients with past history,mental illness is the most common;Self-medication suicide is the main cause of poisoning.The occurrence months are mostly December and January.The number of poisoning patients has shown an overall upward trend in the past ten years,and the number of patients staying for observation is mostly within2-3 days.The number of cases in the Han nationality is more than that in the minority nationality group.The average age of the Han nationality group is greater than that in the minority nationality group.The proportion of farmers,students and staff in the minority nationality group is more than that in the Han nationality group.The proportion of automatic discharge in the Han nationality group is higher than that in the minority nationality group.The results of this study are expected to provide some scientific basis for the formulation of preventive measures and first-aid plans for suicide poisoning caused by taking acute psychotropic drugs in line with the actual situation in Yunnan. |
PDF Full Text Request