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Attempted suicide in Hanoi, Vietnam

Huong Tran Thi Thanh1, Guo-Xin Jiang, Tuong Nguyen Van

  • 1Hanoi Medical University, Hanoi, Vietnam.

Social Psychiatry and Psychiatric Epidemiology
|December 30, 2004
PubMed

Insights

Suicide attempts in Vietnam are often linked to life stressors, with young people and women being more vulnerable. Reducing access to pesticides and teaching conflict resolution skills are key prevention strategies.

Area of Science:

  • Public Health
  • Epidemiology
  • Psychiatry

Background:

  • Suicide attempts are a significant predictor of completed suicides globally.
  • Young people face a high risk of suicide worldwide.
  • Limited data exists on suicide attempter characteristics in Asia, particularly Vietnam.

Purpose of the Study:

  • To characterize suicide attempters in Vietnam.
  • To identify demographic and etiological factors associated with suicide attempts.
  • To inform suicide prevention strategies in a Vietnamese context.

Main Methods:

  • Retrospective analysis of medical records from Bach Mai General Hospital, Hanoi.
  • Inclusion of 509 patients (515 events) from January 1999 to April 2001.
  • Data analysis aligned with World Health Organization (WHO) Multicentre Study of Attempted Suicide criteria.

Main Results:

  • The average age of attempters was 28.3 years, with nearly half aged 15-24.
  • Urban attempters showed a higher female-to-male ratio (2.1:1) compared to rural areas (1.2:1).
  • Acute life stressors were the primary cause (73.8%); psychiatric illness was diagnosed in only 6% prior to attempts.
  • Urban attempters frequently used low-lethality analgesics/antipyretics, while rural attempters more commonly used pesticides/rat poison with higher lethality.

Conclusions:

  • Western suicide prevention strategies, like restricting access to lethal agents (pesticides, rat poison), may be effective in Vietnam.
  • Educational interventions focusing on conflict resolution skills can be implemented in schools.
  • Targeted prevention efforts are needed for young people and specific demographic groups.
Abstract

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