Suicide attempts among Greenlandic forensic psychiatric patients – prevalence and determinants

This nationwide cross-sectional study of the lifetime prevalence and determinants of suicide attempts includes 90% of Greenlandic forensic psychiatric patients. Retrospective data were collected from electronic patient files, court documents, and forensic psychiatric assessments using a coding form...

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Bibliographic Details
Published in:International Journal of Circumpolar Health
Main Authors: Christian Jentz, Parnuna Heilmann, Naaja Nathanielsen, Casey Upfold, Inaluk Kleist, Lisbeth Uhrskov Sørensen
Format: Article in Journal/Newspaper
Language:English
Published: Taylor & Francis Group 2022
Subjects:
Online Access:https://doi.org/10.1080/22423982.2022.2037257
https://doaj.org/article/201b37d50ea4425b9150449ca2687cbe
Description
Summary:This nationwide cross-sectional study of the lifetime prevalence and determinants of suicide attempts includes 90% of Greenlandic forensic psychiatric patients. Retrospective data were collected from electronic patient files, court documents, and forensic psychiatric assessments using a coding form from a similar study. We used unpaired t-tests and chi2 or Fisher’s exact test. The lifetime prevalence of suicide attempts was 36% (n = 32), and no difference in prevalence was found between male and female patients (p = 0.95). Patients having attempted suicide had a higher rate of physical abuse in childhood (p = 0.04), family history of substance misuse (p = 0.007), and criminal convictions among family members (p = 0.03) than patients who had never attempted suicide. Women primarily used self-poisoning in their latest suicide attempts (67%), whereas men more often used sharp objects or a firearm (42%). Over a third of Greenlandic forensic patients have attempted suicide at some point in their life, and patients with traumatic childhood experiences are at higher risk of suicidal behaviour. It is not possible to conclude whether the lifetime prevalence of suicide attempts among Greenlandic forensic patients is comparable to that of other high-risk groups in other Arctic regions due to methodological differences among the very few other comparable studies.