Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

Omega (Westport). 2023 Mar;86(4):1144-1166. doi: 10.1177/00302228211003462. Epub 2021 Mar 18.

Abstract

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

Keywords: analytical hierarchy process; risk assessment model; suicide attempt.

MeSH terms

  • Cross-Sectional Studies
  • Decision Making*
  • Humans
  • Risk Assessment
  • Risk Factors
  • Suicidal Ideation
  • Suicide, Attempted* / psychology