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EN
ObjectivesThe aim of the research was to analyze the nature of changes and tendencies observed in the frequency, circumstances and causes of acute intentional poisonings within the agglomeration of Łódź, Poland. The study related to adults.Material and MethodsAs the research material, medical records of patients hospitalized due to an acute poisoning in the Department of Toxicology in Łódź were used. Information on the hospitalized patients was gathered in the database created in accordance with the assumed criteria and an approved system of the collection of variables describing the issues of intentional acute poisonings.ResultsIn the analyzed period, within the group of 18 918 adult patients hospitalized due to an acute poisoning, male patients prevailed, accounting for 57.17% of the whole group. Intentional poisonings constituted 40.19% of all poisonings, with women dominating within that group of patients – accounting for approximately 58.63%. The largest group was formed by young people, 18–35 years old, accounting for 43.22%. The average age of the intentionally poisoned patients showed an upward tendency; this tendency concerned women to a larger extent. Medications played the most powerful role in acute intentional poisonings. Within the whole population, they were responsible for 97.27% of intoxications. The analysis of the dynamics of changes in the percentage of patients referred for further mental treatment revealed that the number of patients continuing hospital treatment in psychiatric wards tended to grow.ConclusionsObservations indicating that women are more likely to attempt intentional poisoning, and that the number of patients with psychiatric disturbances tended to grow in the analyzed period, demonstrate an urgent need for preventive measures to be taken in the local communities.
PL
Artykuł ma dwa cele. Główny to analiza treści listów pożegnalnych osób, które próbowały odebrać sobie życie. Ich autorami byli pacjenci hospitalizowani w Klinice Toksykologii Instytutu Medycyny Pracy w Łodzi po samobójczym zatruciu, najczęściej lekami. Stosując analizę jakościową treści opisano zawartość listów. Wyróżniono różne kategorie treści analizowanych dokumentów osobistych, m.in. adresatów listów, sposób, w jaki ich autorzy interpretowali przyczyny swojego samobójczego zachowania, komunikaty skierowane do najbliższych, samoocenę aktu samobójczego. Opisano także motywy napisania listu oraz ich formę. Zwrócono także uwagę na problem wiarygodności analizy takich dokumentów jako metody stosowanej w badaniach suicydologicznych oraz wskazano różne perspektywy teoretyczne w suicydologii w odniesieniu do przydatności wykorzystania listów samobójców w analizie zjawiska samobójstwa. Drugi cel to przedstawienie najistotniejszych społecznych czynników ryzyka zachowań samobójczych w oparciu o trzy współczesne, socjologiczne perspektywy analizy takich zachowań (model społecznej integracji, model modernizacji, model kulturowych norm, wartości i postaw).
EN
The paper presents two issues. First it offers an analysis of the content of suicide notes left by people who attempted to take their lives. Their authors were hospitalized in The Toxicology Clinic of The Nofer Institute of Occupational Medicine in Łódź after their suicidal intoxication, usually with drugs. Using the qualitative analysis technique, we describe the content of the letters, distinguishing various categories of the content of personal documents, such as: addressees of the letters; authors’ interpretations of the reasons for their suicidal behaviors; messages addressed to relatives; and self-assessment of their suicidal acts. We also describe the motives for writing the letters and their form. We next discuss the problem of the reliability of such documents as a method for conducting in suicidological research. Moreover, we indicate different theoretical perspectives in suicidology concerning the usefulness of suicide notes in the analysis of suicides. Secondly, the text refers to the most fundamental social factors underlying suicidal behaviors, which factors are based on three modern sociological perspectives of suicidal behavior analysis (the model of social integration, the model of modernization, the model of cultural norms, values and attitudes).
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