NEW : As many as 37 people are dead in the fire , state media cite local investigators as saying . The fire broke out at the psychiatric institution in 3 a.m. , reports say . the Health Ministry says 38 people have been rescued , state media say . A fire at a psychiatric clinic in Friday killed 23 people , sparking calls for better fire safety .
NEW : As many as 37 people are dead in the fire , state media cite local investigators as saying . The fire broke out at the psychiatric institution in the early hours , reports say . The Emergencies Ministry says 23 people have been rescued , state media say . A fire at a psychiatric clinic in April killed 38 people , sparking calls for better fire safety .