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Journal Article

Citation

Wang Y, Bhaskaran J, Sareen J, Wang J, Spiwak R, Bolton JM. J. Nerv. Ment. Dis. 2015; 203(7): 507-513.

Affiliation

Departments of *Psychology, †Psychiatry, and ‡Community Health Sciences, University of Manitoba, Winnipeg, Manitoba; and Departments of §Psychiatry and ∥Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1097/NMD.0000000000000320

PMID

26053262

Abstract

This study examined which factors predict future suicide attempts (SAs) among people referred to psychiatric services in the emergency department (ED). It included consecutive adult (age >18 years) presentations (N = 6919) over a 3-year period to the two tertiary care hospitals in Manitoba, Canada. Medical professionals assessed each individual on 19 candidate risk factors. Stepwise logistic regression and receiver operating characteristic curves examined the association between the baseline variables and future SAs within the next 6 months. A total of 104 individuals re-presented to the ED with future SAs. Of the 19 baseline variables, only two independently accounted for the variance in future attempts. High-risk scores using this two-item model were associated with elevated odds of future SA (odds ratio, 3.22; 95% confidence interval, 1.62-6.42; p < 0.01), but this was tempered by a low positive predictive value. Further evaluation is required to determine if this two-item tool could help identify people requiring more comprehensive risk assessment referred to psychiatry in the ED.


Language: en

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