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Journal Article

Citation

Rahme E, Low NCP, Lamarre S, Daneau D, Habel Y, Turecki G, Bonin JP, Morin S, Szkrumelak N, Singh S, Lesage A. Can. J. Psychiatry 2016; 61(7): 382-393.

Copyright

(Copyright © 2016, Canadian Psychiatric Association, Publisher SAGE Publications)

DOI

10.1177/0706743716639054

PMID

unavailable

Abstract

INTRODUCTION: The epidemiology of attempted suicide has not been well characterized because of lack of national data or an International Classification of Diseases (ICD) code for suicide attempts.

We conducted a retrospective chart review in 2 adult general hospitals (tertiary and community) in Montreal, Canada, in 2009-2010 to 1) describe the characteristics of men and women who presented to the emergency department (ED) and/or were hospitalized following a suicide attempt, 2) identify factors associated with attempts requiring hospitalizations, and 3) validate the use of International Classification of Diseases, 10th Revision (ICD-10) codes for "intentional self-harm" as a method to detect suicide attempts from hospital abstract summary records.


Method: All potential suicide attempts were identified from hospital abstract summary records and ED nursing triage file using ICD-10 codes and keywords suggestive of suicide attempts. All identified charts were examined, and those with confirmed suicide attempts were fully reviewed.

Results: Of the 5746 identified charts, 369 were fully reviewed. Of these, 176 were for suicide attempters treated in the ED and 193 for hospitalized attempters, of whom 46% had an ICD-10 code for intentional self-harm. Poisoning (46%) was the most frequent method of suicide used. Half of attempters were younger than 34 years, 53% were female, and 75% had a history of mental disorders.

Conclusion: About half of individuals who seek medical care for attempted suicide are admitted to hospital. About half of attempters use poisoning as a method of suicide, and a quarter do not have a history of mental disorders. Intentional self-harm codes capture only about half of hospitalized attempters.


Language: en

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