@article{ref1,
title="Current aspects of para-suicidal poisoning",
journal="Medizinische klinik (Munich, Germany : 1983)",
year="1996",
author="Weilemann, L. S. and Hilgers, H. J. and Reckmann, A.",
volume="91",
number="6",
pages="355-358",
abstract="BACKGROUND: The study was designed to evaluate critically the background, findings and outcome in patients who have carried out suicidal and parasuicidal acts. PATIENTS AND METHODS: All parasuicidal patients who were admitted to the Department of Medicine of the University of Mainz over a period of 1 year were investigated. The basic data of all patients was documented (time of the parasuicidal act, stay in hospital, clinical parameters, psychiatric appraisals and therapy instituted). The semistructured interview &quot;European Parasuicide Study Interview Schedule (EPSIS)&quot; of the WHO/EURO was used to record the psychosocial background. RESULTS: The 153 patients were mostly suffering from intoxications with sedatives and psychoactive agents: they comprised 53 male (35%) and 100 female (65%) patients. The average age was 36 years. Eighty-two suicide patients were treated in the emergency admission section and 65 in intensive-care units. The duration of treatment in the emergency admission section averaged 9 hours, as compared to about 6 days on the intensive-care unit. Extracentral effects were most prominent amongst the &quot;sequelae&quot; of intoxications. Discharged directly to their homes were 58%, 31% to psychiatric hospitals and 9% to general wards; 2% died. The primary elimination of poison was achieved by induced vomiting in 40% of the cases, and by pumping out the stomach in 23%. There were no serious clinical alterations of clinical test parameters. Artificial ventilation was required in 8%. 107 suicide cases (61%) investigated psychiatrically showed moderate (41%) and severe (20%) psychological abnormalities. Depressive syndrome (35%, of these 1 third with major depression), which frequently occurred in the context of an acute stress reaction, predominated amongst the diagnoses. Forty-two patients could be interviewed 6 days after suicide or parasuicide. Of those 90% interviewed had visited their family doctor in the course of the year before the current admission. Thirty-one patients had already received outpatient therapy and 15 had undergone an inpatient form of psychiatric therapy.<p /> <p>Language: de</p>",
language="de",
issn="0723-5003",
doi="",
url="http://dx.doi.org/"
}