TY - JOUR PY - 2022// TI - Suicidality from a toxicological perspective JO - Nervenheilkunde A1 - Geith, S. A1 - Eyer, F. SP - 246 EP - 252 VL - 41 IS - 4 N2 - Knowledge of characteristics of suicidally intended self-poisonings as well as factors associated with a repeated suicide attempt is extremely valuable for the identification of potential risk patients and constellations. Therefore, in a prospective observational study, data of 1238 patients with suicidal intoxications for whom our Poison Control Centre was contacted were collected and analyzed over a period of 12 months. The information collected includes demographic data as well as information on symptoms, substances taken or their source, somatic-psychiatric comorbidities, previous suicide attempts, presence of a substance use disorder and co-ingestion of alcohol or illicit drugs. 53 % of the patients were between 18 and 44 years old, 66 % were female. 79 % of the patients suffered from a psychiatric disorder, 45 % had had at least one suicide attempt. Patients with a psychiatric disorder most frequently used antidepressants and neuroleptics, while patients without a psychiatric history predominantly used peripheral analgesics, especially ibuprofen. Compared to patients with a first event, those with repeated suicide attempts were more likely to have a psychiatric disorder, or a substance use disorder and preferentially ingested antidepressants and neuroleptics, but less frequently peripheral analgesics. In addition to the identification of characteristics of deliberate self-poisonings, the presence of a psychiatric disease, of a substance use disorder and the ingestion of antidepressants or neuroleptics could be detected as risk factors for a repeated suicide attempt, on the basis of which individual preventive measures for risk groups can be developed. © 2022. Thieme. All rights reserved.

Language: de

LA - de SN - 0722-1541 UR - http://dx.doi.org/10.1055/a-1758-8133 ID - ref1 ER -