TY - JOUR
PY - 2015//
TI - Clinical features, psychiatric assessment and longitudinal outcome of suicide attempters admitted to a tertiary emergency hospital
JO - Archives of suicide research
A1 - Ferreira, Alcinéia Donizeti
A1 - Sponholz-Jr, Alcion
A1 - Mantovani, Célia
A1 - Pazin-Filho, Antonio
A1 - Passos, Afonso Dinis Costa
A1 - Botega, Neury Jose
A1 - Del-Ben, Cristina Marta
SP - 191
EP - 204
VL - 20
IS - 2
N2 - OBJECTIVE: Characterize admissions to an emergency hospital due to suicide attempts and verify outcomes in two years.
METHOD: Data were collected from medical records and were analyzed using descriptive statistics and logistic regression.
RESULTS: The sample consisted of 412 patients (58.7% women; mean age = 32.6 years old, SD = 14.3). Self-poisoning was the most frequent method (84.0%), and they were diagnosed mainly as depressive (40.3%) and borderline personality disorders (19.1%). Previous suicide attempts and current psychiatric treatment were reported by, respectively, 32.0% and 28.4%. Fifteen patients (3.6%, 9 males) died during hospitalization. At discharge, 79.3% were referred to community-based psychiatric services. Being male (OR = 2.11; 95% CI = 1.25-3.55), using violent methods (i.e., hanging, firearms and knives) (OR = 1.96; 95% CI = 1.02-3.75) and psychiatric treatment history (OR = 2.58; 95% CI = 1.53-4.36) were predictors for psychiatric hospitalization. Of 258 patients followed for 2 years, 10 (3.9%) died (3 suicide), and 24 (9.3%) undertook new suicide attempts. Patients with a history of psychiatric treatment had higher risks of new suicide attempts (OR = 2.46, 95% CI = 1.07-5.65).
CONCLUSIONS: Suicide attempters admitted to emergency hospitals exhibit severe psychiatric disorders, and despite interventions, they continue to present high risks for suicide attempts and death.
Language: en
LA - en SN - 1381-1118 UR - http://dx.doi.org/10.1080/13811118.2015.1004491 ID - ref1 ER -