Effect of previous emergency psychiatric consultation on suicide re-attempts – A multi-center observational study
The emergency department (ED) is one of the first gateways when suicide attempt patients seek health care services. The purpose of this study was to analyze the hypothesis that people who received emergency psychiatric services in previous suicide attempts will have a lower mortality rate in current...
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| Veröffentlicht in: | The American journal of emergency medicine 2020-09, Vol.38 (9), p.1743-1747 |
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| container_title | The American journal of emergency medicine |
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| creator | Son, Jeong Min Jeong, Joo Ro, Young Sun Hong, Wonpyo Hong, Ki Jeong Song, Kyoung-Jun Do Shin, Sang |
| description | The emergency department (ED) is one of the first gateways when suicide attempt patients seek health care services. The purpose of this study was to analyze the hypothesis that people who received emergency psychiatric services in previous suicide attempts will have a lower mortality rate in current ED visits owing to subsequent suicide attempts.
This retrospective study included patients who visited six EDs, and participated in the injury surveillance and in-depth suicide surveillance for 10 years, from January 2008 to December 2017. The study subjects were adult patients 18 years or older who visited EDs due to suicide attempts. The main explanatory variable is whether psychiatric treatment was provided in previous suicide attempts. The main outcome variable was suicide related mortality.
The study included 2144 suicide attempt patients with a previous history of suicide attempts. Among these, 1335 patients (62.2%) had received psychiatric treatment in previous suicide attempts. Mortality was significantly different between the psychiatric consultation group (n = 33, 2.5%) and non-consultation group (n = 47, 5.8%) (P |
| doi_str_mv | 10.1016/j.ajem.2020.05.030 |
| format | Article |
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This retrospective study included patients who visited six EDs, and participated in the injury surveillance and in-depth suicide surveillance for 10 years, from January 2008 to December 2017. The study subjects were adult patients 18 years or older who visited EDs due to suicide attempts. The main explanatory variable is whether psychiatric treatment was provided in previous suicide attempts. The main outcome variable was suicide related mortality.
The study included 2144 suicide attempt patients with a previous history of suicide attempts. Among these, 1335 patients (62.2%) had received psychiatric treatment in previous suicide attempts. Mortality was significantly different between the psychiatric consultation group (n = 33, 2.5%) and non-consultation group (n = 47, 5.8%) (P < 0.01). In multivariate logistic regression analysis, previous psychiatric consultation showed a significant association with low mortality (adjusted OR 0.41; 95% CI [0.23–0.72]) and selecting non-fatal suicide methods (adjusted OR 0.47; 95% CI [0.36–0.61]).
Patients who received psychiatric consultation in previous suicide attempts had a lower suicide-related mortality in current ED visits as compared to patients who did not, and this may have been related to choosing non-fatal suicide methods.
•Many suicide attempters do not receive emergency psychiatric consultations.•Suicide attempters with emergency psychiatric consultation die less on subsequent retries.•Lower mortality is made because they choose less lethal methods.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2020.05.030</identifier><language>eng</language><publisher>Philadelphia: Elsevier Inc</publisher><subject>Age ; Alcohol ; Clinical outcomes ; Data collection ; Emergency medical care ; Emergency medical services ; Emergency services ; Fatal suicide methods ; Fatalities ; Hospitals ; Injuries ; Intervention ; Methods ; Mortality ; Observational studies ; Patients ; Poisoning ; Psychiatric consultation ; Regression analysis ; Statistical analysis ; Suicide ; Suicide attempt ; Suicides & suicide attempts ; Surveillance ; Variables</subject><ispartof>The American journal of emergency medicine, 2020-09, Vol.38 (9), p.1743-1747</ispartof><rights>2020 Elsevier Inc.</rights><rights>2020. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-a6b076ecd12fc6863f277d83c0fd623fd5cc5c6694154aa24e8d602f5cc72d353</citedby><cites>FETCH-LOGICAL-c361t-a6b076ecd12fc6863f277d83c0fd623fd5cc5c6694154aa24e8d602f5cc72d353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2449741475?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids></links><search><creatorcontrib>Son, Jeong Min</creatorcontrib><creatorcontrib>Jeong, Joo</creatorcontrib><creatorcontrib>Ro, Young Sun</creatorcontrib><creatorcontrib>Hong, Wonpyo</creatorcontrib><creatorcontrib>Hong, Ki Jeong</creatorcontrib><creatorcontrib>Song, Kyoung-Jun</creatorcontrib><creatorcontrib>Do Shin, Sang</creatorcontrib><title>Effect of previous emergency psychiatric consultation on suicide re-attempts – A multi-center observational study</title><title>The American journal of emergency medicine</title><description>The emergency department (ED) is one of the first gateways when suicide attempt patients seek health care services. The purpose of this study was to analyze the hypothesis that people who received emergency psychiatric services in previous suicide attempts will have a lower mortality rate in current ED visits owing to subsequent suicide attempts.
This retrospective study included patients who visited six EDs, and participated in the injury surveillance and in-depth suicide surveillance for 10 years, from January 2008 to December 2017. The study subjects were adult patients 18 years or older who visited EDs due to suicide attempts. The main explanatory variable is whether psychiatric treatment was provided in previous suicide attempts. The main outcome variable was suicide related mortality.
The study included 2144 suicide attempt patients with a previous history of suicide attempts. Among these, 1335 patients (62.2%) had received psychiatric treatment in previous suicide attempts. Mortality was significantly different between the psychiatric consultation group (n = 33, 2.5%) and non-consultation group (n = 47, 5.8%) (P < 0.01). In multivariate logistic regression analysis, previous psychiatric consultation showed a significant association with low mortality (adjusted OR 0.41; 95% CI [0.23–0.72]) and selecting non-fatal suicide methods (adjusted OR 0.47; 95% CI [0.36–0.61]).
Patients who received psychiatric consultation in previous suicide attempts had a lower suicide-related mortality in current ED visits as compared to patients who did not, and this may have been related to choosing non-fatal suicide methods.
•Many suicide attempters do not receive emergency psychiatric consultations.•Suicide attempters with emergency psychiatric consultation die less on subsequent retries.•Lower mortality is made because they choose less lethal methods.</description><subject>Age</subject><subject>Alcohol</subject><subject>Clinical outcomes</subject><subject>Data collection</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency services</subject><subject>Fatal suicide methods</subject><subject>Fatalities</subject><subject>Hospitals</subject><subject>Injuries</subject><subject>Intervention</subject><subject>Methods</subject><subject>Mortality</subject><subject>Observational studies</subject><subject>Patients</subject><subject>Poisoning</subject><subject>Psychiatric consultation</subject><subject>Regression analysis</subject><subject>Statistical analysis</subject><subject>Suicide</subject><subject>Suicide attempt</subject><subject>Suicides & suicide attempts</subject><subject>Surveillance</subject><subject>Variables</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9UcuKFDEUDaJg2-MPzCrgxk2Veacb3AzD-IABN7oOmeRmTFFVKZNUQ-_8B_9wvsSU7cqFcOHC5ZzDPecgdE1JTwlV74beDjD1jDDSE9kTTp6hHZWcdQeq6XO0I5rLTmmpX6JXpQyEUCqk2KFyFwK4ilPAS4ZTTGvBMEF-hNmd8VLO7nu0NUeHXZrLOlZbY5pxm7JGFz3gDJ2tFaalFvz08xe-wVODxc7BXCHj9FAgn_6w7IhLXf35Cr0Idizw-u_eo28f7r7efuruv3z8fHtz3zmuaO2seiBagfOUBacOigemtT9wR4JXjAcvnZNOqaOgUljLBBy8Iiy0s2aeS75Hby-6S04_VijVTLE4GEc7Q_NpmGBHrfmxZbNHb_6BDmnN7eMNJY5aUKE3QXZBuZxKyRDMkuNk89lQYrYezGC2HszWgyHStB4a6f2FBM3qKUI2xcWWLviYW_LGp_g_-m_aLZPD</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Son, Jeong Min</creator><creator>Jeong, Joo</creator><creator>Ro, Young Sun</creator><creator>Hong, Wonpyo</creator><creator>Hong, Ki Jeong</creator><creator>Song, Kyoung-Jun</creator><creator>Do Shin, Sang</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202009</creationdate><title>Effect of previous emergency psychiatric consultation on suicide re-attempts – A multi-center observational study</title><author>Son, Jeong Min ; 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The purpose of this study was to analyze the hypothesis that people who received emergency psychiatric services in previous suicide attempts will have a lower mortality rate in current ED visits owing to subsequent suicide attempts.
This retrospective study included patients who visited six EDs, and participated in the injury surveillance and in-depth suicide surveillance for 10 years, from January 2008 to December 2017. The study subjects were adult patients 18 years or older who visited EDs due to suicide attempts. The main explanatory variable is whether psychiatric treatment was provided in previous suicide attempts. The main outcome variable was suicide related mortality.
The study included 2144 suicide attempt patients with a previous history of suicide attempts. Among these, 1335 patients (62.2%) had received psychiatric treatment in previous suicide attempts. Mortality was significantly different between the psychiatric consultation group (n = 33, 2.5%) and non-consultation group (n = 47, 5.8%) (P < 0.01). In multivariate logistic regression analysis, previous psychiatric consultation showed a significant association with low mortality (adjusted OR 0.41; 95% CI [0.23–0.72]) and selecting non-fatal suicide methods (adjusted OR 0.47; 95% CI [0.36–0.61]).
Patients who received psychiatric consultation in previous suicide attempts had a lower suicide-related mortality in current ED visits as compared to patients who did not, and this may have been related to choosing non-fatal suicide methods.
•Many suicide attempters do not receive emergency psychiatric consultations.•Suicide attempters with emergency psychiatric consultation die less on subsequent retries.•Lower mortality is made because they choose less lethal methods.</abstract><cop>Philadelphia</cop><pub>Elsevier Inc</pub><doi>10.1016/j.ajem.2020.05.030</doi><tpages>5</tpages></addata></record> |
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| subjects | Age Alcohol Clinical outcomes Data collection Emergency medical care Emergency medical services Emergency services Fatal suicide methods Fatalities Hospitals Injuries Intervention Methods Mortality Observational studies Patients Poisoning Psychiatric consultation Regression analysis Statistical analysis Suicide Suicide attempt Suicides & suicide attempts Surveillance Variables |
| title | Effect of previous emergency psychiatric consultation on suicide re-attempts – A multi-center observational study |
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