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Type: Artigo de Periódico
Title: Clinical Features, Psychiatric Assessment, And Longitudinal Outcome Of Suicide Attempters Admitted To A Tertiary Emergency Hospital
Author: Ferreira
AD; Sponholz
A; Mantovani
C; Pazin
A; Passos
ADC; Botega
NJ; Del-Ben
Abstract: The objective of this study was to characterize admissions to an emergency hospital due to suicide attempts and verify outcomes in 2 years. Data were collected from medical records and were analyzed using descriptive statistics and logistic regression. 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). Suicide attempters admitted to emergency hospitals exhibit severe psychiatric disorders, and despite interventions, they continue to present high risks for suicide attempts and death.
Subject: Emergency Room
Emergency Psychiatry
Suicide Attempt
Rights: fechado
Identifier DOI: 10.1080/13811118.2015.1004491
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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