[Epidemiological study of patients and suicidal patients admitted to a psychiatric emergency department of a general hospital].
The present study involves a review of all patients who visited the Emergency Psychiatric Service during the period from December, 6, 1993 to June, 5, 1994. A questionnaire was proposed to 1073 subjects (57.2% females; 42.8% males; mean age = 36.6). Demographic data, familial and personal characteristics, previous contacts with professional health services, and diagnosis (DSM III R criteria) were collected. 52% of them were self-attempters, younger than the general population and more frequently females (61.5%). The parasuicides were more frequent in their families and in their personal past history. The previous contacts with health services (hospitalizations, consultations) were more frequent among patients who were admitted for psychological and/or psychiatric problems. 54% of self-attempters were repeating suicidal patients. There were more depressive disorders, parasuicides and drug/alcohol abuse in their families. A logistic regression analysis (stepwise) revealed the role of these factors in the repetition of parasuicides. This study supports the significance of a better knowledge of the potential significant factors for parasuicide. Preventive measures are necessary.
Chastang
F
F
Service de Psychiatrie, Centre Esquirol, CHU Côte de Nacre, Caen.
Rioux
P
P
Kovess
V
V
Lorteau
P
P
Bazin
C
C
Zarifian
E
E
D000328:Adult; D004637:Emergency Services, Psychiatric / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006769:Hospitals, General; D006785:Hospitals, University; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000209:etiology* / Q000517:prevention & control; D010359:Patient Readmission / Q000706:statistics & numerical data; D011446:Prospective Studies; D012307:Risk Factors; D013406:Suicide, Attempted / Q000517:prevention & control / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
Etude épidémiologique des patients et suicidants admis aux urgences psychiatriques d'un hôpital général.