Psychiatric hospitalization after deliberate self-poisoning.
The decision for psychiatric hospitalization after deliberate self-poisoning (DSP) is not well understood. This study, a longitudinal cohort study of 3,148 consecutive DSP patients found 920 (29.2%) subjects were referred for psychiatric hospitalization, 576 (18.3%) on involuntary basis. A logistic regression analysis showed increased risk for: age 25 or older, homelessness, unemployment, previous self-harm, psychiatric inpatient treatment within 12 months, earlier psychiatric inpatient treatment, suicidal ideation or plan, mood or psychotic disorders, and lower clinician experience; and lower risk for being married/defacto, and after hours presentation. Recommendation for psychiatric hospitalization was based on complex decision making. These findings have implications for clinical practice guidelines, service costs, and service organization.
Carter
Gregory L
GL
Suicide Prevention Research Unit, Centre for Mental Health Studies at the University of Newcastle and Hunter and New England Area Health Service, Australia. carter@mail.newcastle.edu.au
Safranko
Ivan
I
Lewin
Terry J
TJ
Whyte
Ian M
IM
Bryant
Jennifer L
JL
D000328:Adult; D015331:Cohort Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005500:Follow-Up Studies; D006703:Ill-Housed Persons / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation*; D011041:Poisoning / Q000453:epidemiology*; D012044:Regression Analysis; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology*; D013406:Suicide, Attempted / Q000706:statistics & numerical data