[Clinical analysis of 104 cases of overdose in suicide attempts].
Patients who have attempted suicide by taking medicines are frequently admitted to emergency and critical care medical centers. These patients usually have both physical and mental problems. Some try repeatedly to commit suicide. In this study, to ascertain how to prevent repeated attempts of suicide, we investigated the clinical characteristics of patients attempting suicide by taking overdoses of medicine. One hundred and four cases of suicide attempted by taking an overdose of medicine, seen at The Emergency and Critical Care Medical Center, Tottori University Hospital, Tottori from April 2005 to March 2006, were investigated in this retrospective study. Patients were 25 males (24%), and 79 females (76%). Eighty one patients (77.9%) had regularly been receiving psychiatric care, with neurotic disorders being the most common psychiatric condition. Thirty eight patients (36.5%) had repeated suicide attempts by taking an overdose of medicine. In 2005, there were 9 patients (9.4%) who had repeatedly consulted our critical care medical center. Most of these patients were females who had previously consulted a psychiatric clinic and had diagnoses of stress-related or personality disorders. In this study, we demonstrated that it is important to build a good relationship between psychiatrists and emergency doctors. As well, to prevent repeated incidents of taking an overdose of medicines in a suicide attempt, it is important to ensure that medical and psychosocial support are positively applied to patients with such tendencies.
Division of Emergency and Disaster medicine, Department of Surgery, School of Medicine,Tottori University Faculty of Medicine.
Yoshimi
Y
Ozaki
Yasuki
Y
Nakata
Masafumi
M
Kameoka
Nobuhiro
N
Hayashi
Yusuke
Y
Nakayama
Keiichi
K
Yagi
D000328:Adult; D000367:Age Factors; D062787:Drug Overdose / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009497:Neurotic Disorders / Q000150:complications / Q000453:epidemiology; D010817:Physician-Patient Relations; D012189:Retrospective Studies; D012737:Sex Factors; D012944:Social Support; D013406:Suicide, Attempted / Q000517:prevention & control* / Q000706:statistics & numerical data*