title: Clinical Features, Psychiatric Assessment, and Longitudinal Outcome of Suicide Attempters Admitted to a Tertiary Emergency Hospital.
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.
authors.forename: Alcinéia Donizeti
authors.initials: AD
authors.lastname: Ferreira
authors.forename: Alcion
authors.initials: A
authors.lastname: Sponholz
authors.forename: Célia
authors.initials: C
authors.lastname: Mantovani
authors.forename: Antônio
authors.initials: A
authors.lastname: Pazin-Filho
authors.forename: Afonso Dinis Costa
authors.initials: AD
authors.lastname: Passos
authors.forename: Neury José
authors.initials: NJ
authors.lastname: Botega
authors.forename: Cristina Marta
authors.initials: CM
authors.lastname: Del-Ben
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001883:Borderline Personality Disorder / Q000453:epidemiology*; D001938:Brazil / Q000453:epidemiology; D002648:Child; D003156:Community Mental Health Services; D003866:Depressive Disorder / Q000453:epidemiology*; D004636:Emergency Service, Hospital; D005260:Female; D006760:Hospitalization; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000453:epidemiology*; D012008:Recurrence; D012017:Referral and Consultation; D012189:Retrospective Studies; D012737:Sex Factors; D013405:Suicide / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D062606:Tertiary Care Centers; D014754:Violence; D055815:Young Adult
keywords: emergency psychiatry; emergency room; suicide; suicide attempt