title: Can we predict agitation in patients with suicide attempts in the emergency department?
abstract: BACKGROUND
  The agitation in patients presenting to the emergency department (ED) after suicide attempts is common and an important problem.
  
  
  OBJECTIVE
  To establish whether we can predict agitated patients among suicide attempt patients in ED.
  
  
  METHODS
  This is a cross-sectional observational study of adult suicide attempt events in ED. Information was collected prospectively on a specially designed data-collection form. Patients aged 16 years old and above who presented to the ED for care due to suicide attempts were included in the study. Suicide attempts were grouped as aggressive and non-aggressive attempts.
  
  
  RESULTS
  A total of 533 patients were included. Forty-three of these patients had agitation in ED (8%). Non-aggressive suicide attempts were referred to psychiatry services more than aggressive ones (73.6%, n=345 vs 32.8%, n=21, P<0.0001). Agitation in ED and being male increased aggressive suicide attempt risk 3.5 (95% CI:1.6-7.6) and 3.2 times (95% CI:1.8-5.5), respectively. Agitation was statistically more frequent among these patients: those on antidepressant overdose, with previous suicide attempt; with aggressive suicide attempt; and those with confusion; and unconsciousness (P<0.05).
  
  
  CONCLUSIONS
  Patients who attempted suicide and whose risk of harm to others included those with: antidepressant overdose, aggressive suicide attempt and the unconscious. Response teams should be prepared for these subgroups.
authors.affiliation: Adnan Menderes University Medicine Faculty Department of Emergency Medicine, Aydin, Turkey.
authors.forename: Ayhan
authors.initials: A
authors.lastname: Akoz
authors.affiliation: Ataturk University Medicine Faculty Department of Emergency Medicine, Erzurum, Turkey.
authors.forename: Sultan Tuna Akgol
authors.initials: ST
authors.lastname: Gur
authors.affiliation: Ataturk University Medicine Faculty Department of Psychiatry, Erzurum, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Oral
authors.affiliation: Ataturk University Medicine Faculty Department of Medical Education, Erzurum, Turkey.
authors.forename: Ummu Zeynep
authors.initials: UZ
authors.lastname: Avsar
authors.affiliation: Ataturk University Medicine Faculty Department of Emergency Medicine, Erzurum, Turkey.
authors.forename: Mucahit
authors.initials: M
authors.lastname: Emet
mesh_terms: D000328:Adult; D000374:Aggression / Q000523:psychology*; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D011446:Prospective Studies; D013406:Suicide, Attempted / Q000523:psychology* / Q000639:trends*; D055815:Young Adult
keywords: Agitation; deliberate self-harm; suicide attempt