Suicide attempts and related factors in patients admitted to a general hospital: a ten-year cross-sectional study (1997-2007)

BMC Psychiatry

Research Article

Salvador Pita-Fernández¹  Sonia Pértega-Díaz¹  Sonia M Gómez-Pardiñas²  Sara Lantes-Louzao²  Jorge García-Fernández²  Jesús Alberdi-Sudupe²  Fernando Iglesias-Gil-de-Bernabé²  Gonzalo Martínez-Sande² 

[1] Clinical Epidemiology and Biostatistics Unit, A Coruña Hospital, As Xubias, 84, 15006 A, Coruña, Spain;Department of Psychiatry, A Coruña Hospital, UPIE Planta Baja, Hospital de Oza, As Xubias, 84, 15006, A Coruña, Spain;

关键词: Suicide Attempt;    Affective Disorder;    Suicidal Behaviour;    Personality Disorder;    Psychiatric Diagnosis;   

DOI  :  10.1186/1471-244X-11-51

 received in 2010-08-24, accepted in 2011-03-31,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundSuicide and suicide attempts represent a severe problem for public health services. The aim of this study is to determine the socio-demographic and psychopathological variables associated with suicide attempts in the population admitted to a General Hospital.MethodsAn observational-descriptive study of patients admitted to the A Coruña University Hospital (Spain) during the period 1997-2007, assessed by the Consultation and Liaison Psychiatric Unit. We include n = 5,234 admissions from 4,509 patients. Among these admissions, n = 361 (6.9%) were subsequent to a suicide attempt. Admissions arising from a suicide attempt were compared with admissions occurring due to other reasons.Multivariate generalised estimating equation logistic regression models were used to examine factors associated with suicide attempts.ResultsAdjusting by age, gender, educational level, cohabitation status, being employed or unemployed, the psychiatric diagnosis at the time of the interview and the information on previous suicide attempts, we found that the variables associated with the risk of a suicide attempt were: age, psychiatric diagnosis and previous suicide attempts.The risk of suicide attempts decreases with age (OR = 0.969). Psychiatric diagnosis was associated with a higher risk of suicide attempts, with the highest risk being found for Mood or Affective Disorders (OR = 7.49), followed by Personality Disorders (OR = 7.31), and Schizophrenia and Other Psychotic Disorders (OR = 5.03).The strongest single predictive factor for suicide attempts was a prior history of attempts (OR = 23.63).ConclusionsAge, psychopathological diagnosis and previous suicide attempts are determinants of suicide attempts.

【 授权许可】

CC BY   
© Alberdi-Sudupe et al; licensee BioMed Central Ltd. 2011