Study of the outcome of suicide attempts: characteristics of hospitalization in a psychiatric ward group, critical care center group, and non-hospitalized group

BMC Psychiatry

Research Article

Shigeatsu Endo¹  Kotaro Otsuka²  Jin Endo²  Sachiyo Kawamura²  Takehito Yambe²  Hikaru Nakamura²  Atsuhiko Koeda²  Fuminori Chida²  Akio Sakai²  Hisako Harada²  Tomoyuki Yoshida²  Hisayasu Isono²  Junko Yagi²  Nobuo Kemuyama²  Kaoru Kudo³ 

[1] Department of Critical Care Medicine, school of Medicine, Iwate Medical University, 19-1, Uchimaru, 020-8505, Morioka, Japan;Department of Neuropsychiatry, school of Medicine, Iwate Medical University, 19-1, Uchimaru, 020-8505, Morioka, Japan;Department of Neuropsychiatry, school of Medicine, Iwate Medical University, 19-1, Uchimaru, 020-8505, Morioka, Japan;Department of Critical Care Medicine, school of Medicine, Iwate Medical University, 19-1, Uchimaru, 020-8505, Morioka, Japan;

关键词: Suicide Attempt;    Brief Psychiatric Rate Scale;    Physical Treatment;    Psychiatric Ward;    Global Assessment Scale;   

DOI  :  10.1186/1471-244X-10-4

 received in 2009-09-17, accepted in 2010-01-12,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe allocation of outcome of suicide attempters is extremely important in emergency situations. Following categorization of suicidal attempters who visited the emergency room by outcome, we aimed to identify the characteristics and potential needs of each group.MethodsThe outcomes of 1348 individuals who attempted suicide and visited the critical care center or the psychiatry emergency department of the hospital were categorized into 3 groups, "hospitalization in the critical care center (HICCC)", "hospitalization in the psychiatry ward (HIPW)", or "non-hospitalization (NH)", and the physical, mental, and social characteristics of these groups were compared. In addition, multiple logistic analysis was used to extract factors related to outcome.ResultsThe male-to-female ratio was 1:2. The hospitalized groups, particularly the HICCC group, were found to have biopsychosocially serious findings with regard to disturbance of consciousness (JCS), general health performance (GAS), psychiatric symptoms (BPRS), and life events (LCU), while most subjects in the NH group were women who tended to repeat suicide-related behaviors induced by relatively light stress. The HIPW group had the highest number of cases, and their symptoms were psychologically serious but physically mild. On multiple logistic analysis, outcome was found to be closely correlated with physical severity, risk factor of suicide, assessment of emergent medical intervention, and overall care.ConclusionThere are different potential needs for each group. The HICCC group needs psychiatrists on a full-time basis and also social workers and clinical psychotherapists to immediately initiate comprehensive care by a medical team composed of multiple professionals. The HIPW group needs psychological education to prevent repetition of suicide attempts, and high-quality physical treatment and management skill of the staff in the psychiatric ward. The NH group subjects need a support system to convince them of the risks of attempting suicide and to take a problem-solving approach to specific issues.

【 授权许可】

Unknown   
© Kudo et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.