tailieunhanh - Báo cáo y học: "Study of the outcome of suicide attempts: characteristics of hospitalization in a psychiatric ward group, critical care center group, and nonhospitalized group"

Study of the outcome of suicide attempts: characteristics of hospitalization in a psychiatric ward group, critical care center group, and nonhospitalized group | Kudo et al. BMC Psychiatry 2010 10 4 http 1471-244X 10 4 BMC Psychiatry RESEARCH ARTICLE Open Access Study of the outcome of suicide attempts characteristics of hospitalization in a psychiatric ward group critical care center group and nonhospitalized group Kaoru Kudo1 2 Kotaro Otsuka1 Jin Endo1 Tomoyuki Yoshida1 Hisayasu Isono1 Takehito Yambe1 1 111 11 Hikaru Nakamura Sachiyo Kawamura Atsuhiko Koeda Junko Yagi Nobuo Kemuyama Hisako Harada Fuminori Chida1 Shigeatsu Endo2 Akio Sakai1 Abstract Background The 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. Methods The 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. Results The 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. Conclusion There are different