A comparison of the characteristics of suicide attempters with and without psychiatric consultation before their suicidal behaviours: a cross-sectional studyReport as inadecuate




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BMC Psychiatry

, 14:146

Social psychiatry, therapy and provision of mental health care

Abstract

BackgroundBecause psychiatric disorders are risk factors for suicide, psychiatric consultation should be an essential element of suicide prevention among individuals with a high risk of suicide. The aim of the present study was to compare the characteristics of individuals who had or had not received psychiatric consultation before they attempted suicide in Japan.

MethodsClinical records were used to identify 300 consecutive persons who were admitted to the hospital for attempting suicide between April 2006 and March 2013. We divided the patients into two groups. One group consisted of patients who consulted a psychiatrist before their suicidal behaviours the consultation group, and the other group consisted of patients who had not consulted a psychiatrist before their suicidal behaviours the non-consultation group. Group differences were analysed with respect to gender, age, method of suicide attempts, psychiatric diagnosis ICD-10, and duration of hospitalisation in the emergency unit.

ResultsFemales tended to be over-represented in the consultation group 73.0%, and males tended to be over-represented in the non-consultation group 59.8%. Poisoning by prescription drugs was used more frequently as a method of suicide in the consultation group than in the non-consultation group. Neuroticism and related disorders were higher in the non-consultation group 33.7% than in the consultation group 18.9%. Mood disorders 32.6% were nearly as common as neuroticism in the non-consultation group, and together they accounted for almost two-thirds of all diagnoses. Mood disorders were comparable between the consultation group 30.9% and the non-consultation group 32.6%. Adult personality disorders 13.3% and schizophrenia and related disorders 26.0% were higher in the consultation group than in the non-consultation group.

ConclusionsMeasures have to be taken to encourage people with these diverse characteristics to consult psychiatrists, and psychiatrists have to regularly evaluate patients for suicide risk. Furthermore, we need further research on the relationship between psychiatric consultation and poisoning by prescribed drugs.

KeywordsEmergency medicine Psychiatry Psychiatric consultation Suicide Suicide attempts Suicide prevention AbbreviationsICDInternational Statistical Classification of Diseases and Related Health Problems

WHOWorld Health Organization.

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Author: Kohei Harada - Nobuaki Eto - Yoko Honda - Naoko Kawano - Yuma Ogushi - Mayuko Matsuo - Ryoji Nishimura

Source: https://link.springer.com/







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