OBJECTIVE: This study analyzes how sociodemographic and clinical characteristics influence the treatment decision for patients referred to a university hospital emergency room (ER) owing to attempted suicide. METHOD: Using a cross-sectional design, we monitored all patients admitted to a university hospital ER after attempting suicide, over a 3-year period (n = 404). Treatment decisions were categorized into 3 groups: inpatient treatment, outpatient treatment, and no further treatment. RESULTS: Older patients were more likely to be hospitalized, while women and patients with regular occupational activity were more likely to receive outpatient treatment. In logistic regression analysis, attempted suicide using aggressive methods, history of psychiatric inpatient treatment, and psychotic disorders were associated with inpatient treatment. Adjustment and neurotic disorders were related to outpatient treatment. CONCLUSIONS: The decision to hospitalize can be satisfactorily predicted by means of sociodemographic and clinical characteristics, while the number of patients assigned to outpatient treatment is underestimated. A triage that relies only on sociodemographic and clinical data as well as risk factors could result in too frequent admissions of patients after attempted suicide.
OBJECTIVE: This study analyzes how sociodemographic and clinical characteristics influence the treatment decision for patients referred to a university hospital emergency room (ER) owing to attempted suicide. METHOD: Using a cross-sectional design, we monitored all patients admitted to a university hospital ER after attempting suicide, over a 3-year period (n = 404). Treatment decisions were categorized into 3 groups: inpatient treatment, outpatient treatment, and no further treatment. RESULTS: Older patients were more likely to be hospitalized, while women and patients with regular occupational activity were more likely to receive outpatient treatment. In logistic regression analysis, attempted suicide using aggressive methods, history of psychiatric inpatient treatment, and psychotic disorders were associated with inpatient treatment. Adjustment and neurotic disorders were related to outpatient treatment. CONCLUSIONS: The decision to hospitalize can be satisfactorily predicted by means of sociodemographic and clinical characteristics, while the number of patients assigned to outpatient treatment is underestimated. A triage that relies only on sociodemographic and clinical data as well as risk factors could result in too frequent admissions of patients after attempted suicide.
Authors: Anne C Knorr; Brooke A Ammerman; Sean A LaFleur; Debdipto Misra; Mathrawala A Dhruv; Bipin Karunakaran; Robert J Strony Journal: J Am Coll Emerg Physicians Open Date: 2020-05-25
Authors: Antonio Preti; Leonardo Tondo; Davide Sisti; Marco B Rocchi; Giovanni de Girolamo Journal: Eur Arch Psychiatry Clin Neurosci Date: 2009-08-06 Impact factor: 5.270
Authors: Stefan Kropp; Christoph Andreis; Bert te Wildt; Udo Reulbach; Martin Ohlmeier; Irina Auffarth; Marc Ziegenbein Journal: Clin Pract Epidemiol Ment Health Date: 2005-12-13