Julie Cerel1, Michael D Singleton2, Margaret M Brown3, Sabrina V Brown3, Heather M Bush4, Candice J Brancado5. 1. 1 University of Kentucky, College of Social Work, Lexington, KY, USA. 2. 2 University of Kentucky, Department of Biostatistics and the Kentucky Injury Prevention and Research Center, Lexington, KY, USA. 3. 3 University of Kentucky, Department of Epidemiology and Kentucky Injury Prevention and Research Center, College of Public Health, Lexington, KY, USA. 4. 4 University of Kentucky, Department of Biostatistics, Lexington, KY, USA. 5. 5 University of Kentucky , Department of Statistics/DATAQUeST, Lexington, KY, USA.
Abstract
BACKGROUND: Emergency departments (EDs) serve a wide range of patients who present at risk of impending suicide and homicide. AIMS: Two statewide surveillance systems were probabilistically linked to understand who utilizes EDs and then dies violently within 6 weeks. METHOD: Each identified case was matched with four randomly selected controls on sex, race, date of birth, resident zip code, and date of ED visit vs. date of death. Matched-pair odds ratios were estimated by conditional logistic regression to assess differences between cases and controls on reported diagnoses and expected payment sources. RESULTS: Of 1,599 suicides and 569 homicides in the 3-year study period, 10.7% of decedents who died by suicide (mean = 13.6 days) and 8.3% who died by homicide (mean = 16.3 days) were seen in a state ED within 6 weeks prior to death. ED attendees who died by suicide were more likely to have a diagnosis of injury/ poisoning diagnosis or mental disorder and more likely to have Medicare. Those who died by homicide were more likely to have a diagnosis of injury/poisoning and less likely to have commercial insurance. CONCLUSION: It is essential for research to further explore risk factors for imminent suicide and homicide in ED patients who present for psychiatric conditions and general injuries.
BACKGROUND: Emergency departments (EDs) serve a wide range of patients who present at risk of impending suicide and homicide. AIMS: Two statewide surveillance systems were probabilistically linked to understand who utilizes EDs and then dies violently within 6 weeks. METHOD: Each identified case was matched with four randomly selected controls on sex, race, date of birth, resident zip code, and date of ED visit vs. date of death. Matched-pair odds ratios were estimated by conditional logistic regression to assess differences between cases and controls on reported diagnoses and expected payment sources. RESULTS: Of 1,599 suicides and 569 homicides in the 3-year study period, 10.7% of decedents who died by suicide (mean = 13.6 days) and 8.3% who died by homicide (mean = 16.3 days) were seen in a state ED within 6 weeks prior to death. ED attendees who died by suicide were more likely to have a diagnosis of injury/ poisoning diagnosis or mental disorder and more likely to have Medicare. Those who died by homicide were more likely to have a diagnosis of injury/poisoning and less likely to have commercial insurance. CONCLUSION: It is essential for research to further explore risk factors for imminent suicide and homicide in ED patients who present for psychiatric conditions and general injuries.
Authors: Jennifer M Boggs; Richard C Lindrooth; Catherine Battaglia; Arne Beck; Debra P Ritzwoller; Brian K Ahmedani; Rebecca C Rossom; Frances L Lynch; Christine Y Lu; Beth E Waitzfelder; Ashli A Owen-Smith; Gregory E Simon; Heather D Anderson Journal: Gen Hosp Psychiatry Date: 2019-11-17 Impact factor: 3.238
Authors: Christina Rose Bauder; Jarrod M Hay; James G McClung; Austin G Starkey; Craig J Bryan Journal: Front Psychiatry Date: 2022-04-21 Impact factor: 5.435