Analysis of Patients Admitted to the Emergency Department with A Suicide Attempt

Year 2022, , 171 - 174, 30.12.2022

Can Erkan Arslan , Melih Yüksel , Halil Kaya , Mehmet Oğuzhan Ay , Fatma Betül Çalışkan , Mehtap Bulut

https://doi.org/10.54996/anatolianjem.1039082

Abstract

Aim: Suicide is an important public health problem worldwide. This study aims to investigate the general characteristics of patients presenting to the emergency department with a suicide attempt.

Material and Methods: Patients who presented to the emergency department with a suicide attempt between 01.12.2019 and 31.05.2020 were investigated prospectively. Age, gender, vital signs, method of suicide attempt, past medical history, additional diseases, and regularly used medications were recorded.

Results: The study included 247 patients. The median age of the patients was 32 (IQR 25-75: 25-41). 157 (63.6%) of the patients were female. While 222 (89.9%) of the patients attempted suicide by medication overdose, 78 (31.6%) of the patients were receiving psychiatric treatment. There was no statistically significant correlation between the suicide attempt method and the psychiatric treatment status of the patients (p>0.05). Similarly, no statistically significant correlation was found between the outcome of the patients and patients’ psychiatric treatment receiving status. (p>0.05).

Conclusion: The most frequent method used for suicide in patients who presented to the emergency services with a suicide attempt is medication overuse. There is no relationship between the method of suicide attempt and the psychiatric treatment status of the patients.

Keywords

Emergency department, suicide, psychiatry

İntihar Girişimi ile Acil Servise Başvuran Hastaların Analizi

Abstract

Amaç: Özkıyım, dünya çapında önemli bir halk sağlığı sorunudur. Bu çalışmanın amacı acil servise özkıyım girişimi ile başvuran hastaların genel özelliklerini incelemektir.

Gereç ve Yöntemler: 01.12.2019 ile 31.05.2020 tarihleri arasında, Acil servise özkıyım girişimi ile başvuran hastalar prospektif olarak incelendi. Yaş, cinsiyet, vital bulguları özkıyım girişimi yöntemi, özgeçmiş ve ek hastalıkları, düzenli kullandıkları ilaçlar kayıt altına alındı.

Bulgular: Çalışmaya toplam 247 hasta dahil edildi. Çalışmaya dahil edilen hastaların ortanca yaşı 32 (IQR 25-75: 25-41) idi. Hastaların 157’si (% 63.6) kadındı. Hastaların 222’si (% 89.9) ilaçla özkıyım girişiminde bulunurken 78’i (%31.6) psikiyatrik tedavi alıyordu. Hastaların özkıyım girişim yöntemi ile psikiyatrik tedavi alma durumu arasındaki istatistiksel olarak anlamlı bir ilişki saptanmadı (p>0.05). Yine hastaların son durumu ile psikyatrik tedavi alma durumu arasında da istatistiksel olarak anlamlı bir ilişki saptanmadı(p>0.05)

Sonuç: Acil servislere özkıyım girişimi ile başvuran hastalarda en fazla başvurulan yöntem ilaç ile girişimdir. Hastaların özkıyım girişim yöntemi ile psikyatrik tedavi alması arasında bir ilişki yoktur.

Keywords

Acil servis, özkıyım, psikiyatri

References

• Koç M. Depressive disorders. Mental Health and Psychiatric Nursing (Ed N Gürhan). 2016:475-538.
• Durkheim E. İntihar (Çev: Özer Ozankaya). İmge Kitabevi, Ankara. 1992.
• Irigoyen M, Porras-Segovia A, Galván L, Puigdevall M, Giner L, De Leon S, et al. Predictors of re-attempt in a cohort of suicide attempters: A survival analysis. Journal of affective disorders. 2019;247:20-8.
• Bilsen J. Suicide and Youth: Risk Factors. Frontiers in psychiatry. 2018;9:540.
• World Health Organization (2014). Preventing Suicide. A global imperative. Geneva: World Health Organization.
• Mazaliauskienė R, Navickas A. Suicidal attempts during the first episode psychosis. Sveikatos mokslai/Health Sciences. 2012;22(2 (81)):81-4.
• Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617– 626.
• Wang AG, Mortensen G. Core features of repeated suicidal behaviour. Social Psychiatry and Psychiatric Epidemiology. 2006;41(2):103-7.
• Zincir SB, Zincir S, Köşker SD, Sünbül EA, Aksoy AE, Elbay RY, et al. Yatarak tedavi gören psikiyatri hastalarında intihar girişiminin klinik özellikler ve sosyodemografik değişkenlerle ilişkisi. Journal of Mood Disorders. 2014;4(2):53-8.
• Radomsky ED, Haas GL, Mann JJ, Sweeney JA. Suicidal behavior in patients with schizophrenia and other psychotic disorders. American journal of psychiatry. 1999;156(10):1590-5.
• Bachmann S. Epidemiology of Suicide and the Psychiatric Perspective. International journal of environmental research and public health. 2018;15(7):1425.
• Dogan E, Ersel M. Evaluation of the Drug Intoxication Cases Admitted to an Emergency Department: Factors Affecting the Outcome and Duration of Stay in the Hospital. Eurasian Journal of Medical Investigation. 2018;2(3):122–128
• Gentil L, Huỳnh C, Grenier G, Fleury MJ. Predictors of emergency department visits for suicidal ideation and suicide attempt. Psychiatry research. 2020;285:112805.
• Özköse Z, Ayoĝlu F. Etiological and demographical characteristics of acute adult poisoning in Ankara, Turkey. Human & experimental toxicology. 1999;18(10):614-8.
• Zöhre E, Ayrık C, Bozkurt S, Köse A, Narcı H, Çevik İ, et al. Retrospective analysis of poisoning cases admitted to the emergency medicine. Archives of Iranian medicine. 2015;18(2):117-22.
• Bertolote JM, Fleischmann A. A global perspective in the epidemiology of suicide. Suicidologi. 2002;7(2).
• Chang B, Gitlin D, Patel R. The depressed patient and suicidal patient in the emergency department: evidence-based management and treatment strategies. Emergency medicine practice. 2011;13(9):1-23; quiz 23-4.