Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department

Year 2019, Volume: 1 Issue: 3, 91 - 96, 28.11.2019

Hatice Şeyma Akça Serdar Özdemir , Kamil Kokulu , Abdullah Algın , Serkan Emre Eroğlu

Abstract

Objective: Poisoning is usually caused by suicidal or unconscious intake of high doses of drugs or substances. Suicides are the voluntary termination oflife, accounting for about 95% of all cases of intoxication, and are more common in female sex.The aim of this study is to show the effects of psychiatric evaluations on the rates of re-admission and prognosis in emergency departmentadmissions due to suicide attempt.

Materials and Methods: This was a retrospective study including patients over 18 years of age who were admitted to the Clinic of Emergency Medicineof University of University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey with suicide attempt due to intoxication or otherreasons between 01.9.2018-01.09.2019. The patients were classified according to gender, exposure to the drug, and consultation with the psychiatrist.Approach to suicidal patients was also evaluated.

Results: Of the patients included in the study, 102 (56.98%) patients were consulted with psychiatrist and 16 (15.68%) of these patients had ongoing suicidalideation. Of the patients with suicidal ideation, 9 (56.25%) were male;7 (43.75%) were female. 14 of the patients with suicidal ideation were admittedto the psychiatric service. 2 of them were admitted to the psychiatric service after medical treatment was completed in the internal medicine service. It waslearned that 10 (5.58%) patients had previously attempted suicide. 9 (90%) were women; 1 (10%) was male. None of the 10 patients who had previouslyattempted suicide had reapplied.

Conclusion: Suicide; It is an issue that needs to be evaluated in detail with the thought, initiative and completion of the action. Patient admissions shouldbe meticulously evaluated and, if any psychiatric illness should be diagnosed. Patients with no pathological findings and a decision to be discharged shouldbe tried to avoid suicidal attempts.

Keywords

Suicid, intox, psychiatric evaluation

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