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首页> 外文期刊>BMC Psychiatry >Suicidal patients presenting to secondary and tertiary emergency departments and referral to a psychiatrist: a population-based descriptive study from Japan
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Suicidal patients presenting to secondary and tertiary emergency departments and referral to a psychiatrist: a population-based descriptive study from Japan

机译：向二级和三级急诊科就诊并转介给精神科医生的自杀患者：来自日本的基于人口的描述性研究

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In Japan, although many suicidal studies were previously conducted in tertiary emergency department (ED) settings, no published studies have reported on suicidal patients presenting to the secondary EDs. The aim of the study was to describe the characteristics of suicidal patients and the referral rates to a psychiatrist overall and by type of facility. Questionnaires were sent to all secondary and tertiary EDs in Tochigi prefecture, Japan. Data were collected for cases who presented in September 2009. Chi-square, Fisher’s exact, and t-tests compared the results by gender and type of ED. All 74 EDs responded to the survey. There were 81 patients who attempted or died by suicide (36 men and 45 women). The most common method of suicide attempt was drug overdose (57%) followed by stabbing (17%). About a half used prescription drugs to attempt or die by suicide. The majority had a history of psychiatric disorders, and 35% had previous suicide attempt. About a half were admitted to medical or surgical unit; 33% were discharged home; and 9% died. After excluding those who died, 53% were referred to a psychiatrist, but 47% were not referred to a psychiatrist. The referral rate was lower for cases seen at secondary EDs (38%) compared to tertiary EDs (67%). Although professional organizations suggest that suicidal patients are seen by a psychiatrist, many were not, especially at secondary EDs. Further research is needed to assure that suicidal patients presenting to EDs receive appropriate psychiatric assessment and follow-up after discharge.
机译：在日本，尽管先前曾在三级急诊室（ED）场所进行过许多自杀研究，但尚无已发表的研究报告称存在二级ED的自杀患者。该研究的目的是描述自杀患者的特征以及整体和按设施类型向精神科医生推荐的比率。问卷被发送到日本all木县的所有二级和三级急诊室。收集了2009年9月就诊病例的数据。卡方检验，费舍尔精确检验和t检验比较了按性别和ED类型划分的结果。所有74名ED都对调查做出了回应。有81名企图自杀或死于自杀的患者（36名男性和45名女性）。自杀未遂的最常见方法是服药过量（57％），然后刺伤（17％）。约有一半使用处方药企图自杀或死亡。多数患者有精神病史，35％曾尝试自杀。大约一半被送往医疗或外科部门; 33％的人已出院回家;有9％死亡。在排除死亡者之后，有53％被转介给精神科医生，但47％未转介给精神科医生。与三级急诊室（67％）相比，二级急诊室（38％）的转诊率较低。尽管专业组织建议由精神科医生看过自杀患者，但很多人没有，特别是在二级急诊就诊。需要做进一步的研究，以确保出现在急诊室的自杀患者在出院后接受适当的精神病学评估和随访。

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