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首页> 外文期刊>Sao Paulo Medical Journal >Direct and indirect cost of attempted suicide in a general hospital: cost-of-illness study
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Direct and indirect cost of attempted suicide in a general hospital: cost-of-illness study

机译：综合医院自杀未遂的直接和间接费用：疾病费用研究

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CONTEXT AND OBJECTIVE: Knowledge of socioeconomic impact of attempted suicide may sensitize managers regarding prevention strategies. There are no published data on this in Brazil. The aim here was to describe the direct and indirect costs of care of hospitalized cases of attempted suicide and compare these with the costs of acute coronary syndrome cases.DESIGN AND SETTING: Cost-of-illness study at a public university hospital in Brazil.METHOD: The costs of care of 17 patients hospitalized due to attempted suicide were compared with those of 17 acute coronary syndrome cases at the same hospital, over the same period. The direct costs were the summation of the hospital and out-of-hospital costs resulting from the event, determined from the medical records. The indirect costs were estimated through the human capital lost. The Mann-Whitney test and analysis of covariance (ANCOVA) with transformation adjusted for age were used for comparisons.RESULTS: The average costs per episode of attempted suicide were: direct cost, US$ 6168.65; indirect cost, US$ 688.08; and total cost, US$ 7163.75. Comparative analysis showed a difference between the indirect costs to family members, with significantly higher costs in the attempted suicide group (P = 0.0022).CONCLUSION: The cost of care relating to attempted suicide is high and the indirect cost to family members reinforces the idea that suicidal behavior not only affects the individual but also his social environment.
机译：内容与目的：对自杀未遂的社会经济影响的了解可能会使管理人员对预防策略敏感。在巴西，尚无公开数据。目的是描述住院自杀未遂病例的直接和间接护理费用，并将其与急性冠状动脉综合征患者的费用进行比较。设计与设置：在巴西一家公立大学医院进行的疾病费用研究。 ：比较了同期企图自杀的17例住院患者的治疗费用与同一家医院的17例急性冠脉综合征患者的治疗费用。直接费用是事件的总和，医院和医院的费用由医疗记录确定。间接成本是通过人力资本损失估算的。结果进行了比较：Mann-Whitney检验和协变量方差分析（ANCOVA），并根据年龄调整了转化。结果：每集自杀未遂的平均费用为：直接费用，6168.65美元;间接费用688.08美元;总费用为7163.75美元。比较分析表明，家庭自杀的间接费用之间存在差异，自杀未遂组的费用明显更高（P = 0.0022）。结论：自杀未遂的护理费用很高，家庭成员的间接费用加强了这一想法。自杀行为不仅影响个人，而且影响他的社会环境。

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