...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Primary care companion to the journal of clinical psychiatry >Repeated Suicide Attempts and Suicide Among Individuals With a First Emergency Department Contact for Attempted Suicide: A Prospective, Nationwide, Danish Register-Based Study
【24h】

Repeated Suicide Attempts and Suicide Among Individuals With a First Emergency Department Contact for Attempted Suicide: A Prospective, Nationwide, Danish Register-Based Study

机译：反复自杀未遂，以及首次与急诊部门联系以寻求自杀的个人之间的自杀：一项基于丹麦全国范围的前瞻性研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: Emergency departments are important, albeit underutilized, sites for suicide prevention. Preventive strategies and interventions could benefit from a greater understanding of factors influencing the course of suicide risk after emergency department contact due to attempted suicide. The aim of our study was 2-fold: to identify predictors of repeated suicide attempts and suicide and to investigate the timing of these events. Methods: Data from Danish nationwide, longitudinal registers were used in this prospective, population-based study of all individuals first presenting to an emergency department after attempted suicide (index attempt) between January 1, 1996, and December 31, 2011 (N = 11,802). Cox regression analysis identified predictors, and Kaplan-Meier survival analysis modeled the time to repeated suicide attempts and suicide. Results: Sixteen percent of the sample repeated suicide attempt, and 1.4% died by suicide. Repetition was less likely among men than women (adjusted hazard ratio [AHR] = 0.70; 95% CI, 0.63–0.79), whereas those most prone to repeated attempts were individuals with recent psychiatric treatment (AHR = 2.19; 95% CI, 1.97–2.43) and those with recent psychiatric treatment (AHR = 2.19; 95% CI, 1.97–2.43). Predictors of suicide included age over 35 years (AHR = 5.56; 95% CI, 2.89–10.69); hanging, strangling, or suffocation as the method of the index attempt (AHR = 2.55; 95% CI, 1.29–5.01); and receiving psychiatric hospitalization for the index attempt (AHR = 1.74; 95% CI, 1.22–2.49). The cumulative rates of repeated attempts and suicide deaths in the total sample were particularly high within the first week of the index attempt, reaching 3.6% and 0.1%, respectively. Conclusions: Preventive efforts need to target the period close to discharge from emergency departments.
机译：目标：急诊部门是重要的尽管预防利用未充分利用的场所。预防策略和干预措施可以从对自杀未遂的急诊部门联系后对自杀风险进程的影响因素的更多了解中受益。我们研究的目的是2个方面：确定重复自杀未遂和自杀的预测因素，并调查这些事件的发生时间。方法：这项前瞻性，以人群为基础的研究使用了丹麦全国范围的纵向登记数据，对所有在1996年1月1日至2011年12月31日期间尝试自杀（索引尝试）后首先出现在急诊室的人进行了调查（N = 11,802） ）。 Cox回归分析确定了预测因素，Kaplan-Meier生存分析为重复自杀和自杀的时间建模。结果：16％的样本重复自杀未遂，而1.4％的自杀死亡。在男性中，重复发生的可能性小于女性（调整后的危险比[AHR] = 0.70; 95％CI，0.63-0.79），而最容易重复尝试的是近期接受过精神病治疗的人（AHR = 2.19; 95％CI，1.97 –2.43）和最近接受了精神科治疗的患者（AHR = 2.19; 95％CI，1.97–2.43）。自杀的预测因素包括年龄超过35岁（AHR = 5.56; 95％CI，2.89–10.69）;悬挂，勒死或窒息作为尝试尝试的方法（AHR = 2.55; 95％CI，1.29–5.01）;并因尝试尝试而接受精神病住院治疗（AHR = 1.74; 95％CI，1.22–2.49）。在样本尝试的第一周内，总样本中重复尝试和自杀死亡的累积率特别高，分别达到3.6％和0.1％。结论：预防工作需要针对急诊室即将出院的时间。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号