TITLE

Suicidal intention, psychosocial factors and referral to further treatment: A one-year cross-sectional study of self-poisoning

AUTHOR(S)
Bjornaas, Mari A.; Hovda, Knut E.; Heyerdahl, Fridtjof; Skog, Karina; Drottning, Per; Opdahl, Anders; Jacobsen, Dag; Ekeberg, Oivind
PUB. DATE
January 2010
SOURCE
BMC Psychiatry;2010, Vol. 10, p58
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Patients treated for self-poisoning have an increased risk of death, both by natural and unnatural causes. The follow-up of these patients is therefore of great importance. The aim of this study was to explore the differences in psychosocial factors and referrals to follow-up among self-poisoning patients according to their evaluated intention. Methods: A cross-sectional multicenter study of all 908 admissions to hospital because of self-poisoning in Oslo during one year was completed. Fifty-four percent were females, and the median age was 36 years. The patients were grouped according to evaluated intention: suicide attempts (moderate to high suicide intent), appeals (low suicide intent) and substance-use related poisonings. Multinomial regression analyses compared patients based on their evaluated intention; suicide attempts were used as the reference. Results: Of all self-poisoning incidents, 37% were suicide attempts, 26% were appeals and 38% were related to substance use. Fifty-five percent of the patients reported previous suicide attempts, 58% reported previous or current psychiatric treatment and 32% reported daily substance use. Overall, patients treated for self-poisoning showed a lack of social integration. Only 33% were employed, 34% were married or cohabiting and 53% were living alone. Those in the suicide attempt and appeal groups had more previous suicide attempts and reported more psychiatric treatment than those with poisoning related to substance use. One third of all patients with substance use-related poisoning reported previous suicide attempts, and one third of suicide attempt patients reported daily substance use. Gender distribution was the only statistically significant difference between the appeal patients and suicide attempt patients. Almost one in every five patients was discharged without any plans for follow-up: 36% of patients with substance use-related poisoning and 5% of suicide attempt patients. Thirtyeight percent of all suicide attempt patients were admitted to a psychiatric ward. Only 10% of patients with substance use-related poisoning were referred to substance abuse treatment. Conclusions: All patients had several risk factors for suicidal behavior. There were only minor differences between suicide attempt patients and appeal patients. If the self-poisoning was evaluated as related to substance use, the patient was often discharged without plans for follow-up.
ACCESSION #
52839045

 

Related Articles

  • PSYCHOSOCIAL CHARACTERISTICS OF PATIENTS WITH A HISTORY OF SUICIDE ATTEMPTS AT A CENTER FOR PSYCHOSOCIAL CARE (CAPS). de Oliveira, Maria Ivoneide Veríssimo; Filho, José Gomes Bezerra; de Lima, Maria Vilma Neves; Ferreira, Caroline Carneiro; Garcia, Larissa Uchoa; de Souza Pereira Goes, Leirylane // SMAD Revista Electronica Salud Mental, Alcohol y Drogas;2013, Vol. 9 Issue 3, p136 

    Objective - To identify the psychosocial characteristics of patients with a history of suicide attempts at a CAPS Fortaleza, Ceará, Brazil. Of the sample, 64.6% were female, 76% with ages varying from 30-59 and 65.5% were unmarried. The bivariate analysis with outcome (more than one suicide...

  • All GPs faced with patient drug abuse.  // New Zealand Doctor;5/3/2006, p19 

    Introduces a series of articles which deals with intervention techniques for patients with substance abuse problems.

  • Growth and Empowerment for Indigenous Australians in Substance Abuse Treatment. Berry, Stacey; Crowe, T.; Deane, F.; Billingham, M.; Bhagerutty, Y. // International Journal of Mental Health & Addiction;Dec2012, Vol. 10 Issue 6, p970 

    This paper describes psychosocial outcomes of an Indigenous residential substance abuse rehabilitation centre in Australia, examines the sensitivity to change of the new Growth and Empowerment Measure (GEM), and explores the degree to which service users value cultural components of the...

  • Chapter 6: Appropriate Clients for Social Work Intervention. Goode, Ruth Ann // Social Work Practice in Home Health Care;2000, p79 

    The article presents a list of client factors that indicate a need for a social work intervention, developed by an NASW Home Care Task Force. They include patients in need of a skilled assessment of social and emotional factors, patients who have suffered a sudden loss of physical functions,...

  • Suizidalität. M. Wolfersdorf // Der Nervenarzt;Nov2008, Vol. 79 Issue 11, p1319 

    Zusammenfassung  Das Phänomen Suizidalität hat es in der Menschheitsgeschichte schon immer gegeben. Kein Denken und Verhalten hat im Laufe der Zeit jedoch eine derart unterschiedliche Beurteilung erfahren wie suizidales Verhalten. Vor dem Hintergrund eines...

  • Suicidal Ideation and Attempts among Chemically Dependent Adolescents. Deykin, Eva Y.; Buka, Stephen L. // American Journal of Public Health;Apr94, Vol. 84 Issue 4, p634 

    Objectives. Suicidal ideation and attempts were examined in a population of chemically dependent adolescents, a group at high risk of self-destructive behavior. Methods. The prevalence and correlates of suicidality and of major depressive disorder were assessed by the Diagnostic Interview...

  • Mistreatment is rife in Vietnam's drug detention centres. Parry, Jane // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;9/17/2011, Vol. 343 Issue 7823, p558 

    The article reports on the request of human rights activists that the government of Vietnam must close its drug detention centers after a report from Human Right Watch shows than drug users were detained without due process, are tortured, and are engaged in forced labor.

  • Clinical observations on the dually diagnosed. Nuckols, Cardwell C.; Repotosky, John // Behavioral Health Management;Mar/Apr94, Vol. 14 Issue 2, p36 

    Presents the author's medical observations on dually diagnosed patients. Other terms for dually diagnosed patients; Dually diagnosed patients with personality disorders; Patients with repeated trauma in early life; Patients with chronic mental illness; Treatment issues.

  • Personal View. Strang, John // British Medical Journal (Clinical Research Edition);8/1/1981, Vol. 283 Issue 6287, p376 

    Presents views on the attitudes and policies in drug clinics in California and England. Difficulties of client to obtain service of any valuable nature from the client companies; Balance between medicine and law in England; Choice of private doctors over drug clinics for prescription by patients.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics