ABSTRACT
INTRODUCTION: There is a strong association between those who re-attempt a suicide attempt and those who complete it. Therefore, follow-up on the interventions carried out for suicidal patients is essential. This study investigated the sociodemographic and clinical profiles of individuals admitted as psychiatric emergencies after a suicide attempt according to sex, determined the prevalence of re-attempts in a period of six months, compared the profiles of patients who engaged in repeated suicide attempts to those who did not, and evaluated predictive variables for repeated suicide attempts. METHODOLOGY: A total of 207 patients (122 women and 85 men) who went to the psychiatric emergency room for a suicide attempt (January-October 2015) were interviewed, and their clinical histories were reviewed at 6 months. RESULTS: Lethal suicidal behaviour was lower in women. Fourteen percent of the sample (n=29) repeated a suicide attempt in the following 6 months, and 2 people died by suicide; 3 died from other causes. The patients admitted to the Psychiatric Hospitalization Unit presented with more re-attempts (X2=4.1; d.f.=1; p=0.043). In the multivariate analysis, of all the variables analysed, the only one associated with repeated suicide attempts was having been in mental health treatment upon inclusion into the study (OR=3.504, p=0.009, CI95%: 1.361-9.018). In the follow-up period, the percentage of patients who engaged in mental health treatment increased 21.7%. CONCLUSIONS: The risk of recurrence after being treated for a suicide attempt psychiatric emergency is high in the months following an attempt, and it is necessary to improve prevention and intervention programmes aimed at improving these figures.
Subject(s)
Emergency Services, Psychiatric/statistics & numerical data , Mental Disorders/epidemiology , Mental Disorders/psychology , Suicide, Attempted/prevention & control , Adult , Female , Follow-Up Studies , Humans , Logistic Models , Male , Middle Aged , Multivariate Analysis , Recurrence , Risk Factors , Sex Distribution , Socioeconomic Factors , Spain , Suicide, Attempted/statistics & numerical dataABSTRACT
Introducción. Existe una fuerte asociación entre quienes repiten un intento de suicidio (IS) y quienes lo consuman. Por ello el seguimiento de la intervención de estos pacientes es fundamental. En este estudio: se establece el perfil sociodemográfico y clínico de personas atendidas en urgencias psiquiátricas por un IS, en función del sexo; se determina la prevalencia de reintentos en un periodo de seis meses; se compara el perfil de los pacientes que repiten o no el IS; y se evalúan variables predictoras de la repetición. Metodología. Se entrevistó a 207 pacientes (122 mujeres y 85 hombres) que acudieron a urgencias psiquiátricas por un IS (enero-octubre de 2015), y se revisó su historia clínica a los 6 meses. Resultados. Las mujeres presentaron una menor letalidad en la conducta suicida. Un 14% de la muestra (n=29) repitió un IS en los 6 meses siguientes y 2 personas fallecieron por suicidio; 3 fallecieron por otras causas. Los pacientes ingresados en la Unidad de Hospitalización Psiquiátrica presentaron más reintentos (X2=4,1; g.l.=1; p=0,043). En el análisis multivariable, de todas las variables analizadas, la única asociada a la repetición del intento fue encontrarse en tratamiento en salud mental al incluirse en el estudio (OR=3,504; p=,009; I.C.95%=1,361-9,018). En el periodo de seguimiento se incrementó un 21,7% los pacientes tratados en salud mental. Conclusiones. El riesgo de repetición tras ser tratado en urgencias psiquiátricas por IS es crítico los meses posteriores, siendo necesario mejorar los programas de prevención e intervención destinados a mejorar estas cifras
Introduction. There is a strong association between those who re-attempt a suicide attempt and those who complete it. Therefore, follow-up on the interventions car-ried out for suicidal patients is essential. This study investigated the sociodemographic and clinical profiles of individuals admitted as psychiatric emergencies after a suicide attempt according to sex, determined the prevalence of re-attempts in a period of six months, compared the profiles of patients who engaged in repeated suicide attempts to those who did not, and evaluated predictive variables for repeated suicide attempts. Methodology. A total of 207 patients (122 women and 85 men) who went to the psychiatric emergency room for a suicide attempt (January-October 2015) were interviewed, and their clinical histories were reviewed at 6 months. Results. Lethal suicidal behaviour was lower in women. Fourteen percent of the sample (n=29) repeated a suicide attempt in the following 6 months, and 2 people died by suicide; 3 died from other causes. The patients admitted to the Psychiatric Hospitalization Unit presented with more re-attempts (X2=4.1; d.f.=1; p=0.043). In the multivariate analysis, of all the variables analysed, the only one associated with repeated suicide attempts was having been in mental health treatment upon inclusion into the study (OR=3.504, p=0.009, CI95%: 1.361-9.018). In the follow-up period, the percentage of patients who engaged in mental health treatment increased 21.7%.Conclusions. The risk of recurrence after being treated for a suicide attempt psychiatric emergency is high in the months following an attempt, and it is necessary to improve prevention and intervention programmes aimed at improving these figures
Subject(s)
Humans , Male , Female , Suicide, Attempted/psychology , Follow-Up Studies , Recurrence , Crisis Intervention/methods , Emergency Services, Psychiatric/methods , Mental Health , Longitudinal StudiesABSTRACT
Las personas mayores presentan mayor riesgo de sufrir pérdidas relacionales, disminuir el tamaño de la red social y aumentar los sentimientos de soledad. La soledad es un sentimiento frecuente en las personas mayores porque las relaciones sociales pueden deteriorarse. Se producen pérdidas de personas cercanas que pueden provocar sentimientos de soledad. Se plantea realizar una evaluación de la red social de las personas mayores de forma cualitativa mediante el cuestionario Sociotipo Geriátrico que evalúa la red social en cuatro áreas (familia, amigos, conocidos, y medios de comunicación). Con este cuestionario podríamos conocer la red social de la persona, y como se siente en esta red social. Las personas en riesgo, como las personas mayores, podrían ser evaluadas a través de este cuestionario y poder realizar medidas de intervención para mejorar la calidad de vida y evitar las consecuencias de la soledad. Por tanto, el cuestionario Sociotipo Geriátrico podría utilizarse en la evaluación de la red social tanto desde el punto de vista de la valoración cómo del pronóstico respecto a la institucionalización
Elderly are at greater risk of suffering relational losses, reducing the size of the social network and increasing feelings of loneliness. Loneliness is a common feeling in older people because social relationships can get worse. There are losses of nearby people that can cause feelings of loneliness. It is proposed to perform an evaluation of the social network of elderly qualitatively using the Geriatric Sociotype questionnaire that assesses the social network in four areas (family, friends, acquaintances, and media). With this questionnaire we could know the social network of the person, and how he feels in this social network. People at risk, such as the elderly, could be evaluated through this questionnaire and make intervention measures to improve the quality of life and avoid the consequences of loneliness. Therefore, the Geriatric Sociotype questionnaire has shown be useful in the evaluation of the social network of the elderly for the assessment and the prognosis with respect to institutionalization
