Impact of the Mental Health Care Continuity-Chain among Individuals Expressing Suicidal Behaviour in a Spanish Sample.

Poor coordination between different healthcare services means that the proper follow-up of patients cannot be guaranteed, thus increasing the risk of relapse in cases of attempted suicide. This study describes the sociodemographic variables related to suicidal behaviour in a Spanish sample and analyses how the use of a continued nursing care protocol influences the follow-up of patients who have shown suicidal behaviour. A cohort of 213 patient was identified from the emergency department medical records because of suicide attempters during 2011; 51.6% were included in the intervention group (n = 110) and 48.4% (n = 103) in the control group. We used a specific continuity of care chain protocol with the patients in the intervention group. More than half of all the initial suicide attempts were made by women; 80.3% had a previous history of a mental disorder and 65.7% of the attempts were made by ingesting medications. Significantly more patients in the intervention group attended their first follow-up visit. This study highlights the need to implement protocols that favour the continuity of mental health care processes-especially those designed to treat individuals expressing suicidal behaviour-with the aim of reducing the risk of suicide in them by intensifying their monitoring.

Estudio de la utilización de los distintos servicios hospitalarios de pacientes nacidos en el extranjero en el Hospital General Universitario de Alicante HGUA (1 de enero de 2011-30 de junio 2014) / Estudo sobre a utilização de distintos serviços hospitalares no Hospital General Universitário de Alicante HGUA por pacientes estrangeiros (1 de Janeiro de 2011-30 de Junho 2014) / Study of utilization of different Hospital Services by foreign patients in Hospital General Universitario de Alicante (HGUA) (1st January 2011-30th June 2014)

Este artículo estudia la importancia de la crisis actual como vector desestabilizador demográfico y su incidencia en la salud de la población extranjera empadronada. Concretamente analiza la utilización por parte de los pacientes nacidos en el extranjero de los distintos servicios hospitalarios del Hospital General Universitario de Alicante, atendiendo a las diferencias intergrupales, que adquieren, junto a la edad, un papel determinante de cara al tipo de patologías que aquejan a este colectivo y su coste en euros. Los resultados obtenidos permiten su comparabilidad en el tiempo y podrían extrapolarse al resto del territorio español (AU)

This article examines the importance of the current crisis and its impact on the health of the registered foreign population as a destabilizing demographic vector. It specifically examines the utilization by patients born abroad of different hospital services of the Hospital General Universitario de Alicante, considering the inter-group differences, which acquire, along with age, a decisive role with regard to the type of pathologies afflicting this group, and therefore, its cost in euros. The results obtained allow comparability over time and could be extrapolated to the rest of the Spanish territory (AU)

Este artigo estuda a importância da crise atual como vector desestabilizador demográfico e sua incidência na saúde da população estrangeira inscrita nos serviços de saúde. Concretamente, o estudo faz uma análise da utilização dos distintos serviços hospitalares no Hospital General Universitário de Alicante, por parte dos pacientes estrangeiros, considerando as diferenças intergrupal, que adquirem, junto com a idade, um papel decisivo no que se refere ao tipo de patologias que afligem este grupo e, portanto, seu custo em euros. Os resultados obtidos permitem a comparabilidade ao longo do tempo e podem ser extrapolados para o resto do território español (AU)

Integración de la metodología cuantitativa y cualitativa en la Investigación en Enfermería. A propósito de un proyecto en curso / Integration of quantitative and qualitative methodology in nursing research. By way of an ongoing project

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