Las demandas por conducta suicida a los servicios de urgencias prehospitalarios de Málaga: características y factores asociados / Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga: characteristics and associated factors

Fundamento: El comportamiento suicida, mortal y no mortal, se ha convertido en un problema grave de salud pública en muchos países. El objetivo de este estudio es describir las características diferenciales de las llamadas al Centro Coordinador de Urgencias y Emergencias de la provincia de Málaga por conducta suicida, frente a las llamadas por problemas físicos o psiquiátricos. Material y métodos: Esta investigación consiste en un estudio observacional retrospectivo de las demandas registradas en la base de datos de la Empresa Pública de Emergencias Sanitarias durante un año. Las comparaciones y análisis de regresión logística multivariante se realizaron respecto a la edad y sexo de los demandantes y respecto a las siguientes características de las demandas: horas del día, días laborables o festivos, meses del año y trimestres, número de recursos movilizados y tipos de resolución. Resultados: Los análisis se realizaron sobre un total de 163.331 llamadas. 1.380 fueron por conducta suicida (0,8%), 9.951 por motivos psiquiátricos (6,1%) y 152.000 por motivos físicos (93%). Las llamadas por conducta suicida fueron realizadas preferentemente por mujeres jóvenes, que solicitan atención durante la tarde y la noche, requiriendo traslado al hospital y la movilización de más de un recurso sanitario. Las demandas por suicidio consumado las realizaron más frecuentemente varones en edades más avanzadas. En el primer trimestre del año se dan más demandas por ideación que por amenaza/intento, mientras que en el tercer trimestre ocurre lo contrario. Conclusión: Los resultados indicaron características diferenciales de las llamadas por conducta suicida potencialmente relevantes para la prevención del suicidio (AU)

Background: Suicidal behaviour (fatal and non-fatal) has become a serious public health problem in many countries. The aim of the study was to describe the differential characteristics of emergency calls due to suicidal behaviour made to the Emergency Coordinating Centre (CCUE) in the province of Málaga, in comparison with calls due to physical or psychiatric problems. Methods: Retrospective observational study of the calls recorded in the database of the Public Company for Emergency Health during one year. Multivariate logistic regression analyses were carried out including age, gender and the following variables related with the demand: hours of the day, type of day (working days or bank holidays), months of the year and trimesters, number of resources mobilized and types of resolution. Results: The analyses were carried out on 163,331 calls, of which 1,380 calls were due to suicidal behaviour (0.8%), 9,951 for psychiatric reasons (6.1%) and 152,000 for physical reasons (93%). The emergency calls for suicidal behaviour were mainly made by females, between 31-60 years, in the evening and at night, and required transfer to hospital and more than one mobilized resource. Calls due to completed suicide were more frequently made by older men. Calls due to suicidal tendencies predominated over those due to attempted or threatened suicide during the first trimester of the year, while the opposite was the case during the third trimester. Conclusions: The results indicated differential characteristics of suicide calls that are potentially relevant for prevention in spite of the limitations of the present study (AU)

[Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga: characteristics and associated factors]. / Las demandas por conducta suicida a los servicios de urgencias prehospitalarios de Málaga: características y factores asociados.

BACKGROUND: Suicidal behaviour (fatal and non-fatal) has become a serious public health problem in many countries. The aim of the study was to describe the differential characteristics of emergency calls due to suicidal behaviour made to the Emergency Coordinating Centre (CCUE) in the province of Málaga, in comparison with calls due to physical or psychiatric problems. METHODS: Retrospective observational study of the calls recorded in the database of the Public Company for Emergency Health during one year. Multivariate logistic regression analyses were carried out including age, gender and the following variables related with the demand: hours of the day, type of day (working days or bank holidays), months of the year and trimesters, number of resources mobilized and types of resolution. RESULTS: The analyses were carried out on 163,331 calls, of which 1,380 calls were due to suicidal behaviour (0.8%), 9,951 for psychiatric reasons (6.1%) and 152,000 for physical reasons (93%). The emergency calls for suicidal behaviour were mainly made by females, between 31-60 years, in the evening and at night, and required transfer to hospital and more than one mobilized resource. Calls due to completed suicide were more frequently made by older men. Calls due to suicidal tendencies predominated over those due to attempted or threatened suicide during the first trimester of the year, while the opposite was the case during the third trimester. CONCLUSIONS: The results indicated differential characteristics of suicide calls that are potentially relevant for prevention in spite of the limitations of the present study.