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

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Suicidal intention, psychosocial factors and referral to further treatment: A one-year cross-sectional study of self-poisoning | Bjornaas et al. BMC Psychiatry 2010 10 58 http www.biomedcentral.com 1471-244X 10 58 BMC Psychiatry RESEARCH ARTICLE Open Access Suicidal intention psychosocial factors and referral to further treatment A one-year cross-sectional study of self-poisoning 1.2 1 13 4 5 Mari A Bjornaas 1 Knut E Hovda Fridtjof Heyerdahl Karina Skog Per Drottning Anders Opdahl Dag Jacobsen1 Oivind Ekeberg1 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