Mechanical ventilation as an indicator of somatic severity of self-poisoning: implications for psychiatric care and long-term outcomes

The British Journal of Psychiatry : the Journal of Mental Science
Elodie BaerBénédicte Gohier

Abstract

Somatic severity of a self-poisoning episode varies widely between patients. To determine the correlates (psychiatric profiles, long-term outcome) of mechanical ventilation used as a proxy to define somatic severity during a self-poisoning. All patients who required mechanical ventilation were pair-matched with ones who did not for age, gender and presence of psychiatric history. One year after the self-poisoning episode, patients were interviewed using the Hospital Anxiety and Depression Scale (HADS) and a quality-of-life assessment questionnaire (Short-Form 12 Health Survey). The ventilation group (n = 99) more frequently had mood disorders and less frequently had adjustment disorders (P = 0.007), with a higher depression score on the HADS (P = 0.01) than those in the non-ventilation group (n = 97). Survival curves showed lower survival in the ventilation group (P = 0.03). Requirement for mechanical ventilation following self-poisoning is associated with a high prevalence of mood disorders and poor long-term outcome.

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Citations

Dec 3, 2014·Respiratory Physiology & Neurobiology·Kahina OussaidenePatrick Mucci
Jul 11, 2013·Neuromuscular Disorders : NMD·Tina D JeppesenJohn Vissing
Dec 2, 2014·Journal of Thermal Biology·Julie RenbergRandi Eidsmo Reinertsen
Jul 31, 2013·Respiratory Medicine·Eulogio PleguezuelosMarc Miravitlles
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Oct 17, 2017·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Maxime LégerDavid Boels
Apr 16, 2021·Anaesthesia and Intensive Care·Matthew J MaidenSteven Moylan

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