No cathartic effect in suicide attempters admitted to the emergency department

Journal of Psychiatric Practice
Maurizio PompiliPaolo Girardi

Abstract

The goal of the present study was to test the hypothesis that suicide attempts have a cathartic effect. We retrospectively investigated sociodemographic and clinical characteristics of suicide attempters admitted to the emergency department of a university hospital who were referred for a psychiatric assessment. The participants were 158 consecutive patients admitted to the emergency department because of a suicide attempt between January, 2006, and February, 2007; controls were 360 consecutive psychiatric referrals who did not report suicidal behavior. More than 70% of suicide attempters were coded on the triage classification system as critical/urgent. Loglinear analysis indicated that the risk of suicidal ideation was 9 times higher (p <0.001) and the risk of depressive mood was twice as high (p <0.001) among the attempters as in the control group of nonattempters, while their risk of anxiety (p <0.05) and agitation (p <0.05) was approximately half that of the nonattempters. The attempters also had a 5 times greater risk of being diagnosed with bipolar disorder (p <0.001) than the nonattempters. However, despite the fact that bipolar disorders were overrepresented in the group of attempters, suicidal ideation in the few hour...Continue Reading

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Citations

Jan 20, 2011·Annals of General Psychiatry·Laura ReddenMario Saltarelli
Jul 19, 2011·General Hospital Psychiatry·Yasuhiro KishiSteven Thurber
Mar 23, 2011·Perspectives in Psychiatric Care·Maurizio PompiliRoberto Tatarelli
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Aug 11, 2016·BMC Psychiatry·Ute LewitzkaBurkhard Jabs

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