PMID: 15232019Jul 3, 2004Paper

Variables associated with hospitalization decisions by emergency psychiatrists after a patient's suicide attempt

Psychiatric Services : a Journal of the American Psychiatric Association
Enrique Baca-GarcíaJ de Leon

Abstract

This study explored the factors psychiatrists considered in deciding on hospitalization for a large sample of suicide attempters in the emergency department of a general hospital in Madrid, Spain, between 1996 and 1998. Psychiatrists assessed 509 patients who had attempted suicide; 196 of these (39 percent) were hospitalized in the psychiatric unit, and 313 (61 percent) were discharged from the emergency department. The assessment included Beck's Suicidal Intent Scale (SIS) and a checklist of 47 clinical variables. Of the 32 clinical variables significantly associated with hospitalization that were introduced in a logistic regression model, 11 remained significant. Six variables were associated with an increased odds of hospitalization: intention to repeat the attempt, plan to use a lethal method, low psychosocial functioning before the suicide attempt, previous psychiatric hospitalization, a suicide attempt in the past year, and planning that nobody would try to save their life after they had attempted suicide. Five variables decreased the odds: a realistic perspective on the future after the attempt, relief that the attempt was not effective, availability of a method to kill oneself (that was not used), belief that the attemp...Continue Reading

Citations

Oct 16, 2012·The Psychiatric Quarterly·Rebecca WellsRachel Blouin
Apr 21, 2012·American Journal of Public Health·Steven C MarcusMark Olfson
Aug 7, 2009·European Archives of Psychiatry and Clinical Neuroscience·Antonio PretiUNKNOWN PROGRES-Acute group
Mar 22, 2014·Social Psychiatry and Psychiatric Epidemiology·Carsten Rygaard HjorthøjMerete Nordentoft
Nov 9, 2010·Journal of Psychiatric Research·Jorge Lopez-CastromanUNKNOWN European Research Consortium for Suicide (EURECA)
Nov 19, 2008·Suicide & Life-threatening Behavior·Joseph P HasleyA Laurie W Shroyer
May 9, 2014·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Luis Jimenez-TrevinoJulio Bobes
Jul 3, 2016·Suicide & Life-threatening Behavior·Jennifer L HughesJoan R Asarnow
Aug 3, 2012·Revista de psiquiatrí́a y salud mental·Rebeca García-NietoUNKNOWN GEICS
Mar 20, 2008·International Journal of Methods in Psychiatric Research·E AntretterD Wasserman
Jul 14, 2010·European Psychiatry : the Journal of the Association of European Psychiatrists·M WaernJ Hetta
Jul 17, 2018·Annals of General Psychiatry·Jay MossKrista Lanctot
Sep 29, 2018·International Journal of Environmental Research and Public Health·Juan-Luis Muñoz-SánchezManuel A Franco-Martín
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Anne C KnorrRobert J Strony
Sep 2, 2005·The British Journal of Psychiatry : the Journal of Mental Science·C T S Kumar
May 16, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Elizabeth CharronKhoa D Truong
Apr 4, 2021·The American Journal of Emergency Medicine·Ki Young JeongJong Seok Lee
Jul 7, 2007·Progress in Neuro-psychopharmacology & Biological Psychiatry·Enrique Baca-GarciaJose de Leon
Sep 19, 2021·The Psychiatric Quarterly·Ish P BhallaItai Danovitch

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