Suicidality in emergency medicine: Results from a retrospective analysis of emergency documentation forms; [Suizidalität in der Notfallmedizin: Ergebnisse einer retrospektiven Auswertung von Notarzteinsatzprotokollen]

被引:0
作者
Lang F.U. [1 ]
Hubel N. [1 ]
Kösters M. [1 ]
Messer T. [2 ]
Dinse-Lambracht A. [3 ]
Jäger M. [1 ]
机构
[1] Department of Psychiatry II, Ulm University, Ludwig-Heilmeyer-Str. 2, Günzburg
[2] Danuvius Klinik Pfaffenhofen, Pfaffenhofen
[3] Department of Anesthesiology, Ulm University, Ulm
关键词
Emergency medicine; Psychiatry; Suicide; Suicide attempt;
D O I
10.1007/s40211-016-0181-2
中图分类号
学科分类号
摘要
Background: To analyze suicidal care episodes in emergency medical responses in Germany. Method: Anonymized data from emergency care episodes in Ulm from 2004 to 2013 were analyzed retrospectively. Results: 158 of 933 psychiatric emergencies (16 %) were suicide related, including 14 completed suicides, 25 careepisodes with suicidal ideation, and 119 suicide attempts. Significantly more men than women completed suicide(χ²(2,N = 934) = 12.70, p = 0.02). 93 % of the total psychiatric emergencies received any medication at all, and only about 33 % were transported to a psychiatric hospital. Conclusion: Psychiatric treatment for suicidality in emergency medicine requires improvement to ensure that patients receive adequate therapy. © 2016, Springer-Verlag Wien.
引用
收藏
页码:69 / 73
页数:4
相关论文
共 36 条
  • [1] Hegerl U., Mergl R., Doganay G., Et al., Why has the continuous decline in german suicide rates stopped in 2007, PLoS ONE, 8, 8, (2013)
  • [2] Wolfersdorf M., In-patient suicide in psychiatric hospitals. Selected results of an in-patient suicide study (KSV I/II), 1970–1992 of the working group ”suicidality and psychiatric hospital”, Psychiat Prax, 23, pp. 84-89, (1996)
  • [3] Deisenhammer E.A., Decol C., Honeder M., Et al., In-patient suicide in psychiatric hospitals, Acta Psychiatr Scand, 102, pp. 290-294, (2000)
  • [4] Neuner T., Hubner-Liebermann B., Wolfersdorf M., Et al., Time patterns of inpatients suicides, Int J Psychiatry Clin Pract, 14, pp. 95-101, (2010)
  • [5] Neuner T., Hubner-Liebermann B., Hausner H., Et al., Revisting the association of aggression and sucidal behavior in schizophrenic inpatients, Suicide Life Threat Behav, 40, 4, pp. 171-179, (2011)
  • [6] Konig F., Faust V., Dirks B., Interdisciplinary aspects of psychiatric emergency care, Notf Rettungsmedizin, 2, pp. 504-511, (1999)
  • [7] Schmitt T.K., Pajonk F.G., Poloczek S., Psychiatric emergencies and crises – psychical first care, crisis intervention and emergency pastoral care, Notf Rettungsmedizin, 3, pp. 531-538, (2000)
  • [8] Pajonk F.G., Grunberg K.A., Paschen H.R., Et al., Psychiatric emergencies in the physician-based system of a German city, Fortsch Neurol Psychiat, 69, pp. 170-174, (2001)
  • [9] Pajonk F.G., Bartels H.H., Biberthaler P., Et al., Psychiatric emergencies in preclinical emergency service
  • [10] incidence, treatment and evaluation by emergency physicians and staff, Nervenarzt, 72, pp. 685-692, (2001)