Suicidal behavior in persons attended in out-of-hospital emergency services in Spain
BackgroundThe aims of this study were to describe the use of health services by patients attended for suicidal behavior by out-of-hospital emergency services and to identify the variables associated with the repetition of this behavior in Spain.MethodsAn analytical, observational, retrospective stud...
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| Format: | Article |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1235583/full |
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| author | Javier Ramos-Martín Carlos Gómez Sánchez-Lafuente Carlos Gómez Sánchez-Lafuente Ana I. Martínez-García Ana I. Martínez-García Pilar Castillo-Jiménez José Guzmán-Parra José Guzmán-Parra Berta Moreno-Küstner Berta Moreno-Küstner Berta Moreno-Küstner |
| author_facet | Javier Ramos-Martín Carlos Gómez Sánchez-Lafuente Carlos Gómez Sánchez-Lafuente Ana I. Martínez-García Ana I. Martínez-García Pilar Castillo-Jiménez José Guzmán-Parra José Guzmán-Parra Berta Moreno-Küstner Berta Moreno-Küstner Berta Moreno-Küstner |
| author_sort | Javier Ramos-Martín |
| collection | DOAJ |
| description | BackgroundThe aims of this study were to describe the use of health services by patients attended for suicidal behavior by out-of-hospital emergency services and to identify the variables associated with the repetition of this behavior in Spain.MethodsAn analytical, observational, retrospective study was carried out. A total of 554 patients attended by the mobile teams of the Primary Care Emergency (mt-PCES) of the Malaga Health District (Spain), after being coordinated by the 061 Emergency Coordination Center (ECC) were analyzed.ResultsOf the total, 61.9% of the patients were women and the mean age was 43.5 years. Ninety-six percent (N = 532) of the patients attended by mt-PCES were transferred to hospital emergency services. Regarding clinical decision, of those transferred 436 persons (82%) were discharged home. Of the total sample 25.5% (N = 141) were referred to primary care, while 69% (N = 382) were referred to outpatient mental health care. Regarding follow up in the 6 months after being seen by emergency services, among those referred to a mental health facility, 64.4% (N = 246) attended the follow-up appointment while out of the total sample only 50.5% (N = 280) attended a follow-up appointment with an outpatient mental health service. Finally, it should be noted that 23.3% presented a relapse of suicidal behavior in the 6 months following index episode. The variables associated with repetition of suicidal behavior were older age, greater number of previous suicide attempts and having any contact with mental health services in the following 6 months.ConclusionWe believe that selective suicide prevention initiatives should be designed to target the population at risk of suicide, especially those receiving both out-of-hospital and in-hospital emergency services. |
| first_indexed | 2024-03-12T14:34:39Z |
| format | Article |
| id | doaj.art-d06f38db5c27412e80592fda1ffc5839 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-12T14:34:39Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-d06f38db5c27412e80592fda1ffc58392023-08-17T12:18:31ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-08-011410.3389/fpsyt.2023.12355831235583Suicidal behavior in persons attended in out-of-hospital emergency services in SpainJavier Ramos-Martín0Carlos Gómez Sánchez-Lafuente1Carlos Gómez Sánchez-Lafuente2Ana I. Martínez-García3Ana I. Martínez-García4Pilar Castillo-Jiménez5José Guzmán-Parra6José Guzmán-Parra7Berta Moreno-Küstner8Berta Moreno-Küstner9Berta Moreno-Küstner10Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga, SpainInstituto de Investigación Biomedicina de Málaga (IBIMA), Málaga, SpainUnidad de Gestión Clínica de Salud Mental, Hospital Regional Universitario de Málaga, Málaga, SpainUnidad de Gestión Clínica (UGC) del Servicio de Urgencias de Atención Primaria (SUAP) del Distrito Sanitario Málaga, Málaga, SpainGrupo Andaluz de Investigación Psicosocial (GAP) (CTS-945), Málaga, SpainUnidad de Gestión Clínica (UGC) del Servicio de Urgencias de Atención Primaria (SUAP) del Distrito Sanitario Málaga, Málaga, SpainInstituto de Investigación Biomedicina de Málaga (IBIMA), Málaga, SpainUnidad de Gestión Clínica de Salud Mental, Hospital Regional Universitario de Málaga, Málaga, SpainDepartamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga, SpainInstituto de Investigación Biomedicina de Málaga (IBIMA), Málaga, SpainGrupo Andaluz de Investigación Psicosocial (GAP) (CTS-945), Málaga, SpainBackgroundThe aims of this study were to describe the use of health services by patients attended for suicidal behavior by out-of-hospital emergency services and to identify the variables associated with the repetition of this behavior in Spain.MethodsAn analytical, observational, retrospective study was carried out. A total of 554 patients attended by the mobile teams of the Primary Care Emergency (mt-PCES) of the Malaga Health District (Spain), after being coordinated by the 061 Emergency Coordination Center (ECC) were analyzed.ResultsOf the total, 61.9% of the patients were women and the mean age was 43.5 years. Ninety-six percent (N = 532) of the patients attended by mt-PCES were transferred to hospital emergency services. Regarding clinical decision, of those transferred 436 persons (82%) were discharged home. Of the total sample 25.5% (N = 141) were referred to primary care, while 69% (N = 382) were referred to outpatient mental health care. Regarding follow up in the 6 months after being seen by emergency services, among those referred to a mental health facility, 64.4% (N = 246) attended the follow-up appointment while out of the total sample only 50.5% (N = 280) attended a follow-up appointment with an outpatient mental health service. Finally, it should be noted that 23.3% presented a relapse of suicidal behavior in the 6 months following index episode. The variables associated with repetition of suicidal behavior were older age, greater number of previous suicide attempts and having any contact with mental health services in the following 6 months.ConclusionWe believe that selective suicide prevention initiatives should be designed to target the population at risk of suicide, especially those receiving both out-of-hospital and in-hospital emergency services.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1235583/fullsuicideout-of-hospital emergency departmentsuicide attemptsuicidal behaviorhospital contactrisk factors |
| spellingShingle | Javier Ramos-Martín Carlos Gómez Sánchez-Lafuente Carlos Gómez Sánchez-Lafuente Ana I. Martínez-García Ana I. Martínez-García Pilar Castillo-Jiménez José Guzmán-Parra José Guzmán-Parra Berta Moreno-Küstner Berta Moreno-Küstner Berta Moreno-Küstner Suicidal behavior in persons attended in out-of-hospital emergency services in Spain Frontiers in Psychiatry suicide out-of-hospital emergency department suicide attempt suicidal behavior hospital contact risk factors |
| title | Suicidal behavior in persons attended in out-of-hospital emergency services in Spain |
| title_full | Suicidal behavior in persons attended in out-of-hospital emergency services in Spain |
| title_fullStr | Suicidal behavior in persons attended in out-of-hospital emergency services in Spain |
| title_full_unstemmed | Suicidal behavior in persons attended in out-of-hospital emergency services in Spain |
| title_short | Suicidal behavior in persons attended in out-of-hospital emergency services in Spain |
| title_sort | suicidal behavior in persons attended in out of hospital emergency services in spain |
| topic | suicide out-of-hospital emergency department suicide attempt suicidal behavior hospital contact risk factors |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1235583/full |
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