Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service

Objective: This study aims to analyse the number and characteristics of calls made to the Málaga Prehospital Emergency Service (PES) for suicidal behavior based on sociodemographic, temporal, and health care variables.Method: This is a retrospective, descriptive study that records all calls made to...

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Main Authors: Berta Moreno-Küstner, José del Campo-Ávila, Ana Ruíz-Ibáñez, Ana I. Martínez-García, Serafina Castro-Zamudio, Gonzalo Ramos-Jiménez, José Guzmán-Parra
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00111/full
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author Berta Moreno-Küstner
Berta Moreno-Küstner
José del Campo-Ávila
Ana Ruíz-Ibáñez
Ana Ruíz-Ibáñez
Ana I. Martínez-García
Serafina Castro-Zamudio
Serafina Castro-Zamudio
Gonzalo Ramos-Jiménez
José Guzmán-Parra
José Guzmán-Parra
author_facet Berta Moreno-Küstner
Berta Moreno-Küstner
José del Campo-Ávila
Ana Ruíz-Ibáñez
Ana Ruíz-Ibáñez
Ana I. Martínez-García
Serafina Castro-Zamudio
Serafina Castro-Zamudio
Gonzalo Ramos-Jiménez
José Guzmán-Parra
José Guzmán-Parra
author_sort Berta Moreno-Küstner
collection DOAJ
description Objective: This study aims to analyse the number and characteristics of calls made to the Málaga Prehospital Emergency Service (PES) for suicidal behavior based on sociodemographic, temporal, and health care variables.Method: This is a retrospective, descriptive study that records all calls made to the PES due to suicidal behavior (suicide attempts and completed suicides) in 2014. Sociodemographic variables (age, sex, and health district), variables related to the calls (time-slot, degree of sunlight, type of day, month, season of the year, prioritization, and number of resources mobilized) were extracted from these calls. The number of cases and percentages were presented for the qualitative variables. The rates per 100,000 were calculated by sex and health district and presented with the corresponding 95% confidence interval (CI).Results: Of the total valid calls to PES (n = 181,824), 1,728 calls were made due to suicidal behavior (0.9%). The mean age was 43.21 (±18) years, 57.4% were women, and the rate was 112.1 per 100,000 inhabitants. The calls due to suicidal behavior were in the younger-middle age segment, in the time-slot between 16 and 23 h and during daylight hours, on bank holidays, in spring and summer in comparison with winter, and with a peak of calls in August. The majority of these calls were classified as undelayable emergencies and mobilized one health resource.Conclusions: Prehospital emergency services are the first contact to the sanitary services of persons or families with suicide attempts. This information should be a priority to offer a complete overview of the suicide behavior.
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spelling doaj.art-f9cb77d983ec423c82facdc31edf1c922022-12-22T00:19:13ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-03-011010.3389/fpsyt.2019.00111396217Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency ServiceBerta Moreno-Küstner0Berta Moreno-Küstner1José del Campo-Ávila2Ana Ruíz-Ibáñez3Ana Ruíz-Ibáñez4Ana I. Martínez-García5Serafina Castro-Zamudio6Serafina Castro-Zamudio7Gonzalo Ramos-Jiménez8José Guzmán-Parra9José Guzmán-Parra10Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga, SpainGrupo Andaluz de Investigación Psicosocial (GAP) (CTS-945), Instituto de Biomedicina de Málaga (IBIMA), Málaga, SpainDepartamento de Lenguajes y Ciencias de la Computación, Universidad de Málaga, Málaga, SpainDepartamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga, SpainGrupo Andaluz de Investigación Psicosocial (GAP) (CTS-945), Instituto de Biomedicina de Málaga (IBIMA), Málaga, SpainUnidad de Gestión Clínica del Dispositivo de Cuidados Críticos y Urgencias del Distrito Sanitario Málaga-Coín-Guadalhorce, Málaga, SpainDepartamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga, SpainGrupo Andaluz de Investigación Psicosocial (GAP) (CTS-945), Instituto de Biomedicina de Málaga (IBIMA), Málaga, SpainDepartamento de Lenguajes y Ciencias de la Computación, Universidad de Málaga, Málaga, SpainGrupo Andaluz de Investigación Psicosocial (GAP) (CTS-945), Instituto de Biomedicina de Málaga (IBIMA), Málaga, SpainUnidad de Salud Mental del Hospital Regional Universitario de Málaga, Málaga, SpainObjective: This study aims to analyse the number and characteristics of calls made to the Málaga Prehospital Emergency Service (PES) for suicidal behavior based on sociodemographic, temporal, and health care variables.Method: This is a retrospective, descriptive study that records all calls made to the PES due to suicidal behavior (suicide attempts and completed suicides) in 2014. Sociodemographic variables (age, sex, and health district), variables related to the calls (time-slot, degree of sunlight, type of day, month, season of the year, prioritization, and number of resources mobilized) were extracted from these calls. The number of cases and percentages were presented for the qualitative variables. The rates per 100,000 were calculated by sex and health district and presented with the corresponding 95% confidence interval (CI).Results: Of the total valid calls to PES (n = 181,824), 1,728 calls were made due to suicidal behavior (0.9%). The mean age was 43.21 (±18) years, 57.4% were women, and the rate was 112.1 per 100,000 inhabitants. The calls due to suicidal behavior were in the younger-middle age segment, in the time-slot between 16 and 23 h and during daylight hours, on bank holidays, in spring and summer in comparison with winter, and with a peak of calls in August. The majority of these calls were classified as undelayable emergencies and mobilized one health resource.Conclusions: Prehospital emergency services are the first contact to the sanitary services of persons or families with suicide attempts. This information should be a priority to offer a complete overview of the suicide behavior.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00111/fullprehospital emergency servicessuicidesuicide attemptepidemiologysuicidal behaviorrisk factors
spellingShingle Berta Moreno-Küstner
Berta Moreno-Küstner
José del Campo-Ávila
Ana Ruíz-Ibáñez
Ana Ruíz-Ibáñez
Ana I. Martínez-García
Serafina Castro-Zamudio
Serafina Castro-Zamudio
Gonzalo Ramos-Jiménez
José Guzmán-Parra
José Guzmán-Parra
Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service
Frontiers in Psychiatry
prehospital emergency services
suicide
suicide attempt
epidemiology
suicidal behavior
risk factors
title Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service
title_full Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service
title_fullStr Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service
title_full_unstemmed Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service
title_short Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service
title_sort epidemiology of suicidal behavior in malaga spain an approach from the prehospital emergency service
topic prehospital emergency services
suicide
suicide attempt
epidemiology
suicidal behavior
risk factors
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00111/full
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