suicidal intention, psychosocial factors and referral to further treatment a one-year cross-sectional study of self-poisoning自杀的意图,心理社会因素和转诊进一步治疗一年自我毒害的横断面研究.pdfVIP

Bjornaas et al. BMC Psychiatry 2010, 10:58 /1471-244X/10/58 RESEARCH ARTICLE Open Access Suicidal intention, psychosocial factors and referral to further treatment: A one-year cross-sectional study of self-poisoning 1,2* 1 1 3 4 5 Mari A Bjornaas , Knut E Hovda , Fridtjof Heyerdahl , Karina Skog , Per Drottning , Anders Opdahl , Dag Jacobsen1, Oivind Ekeberg1 Abstract Background: Patients treated for self-poisoning have an increased risk of death, both by natural and unnatural causes. The follow-up of these patients is therefore of great importance. The aim of this study was to explore the differences in psychosocial factors and referrals to follow-up among self-poisoning patients according to their evaluated intention. Methods: A cross-sectional multicenter study of all 908 admissions to hospital because of self-poisoning in Oslo during one year was completed. Fifty-four percent were females, and the median age was 36 years. The patients were grouped according to evaluated intention: suicide attempts (moderate to high suicide intent), appeals (low suicide intent) and substance-use related poisonings. Multinomial regression analyses compared patients based on their evaluated intention; suicide attempts were used as the reference. Results: Of all self-poisoning incidents, 37% were suicide attempts, 26% were appeals and 38% were related to substance use. Fifty-five percent of the patients reported previous suicide attempts, 58% reported previous or current psychiatric treatment and 32% reported daily substance use. Overall, patients treated for self-poisoning showed a lack of social integration. Only 33% were employed, 34% were married or cohabiting and 53% were living alone. Those in the suicide attemp