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Characteristics of suicide attempts seen in emergency service

INTRODUCTION: The suicidal phenomenon constitutes a real public health problem not only by the human losses it causes, but also by the psychological and social problems to which it testifies. OBJECTIVES: The objective was to describe suicide attempts in patients hospitalized in the emergency room. M...

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Detalles Bibliográficos
Autores principales: Ouali, R., Masmoudi, R., Guermazi, F., Mellouli, A., Chakroun, O., Sellami, R., Derbel, E., Feki, I., Masmoudi, J., Rekik, N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479100/
http://dx.doi.org/10.1192/j.eurpsy.2023.1832
Descripción
Sumario:INTRODUCTION: The suicidal phenomenon constitutes a real public health problem not only by the human losses it causes, but also by the psychological and social problems to which it testifies. OBJECTIVES: The objective was to describe suicide attempts in patients hospitalized in the emergency room. METHODS: A descriptive cross-sectional study was carried out with patients admitted to vital emergencies for attempted suicide over a period of 6 months. We excluded Patients with major cognitive impairment, which prevents understanding of the questionnaire A data collection sheet was used for the evaluation of the suicide attempts. RESULTS: Our sample consisted of 101 suicide attempts. Using non-physical methods (drugs, caustics, pesticides, gases) was reported in 91.9% of cases and while physical methods (hanging, phlebotomy, drowning) in 8.9% of cases. Self-poisoning by medications was the most frequent (51%) method used in suicide attempt. The majority of suicide attempts were reactive (77.2%). Family or marital conflicts were the precipitating factor most mentioned (74%). The suicidal act was unpremeditated in 66% of cases. Communication of suicidal intent either verbally or in writing was reported in 34.7% of cases. The passage to the suicidal act was preceded by taking alcohol in 7% of cases and cannabis in 3% of cases. In 44.6% of cases, regret was the attitude most adopted by suicide attempters towards the act. The somatic state on admission was unstable on the cardiac level in 23% of the cases, on the respiratory level in 27% of the cases and on the neurological level in 38% of the cases CONCLUSIONS: The data from our study suggest that suicidal attempts were mostly unpremeditated. Clinicians should not minimize the significance of impulsive attempts, as they are associated with a similar level of lethality as premeditated attempts DISCLOSURE OF INTEREST: None Declared