The role of suicide risk in the decision for psychiatric hospitalization after a suicide attempt

Crisis: The Journal of Crisis Intervention and Suicide Prevention, 01/19/2011

Miret M et al. – Suicide risk appears to be an adequate explanatory variable for predicting the decision to admit a patient to a psychiatric ward after a suicide attempt, although the introduction of other variables improves the model. These results provide additional information regarding factors involved in everyday medical practice in emergency settings.

Methods

  • Analyses of 840 clinical records of patients who had attempted suicide (66.3% women) at 4 public general hospitals in Madrid (Spain)

Results

  • 180 (21.4%) patients were admitted to psychiatric units
  • Logistic regression analyses showed that explanatory variables predicting admission were: male gender; previous psychiatric hospitalization; psychiatric disorder; not having substance-related disorder; use of lethal method; delay until discovery of more than 1 hour; previous attempts; suicidal ideation; high suicidal planning; and lack of verbalization of adequate criticism of attempt

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