Suicide risk among inpatients at a university general hospital

Ferreira, Marianne Herrera Falceti; Colombo, Elisabetta; Guimarães, Paula Serra-Azul; Soeiro, Rachel Esteves; Dalgalarrondo, Paulo; Botega, Neury José

doi:10.1590/s1516-44462006005000031

Cited by 11 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…29 Nevertheless it is above the 8.4% estimated in a community survey of a cluster sample of 515 individuals living in the urban area of the city of Campinas, in which the AUDIT was also used. 31 The overall prevalence of AUDs in our study does not differ greatly from those obtained in two previous studies: 9.2% in a study carried out in 2007 at the same hospital, using the MINI; 11 and 12.3% in a study carried out in the year 2000 at another university hospital. 10 The prevalence primarily attributable to differences in terms of the settings, the samples surveyed, the methodological instruments employed (ranging from just a few questions to standardized screenings and psychiatric interviews) and the definitions adopted (ranging from depressive adjustment disorder to major depression).…”

Section: Discussioncontrasting

confidence: 50%

“…Overall, depressive disorders affect approximately one in every four patients hospitalized in Brazil. 1,3,8 The current prevalence of alcohol abuse and dependence, including alcohol use disorders (AUDs), ranges from 10% to 13%, [9][10][11] whereas that of nicotine dependence ranges from 17% to 21%. 10,12 Most studies carried out in general hospital settings in Brazil have involved relatively small patient samples and have therefore identified a limited number of patients with psychiatric disorders, making it difficult to perform multivariate statistical analyses.…”

Section: Introductionmentioning

confidence: 99%

“…11 We find this intriguing, since a comprehensive review found the HAD scale to perform well in assessing depressive symptom severity and caseness for depression in medical and psychiatric inpatients, as well as in primary care patients and in the general population. 20 The higher figure using the MINI might be due in part to overscoring of patient complaints on the part of the medical students who conducted the interviews.…”

mentioning

confidence: 98%

See 2 more Smart Citations

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Botega¹,

Mitsuushi²,

Azevedo³

et al. 2010

Rev. Bras. Psiquiatr.

Self Cite

View full text Add to dashboard Cite

Objective: To determine prevalence rates and identify patient characteristics associated with depression, alcohol use disorders and nicotine dependence among individuals admitted to a general teaching hospital. Method: Using the Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test, we assessed 4,352 consecutive medical and surgical patients admitted over a 13-month period. The patients were also asked to report their daily cigarette smoking habits during the last month. Multiple logistic regression analyses were performed, and odds ratios (ORs) were calculated. Results: The mean age of the sample was 49.3 years, and 56.6% were male. Prevalence rates of depression, alcohol use disorders and nicotine dependence were, respectively, 14%, 9.8% and 16.9%. In the multivariate analysis, depression was associated with previous suicide attempts (OR = 8.7), lower level of education (OR = 3.6), prior use of psychotropic medications (OR = 3.1), cancer (OR = 1.7) and pain (OR = 1.7). Alcohol use disorders were associated with male sex (OR = 6.3), smoking (OR = 3.5), admission for an external cause of injury, such as a traffic accident (OR = 2.4), and previous suicide attempts (OR = 2.3). Nicotine dependence was associated with alcohol use disorders (OR = 3.4), young adulthood (OR = 2.3), widowhood (OR = 2.2) and previous suicide attempts (OR = 1.8). Conclusion: This is the largest sample of medical and surgical patients ever surveyed with standardized screening instruments in a general hospital in Brazil. The high prevalence rates of psychiatric disorders and the profiles of the patients evaluated in this study underscore the need to develop methods that are more effective for detecting and managing such disorders. Hospital admission should be considered a major opportunity for the detection of psychiatric disorders and the subsequent implementation of the appropriate specific treatment strategies. Descriptors

show abstract

Section: Discussioncontrasting

confidence: 50%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 98%

See 1 more Smart Citation

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Botega¹,

Mitsuushi²,

Azevedo³

et al. 2010

Rev. Bras. Psiquiatr.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Of the 74 patients suffering from major depression, 58% had risk of suicide, compared to 0% among those not affected by depression. 78 In the same line of these results, one Danish study which has assessed 5.000 multiple sclerosis patients showed higher risk among young adults. The risk in those who had been diagnosed after 40 years of age was near to that of the general population.…”

Section: Other Developmental Factorsmentioning

confidence: 82%

Quais são os recentes achados clínicos sobre a associação entre depressão e suicídio?

Chachamovich

Stefanello

Botega

et al. 2009

Rev. Bras. Psiquiatr.

View full text Add to dashboard Cite

“…A taxa de 4,7% de risco de suicídio entre os pacientes com câncer coincide com dados de estudo anterior, feito no mesmo hospital, que utilizou o MINI em amostra aleatória de 253 indivíduos internados 28 . Quanto ao risco de suicídio, alguns fatores aqui encontrados, como intensidade da dor, uso de psicofármacos ao longo da vida e depressão, são compatíveis com achados de outros trabalhos 5,8,17,18,27 .…”

Section: Discussionunclassified

Depressão e comportamento suicida em pacientes oncológicos hospitalizados: prevalência e fatores associados

Fanger¹,

Azevedo²,

Mauro³

et al. 2010

Rev. Assoc. Med. Bras.

Self Cite

View full text Add to dashboard Cite

ResumoObjetivO. Determinar as prevalências de depressão e de comportamento suicida em indivíduos com câncer internados em um hospital geral universitário e fatores associados a essas condições. MétOdOs. O rastreamento de 5357 pacientes consecutivamente internados utilizou a Escala Hospitalar de Ansiedade e Depressão (HAD) e a seção comportamento suicida do Mini International Neuropsychiatric Interview (MINI). Análises univariadas, com ajustes para sexo e faixa etária, foram feitas tomando-se depressão e comportamento suicida como variáveis dependentes. ResultadOs. Nos 675 pacientes com câncer, a prevalência de depressão foi 18,3% (IC95% = 15,4 -21,4). O risco para suicídio estimado pela respectiva seção do MINI foi de 4,7% (IC95% = 3,2 -6,7). A prevalência de depressão foi maior entre pacientes com câncer do que nos demais pacientes internados (13,2%; p = 0,0009). Associaram-se à depressão (p < 0,05): sexo feminino, menor escolaridade, maior tempo da doença, dor, uso de psicofármaco e risco de suicídio. Associaram-se ao risco de suicídio: dor e depressão. COnClusãO. As prevalências de depressão e de risco de suicídio em pacientes com câncer aconselham o uso de instrumentos simples de rastreamento e a inclusão, na anamnese, de perguntas mais específicas sobre essas condições clínicas.

show abstract

Suicide risk among inpatients at a university general hospital

Abstract: When young adults are admitted to general hospitals they should receive special attention due to their suicidal potential.

Cited by 11 publications

References 10 publications

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Quais são os recentes achados clínicos sobre a associação entre depressão e suicídio?

Depressão e comportamento suicida em pacientes oncológicos hospitalizados: prevalência e fatores associados

Contact Info

Product

Resources

About