Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga:  characteristics and associated factors

doi:10.23938/assn.0047

Cited by 4 publications

(6 citation statements)

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“…The average age of our sample (43.2 years) is similar to previous studies (14–16) but higher than that of Vázquez-Lima et al (9). In line with previous studies (12, 13), differences according to age were found with more suicide calls being made by people between the ages of 30 and 44 and between 45 and 59.…”

Section: Discussionsupporting

confidence: 91%

“…Finally, a higher proportion of calls mobilizing one health resource was found with its implicit economic cost. This result was similar to that of Jiménez-Hernández et al (13), who asserted that most suicidal behavior emergencies entailed a high economic cost because they mobilized one ambulance.…”

Section: Discussionsupporting

confidence: 89%

“…The main result of this study is that calls made to the PES due to suicidal behavior in the province of Malaga accounted for 0.9% of all calls ( n = 1,728) and presented a suicide behavior rate of 112.07 per 100,000 inhabitants. Our figure is higher (0.8%) than that reported by Jiménez-Hernández et al (13) in the same area in 2008. A possible explanation for the increase in this figure is that in the Jiménez-Hernández et al study, they selected only calls classified by the operator as suicidal behavior, while in our study, we also selected the calls classified by the sanitary staff who attended the caller in situ and indicated a clinical judgement of ICD-9 code of suicidal behavior.…”

Section: Discussioncontrasting

confidence: 80%

“…We further observed that there were proportionally more calls on bank holidays than on working days, as noted by Mejías et al (14). However, there is an inconsistency of results in most of the publications in terms of distribution by months and of the year (9, 13, 16), and homogeneous behavior has not been found. Our results offer a higher frequency of suicide behavior calls during the summer, as observed in previous studies (14, 15, 19, 20).…”

Section: Discussionmentioning

confidence: 95%

“…Given the results from previous studies in the same research area, we consider it of utmost interest to continue analyzing and updating information where differential characteristics were found in the calls made to the Malaga Prehospital Emergency Service (PES) due to suicidal behavior (12, 13).…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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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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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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Classification of suicidal behavior calls in emergency medical services: a systematic review

2023

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Background The aim of this systematic review was to examine the classification of calls for suicidal behavior in emergency medical services (EMS). Methods A search strategy was carried out in four electronic databases on calls for suicidal behavior in EMS published between 2010 and 2020 in Spanish and English. The outcome variables analyzed were the moment of call classification, the professional assigning the classification, the type of classification, and the suicide codes. Results Twenty-five studies were included in the systematic review. The EMS classified the calls at two moments during the service process. In 28% of the studies, classification was performed during the emergency telephone call and in 36% when the professional attended the patient at the scene. The calls were classified by physicians in 40% of the studies and by the telephone operator answering the call in 32% of the studies. In 52% of the studies, classifications were used to categorize the calls, while in 48%, this information was not provided. Eighteen studies (72%) described codes used to classify suicidal behavior calls: a) codes for suicidal behavior and self-injury, and b) codes related to intoxication, poisoning or drug abuse, psychiatric problems, or other methods of harm. Conclusion Despite the existence of international disease classifications and standardized suicide identification systems and codes in EMS, there is no consensus on their use, making it difficult to correctly identify calls for suicidal behavior.

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Hospitalisations for suicidal behaviour: clinical characteristics and nursing care

Vanzela

Vedana

Costa

et al. 2018

British Journal of Mental Health Nursing

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Introduction: The care given to people with suicidal behaviour is an important predictor of future death by suicide; however, there is a lack of research on the issue in Brazil. Objective: This study investigated hospitalisations for suicidal behaviour (sociodemographic and clinic characteristics, nursing care and associated factors). Method: Data were collected through manual consultation of medical records of patients admitted in 2015 to a psychiatric emergency unit of a hospital, and analysed using descriptive statistics, Chi-square test and Fisher's exact test. Results: Adult women without a partner, with mood disorder, comorbidities, history of previous suicide attempts and who returned to their own homes predominated among the 127 study cases. The most frequent nursing diagnosis was ‘impaired social interaction’. Age and gender were associated with medical diagnoses. Marital status was associated with medical and nursing diagnoses. Changes in psychosocial assessment were associated with current suicidal ideation, number of attempts, and medical diagnoses. The nursing diagnosis ‘risk of self-directed violence’ was associated with thought disorders and self-harm history. Conclusion: This study contributes to the mapping of factors associated with suicidal behaviour, vulnerabilities and associated factors. It also reflects on the potential of nursing interventions in the care and prevention of suicidal behaviour.

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Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga: characteristics and associated factors

Cited by 4 publications

References 10 publications

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

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

Classification of suicidal behavior calls in emergency medical services: a systematic review

Hospitalisations for suicidal behaviour: clinical characteristics and nursing care

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