Factores asociados a las demandas psiquiátricas a los servicios de urgencias prehospitalarios de Málaga (España)

Guzmán‐Parra, José; Martínez-García, Ana I.; Guillén-Benítez, Cristobalina; Zamudio, Serafina Castro; Jiménez-Hernández, Manolo; Moreno-Küstner, Berta

doi:10.17711/sm.0185-3325.2016.033

Cited by 6 publications

(24 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%

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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%

“…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%

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

et al. 2019

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“…La clasificación del CCUE consta de 14 categorías, que no sigue ningún sistema de clasificación internacional y que son las siguientes: Dolor no traumático, Alteraciones neurológicas y/o del nivel de la conciencia, Disnea, Traumatismos, Alteración de las constantes vitales, Psiquiátricas, Accidentes de tráfico, Gastrointestinal, Demandas de enfermería, Intoxicaciones/alergias, He morragias, Ginecológicas/Obstétricas/Urinarias, Urgencias ambientales/agentes externos y No clasificadas (sin información suficiente para ser incluidas en alguna de las categorías anteriores) 18 . Para el presente estudio todas las llamadas se han agrupado en tres categorías: demandas por problemas psiquiátricos, demandas por conducta suicida y demandas por problemas físicos.…”

Section: Métodounclassified

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

2017

An Sist Sanit Navar

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Material y métodos. Esta investigación consiste en un estudio observacional retrospectivo de las demandas registradas en la base de datos de la Empresa Pública de Emergencias Sanitarias durante un año. Las comparaciones y análisis de regresión logística multivariante se realizaron respecto a la edad y sexo de los demandantes y respecto a las siguientes características de las demandas: horas del día, días laborables o festivos, meses del año y trimestres, número de recursos movilizados y tipos de resolución.resultados. Los análisis se realizaron sobre un total de 163.331 llamadas. 1.380 fueron por conducta suicida (0,8%), 9.951 por motivos psiquiátricos (6,1%) y 152.000 por motivos físicos (93%). Las llamadas por conducta suicida fueron realizadas preferentemente por mujeres jóvenes, que solicitan atención durante la tarde y la noche, requiriendo traslado al hospital y la movilización de más de un recurso sanitario. Las demandas por suicidio consumado las realizaron más frecuentemente varones en edades más avanzadas. En el primer trimestre del año se dan más demandas por ideación que por amenaza/intento, mientras que en el tercer trimestre ocurre lo contrario.conclusión. Los resultados indicaron características diferenciales de las llamadas por conducta suicida potencialmente relevantes para la prevención del suicidio. aBstractBackground. Suicidal behaviour (fatal and non-fatal) has become a serious public health problem in many countries. The aim of the study was to describe the differential characteristics of emergency calls due to suicidal behaviour made to the Emergency Coordinating Centre (CCUE) in the province of Málaga, in comparison with calls due to physical or psychiatric problems.Methods. retrospective observational study of the calls recorded in the database of the Public Company for Emergency Health during one year. Multivariate logistic regression analyses were carried out including age, gender and the following variables related with the demand: hours of the day, type of day (working days or bank holidays), months of the year and trimesters, number of resources mobilized and types of resolution.results. The analyses were carried out on 163,331 calls, of which 1,380 calls were due to suicidal behaviour (0.8%), 9,951 for psychiatric reasons (6.1%) and 152,000 for physical reasons (93%). The emergency calls for suicidal behaviour were mainly made by females, between 31-60 years, in the evening and at night, and required transfer to hospital and more than one mobilized resource. Calls due to completed suicide were more frequently made by older men. Calls due to suicidal tendencies predominated over those due to attempted or threatened suicide during the first trimester of the year, while the opposite was the case during the third trimester.conclusions. The results indicated differential characteristics of suicide calls that are potentially relevant for prevention in spite of the limitations of the present study.

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“…In Andalusia, the largest autonomous community in Spain, various research projects have focused on the analysis of requests related to suicidal behavior (Blanco-Sánchez et al, 2018;Mejías-Martín et al, 2018;2019) and observed that the highest rate occurs in the province of Málaga. Studies conducted in this province have found differential characteristics in requests related to suicidal behavior with respect to other OES requests (Guzmán-Parra et al, 2016;Jiménez-Hernández et al, 2017;Moreno-Küstner et al, 2019). However, results obtained in previous studies reveal differences in the classification of suicide attempts (Blanco-Sánchez et al, 2018;Guzmán-Parra et al, 2016;Jiménez-Hernández et al, 2017;Mejías-Martín et al, 2018;2019;Moreno-Küstner et al, 2019).…”

Section: Introductionmentioning

confidence: 86%

“…Studies conducted in this province have found differential characteristics in requests related to suicidal behavior with respect to other OES requests (Guzmán-Parra et al, 2016;Jiménez-Hernández et al, 2017;Moreno-Küstner et al, 2019). However, results obtained in previous studies reveal differences in the classification of suicide attempts (Blanco-Sánchez et al, 2018;Guzmán-Parra et al, 2016;Jiménez-Hernández et al, 2017;Mejías-Martín et al, 2018;2019;Moreno-Küstner et al, 2019). Some studies classify a request as involving suicidal behavior when the operator answering the call and the doctor attending the patient consider it as such (Mejías-Martín et al, 2018;2019;Moreno-Küstner et al, 2019).…”

Section: Introductionmentioning

confidence: 92%

Validity of the classification of emergency service requests related to suicidal behavior

Ramos-Martín¹,

Rueda-Artero²,

Campo-Ávila³

et al. 2022

Salud Ment

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Introduction. Suicide attempts are the most predictive risk factor for suicide deaths. Most people who attempt suicide receive care from out-of-hospital Emergency Services (OES), where these requests are managed and classified. Objective. Validate the Emergency Coordination Center (ECC) classification for the detection of suicidal behavior requests. Method. A descriptive, cross-sectional study of requests to the ECC of Málaga (Spain) during 2013 and 2014 was conducted. To classify the requests, the authors considered the ECC categorization when answering the call and the clinical assessment of the healthcare professional when attending the person who had made the call at the scene, which was considered the reference standard. To analyze the validity of the ECC classification system, sensitivity, specificity, and positive and negative predictive values (PPV and NPV) were calculated. Results. The total number of requests for medical assistance analyzed was 112,599. The validity indicators of the classification system for suicidal behavior were sensitivity = 44.78%, specificity = 99.34%, PPV = 46.91% and NPV = 99.28%. Discussion and conclusion. The ECC classification system has a lower capacity to detect the presence of suicidal behavior and a higher capacity to identify its absence in the requests received. OES provide key information on suicidal behavior requests as they can be one of the first places people with this problem go to. It would therefore be extremely useful to improve the classification systems for requests related to suicidal behavior.

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Factores asociados a las demandas psiquiátricas a los servicios de urgencias prehospitalarios de Málaga (España)

Abstract: IntroductionIn recent years, there has been a significant increase in the demand for prehospital emergency care in different countries.

Cited by 6 publications

References 11 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

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

Validity of the classification of emergency service requests related to suicidal behavior

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