Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder

Salles, Jean-Paul; Calonge, Julie; Franchitto, Nicolas; Bougon, Emmanuelle; Schmitt, Laurent

doi:10.1186/s12888-018-1854-0

Cited by 13 publications

(14 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Salles et al reported that an alcohol use disorder was unassociated with hospitalization for inpatient in psychiatric care, whereas depression clearly was an associated factor [20]. This study showed that alcohol use was unassociated with hospitalization; rather, alcohol use was higher in the discharge group.…”

Section: Discussionmentioning

confidence: 52%

Indicators of early hospitalization decision to shorten emergency department length of stay of suicide attempters

Kim¹,

Lee²

2020

Preprint

View full text Add to dashboard Cite

Background Suicide attempters contribute to a significant public health problem. Individuals are estimated to make up to 20 suicide attempts before committing suicide. The emergency department (ED) is the first location where suicide attempters are brought. This study investigated the factors associated with early hospitalization decisions to determine the criteria for patient hospitalization rather than psychiatric ward admission and identify measures to shorten ED length of stay (LOS). Methods This study included suicide attempters (age ≥19 years) who visited the EDs at two tertiary teaching hospitals between March 2017 and April 2020. Results A total of 414 in the hospitalization and 1,346 in the discharge groups patients were included. The mean age was 50.3 ± 20.0 years and 40.7 ± 17.0 years in the hospitalization and discharge groups (p <0.001). The mean ED LOS was 4.2 ± 12.3 and 11.4 ± 18.8 h in the hospitalization and discharge groups, respectively. In the hospitalization group, the odds ratio and confidence interval for age (1.017, 1.008–1.026), sex (male) (1.787, 1.127–2.515), consciousness (2.330, 1.653–3.266), and the Risk-Rescue Ratio Scale (RRRS) (1.273, 1.242–1.304) were calculated. A receiver operating characteristics analysis of RRRS for the decision to hospitalize suicide attempters showed a cut-off value of 42, with sensitivity, specificity, and area under the curve of 85.7%, 85.5%, and 0.924, respectively.Conclusion For suicidal attempters in the ED, the decision on medical hospitalization rather than psychiatric admission should be based on their level of consciousness and the RRRS to reduce ED LOS and crowding.

show abstract

Section: Discussionmentioning

confidence: 52%

Indicators of early hospitalization decision to shorten emergency department length of stay of suicide attempters

Kim¹,

Lee²

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Studies have shown associations between alcohol use disorder and suicidal behaviour [ 32 , 33 ]. Salles et al reported that an alcohol use disorder was not associated with hospitalisation for inpatient psychiatric care, whereas depression was a clearly associated factor [ 34 ]. This present study also showed that alcohol use was not associated with hospitalisation; rather, alcohol use before suicidal behavior was higher in the discharged group.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors for the medical hospitalisation of patients who visited the emergency department with suicide attempt

Kim

Lee

2021

BMC Psychiatry

View full text Add to dashboard Cite

Background Suicide is a significant public health problem. Individuals are estimated to make up to 20 suicide attempts before suicide. The emergency department (ED) is the first location where individuals are brought after a suicide attempt. This study investigated the factors related to delays in the medical hospitalisation of patients who attempted suicide and aimed to provide criteria for hospitalisation decisions by physicians. Methods This study included patients who had deliberately self-harmed (age ≥ 19 years) and presented at the EDs of two tertiary teaching hospitals between March 2017 and April 2020. Those for whom relevant demographic and clinical information were unavailable and those admitted to the psychiatric wards were excluded. Results This study included 414 patients in the hospitalisation group and 1346 in the discharged group. The mean patient age was 50.3 ± 20.0 years and 40.7 ± 17.0 years in the hospitalised and discharged groups (p < 0.001), respectively. The mean ED length of stay (LOS) was 4.2 ± 12.3 and 11.4 ± 18.8 h in the hospitalised and discharged groups, respectively. In the hospitalised group, the odds ratio and confidence interval for aged 35 ~ 64 (2.222, 1.343–3.678), aged over 65 (2.788, 1.416–5.492), sex -male (2.041, 1.302–3.119), and consciousness (1.840, 1.253–2.466). The Risk-Rescue Ratio Scale (RRRS) was (1.298, 1.255–1.343). A receiver operating characteristics analysis of RRRS for the decision to hospitalise patients who attempted suicide showed a cut-off value of 42, with sensitivity, specificity, and area under the curve being 85.7, 85.5%, and 0.924, respectively. Conclusion The level of consciousness and the RRRS of patients who attempted suicide can be the factors to decide medical hospitalisation and reduce ED LOS and crowding.

show abstract

“…Among patients who visited the hospital after a suicide attempt, 80% received emergency hospitalization. In addition, all patients admitted for suicide attempts in France receive psychiatric assessments [4]. These assessments provide an opportunity to evaluate the suicide attempt, initiate treatment, and prevent future self-harm.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, these factors include violent or pre-planned suicide attempts, precautions to avoid rescue, increased mental suffering, regret over survival, limited social support, impulsive actions, and clear rejection of help. Hospitalization in departments other than the psychiatric ward is recommended when there is a change in level of consciousness due to metabolic, toxic, infectious, or other causes [4].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Psychiatric Ward Admission in the Emergency Department after a Suicide Attempt: the Risk-Rescue Rating Scale (RRRS) and Biochemical Markers

2020

View full text Add to dashboard Cite

Objective: This study was conducted to understand factors associated with psychiatric ward admission for patients referred to the emergency department after a suicide attempt. Methods: Medical records of patients referred to the emergency department (ED) after attempting suicide were retrospectively reviewed. Two groups were formed: the discharged (DC) group and the psychiatric ward (PW) admission group. All statistical analyses, including univariate and logistic regression analyses, were performed using SPSS 18.0 software, with p < 0.05 considered as statistically significant. Results: This study included 486 patients,92.0% (n = 447) in the DC group and 8.0% (n = 39) in the PW admission group. Multivariate logistic regression analysis showed that predictors of PW admission included in referral during the daytime (OR = 3.39, p < 0.01), history of depression (OR = 3.13, p = 0.01), the Risk-Rescue Rating Scale (RRRS) (OR = 1.14, p < 0.01), drinking status (OR = 0.22, p < 0.01). Conclusions: We demonstrated that RRRS could be used to determine PW admission for patients referred to ED after suicide attempts. Furthermore, history of daytime visiting, non-drinking status, and history of depression were identified as factors relating to PW admission. Active and careful attention is recommended for patients with factors relating to PW admission among those who were voluntarily discharged.

show abstract

Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder

Cited by 13 publications

References 49 publications

Indicators of early hospitalization decision to shorten emergency department length of stay of suicide attempters

Indicators of early hospitalization decision to shorten emergency department length of stay of suicide attempters

Predictive factors for the medical hospitalisation of patients who visited the emergency department with suicide attempt

Factors Associated with Psychiatric Ward Admission in the Emergency Department after a Suicide Attempt: the Risk-Rescue Rating Scale (RRRS) and Biochemical Markers

Contact Info

Product

Resources

About