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Crisis. 2011;32(2):65-73. doi: 10.1027/0227-5910/a000050.

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

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  • 1Psychiatry Department, Autónoma University of Madrid, La Princesa University Hospital, Madrid, Spain.

Abstract

BACKGROUND:

Suicide prevention can be improved by knowing which variables physicians take into account when considering hospitalization or discharge of patients who have attempted suicide.

AIMS:

To test whether suicide risk is an adequate explanatory variable for predicting admission to a psychiatric unit after a suicide attempt.

METHODS:

Analyses of 840 clinical records of patients who had attempted suicide (66.3% women) at four 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 a substance-related disorder; use of a lethal method; delay until discovery of more than one hour; previous attempts; suicidal ideation; high suicidal planning; and lack of verbalization of adequate criticism of the attempt.

CONCLUSIONS:

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.

PMID:
21616755
[PubMed - indexed for MEDLINE]
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