Characteristics of patients treated for suicidal behavior during the pandemic in a psychiatric emergency department in a Spanish province

IF 5.2 3区 医学 Q1 PSYCHIATRY Revista de psiquiatria y salud mental Pub Date : 2023-01-01 DOI:10.1016/j.rpsm.2022.03.004
María Irigoyen-Otiñano , Eugènia Nicolau-Subires , Ana González-Pinto , Marina Adrados-Pérez , Esther Buil-Reiné , Lucía Ibarra-Pertusa , Carla Albert-Porcar , Laura Arenas-Pijoan , Marta Sánchez-Cazalilla , Giovanni Torterolo , Margarita Puigdevall-Ruestes , Vicent Llorca-Bofí
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引用次数: 7

Abstract

Introduction

Different studies have suggested that psychological, social and economic factors could contribute to an increase in the suicide. That is why the scientific community fear an epidemic of suicides secondary to this crisis. The objective is to evaluate the variables related to suicidal behavior during the two states of alarm and to review if there were sociodemographic or clinical differences with respect to periods prior to the COVID-19 pandemic.

Material and methods

We compared visits to the emergency room and their characteristics of all patients with suicidal behavior before and after the pandemic in Lérida. Information on sociodemographic status, reason for consultation, diagnosis and characteristics of suicidal behavior was obtained from the electronic medical record.

Results

No differences were observed in the percentage of suicidal ideation or attempts in the three periods (p = 0.201). The characteristics in the multiple logistic regression associated with suicidal behavior are: being a woman (OR: 1.81 [1.27–2.56]), living with relatives (OR: 1.55 [1.05–2.32]) and have a diagnosis of non-alcohol related substance use disorder (OR: 1.94 [1.09–3.42]). As protective factors, being visited in the emergency room during the second state of alarm (OR: 0.68 [0.48–0.96]) and having depression (OR: 0.67 [0.47–0.96]).

Conclusions

Emergency care for suicidal behavior did not increase during the pandemic and, in fact, in 2020 completed suicides decreased by almost half in the province. Risk factors for suicide attempt were female gender, living with relatives, and having a substance use disorder diagnosis. Instead, depression was a protective factor.

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西班牙一省精神病急诊科在疫情期间接受自杀行为治疗的患者的特征
引言不同的研究表明,心理、社会和经济因素可能导致自杀率上升。这就是为什么科学界担心这场危机会引发自杀的流行。目的是评估两种警报状态下与自杀行为相关的变量,并审查新冠肺炎大流行前是否存在社会人口统计学或临床差异。材料和方法我们比较了莱里达疫情前后所有有自杀行为的患者的急诊室就诊情况及其特征。从电子病历中获得有关社会人口状况、咨询原因、诊断和自杀行为特征的信息。结果三个时期自杀意念或企图的百分比没有差异(p=0.021)。与自杀行为相关的多元逻辑回归特征为:女性(or:1.81[1.27-2.56]),与亲属一起生活(OR:1.55[1.05-2.32]),并被诊断为非酒精相关物质使用障碍(OR:1.94[1.09-3.42])。作为保护因素,在第二次警报状态下(OR:0.68[0.48-0.96])在急诊室就诊和患有抑郁症(OR:00.67[0.47-0.96])。结论在疫情期间,对自杀行为的紧急护理没有增加,事实上,2020年,该省完成自杀的人数减少了近一半。自杀未遂的危险因素是女性、与亲属生活在一起以及被诊断为物质使用障碍。相反,抑郁是一个保护因素。
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自引率
3.30%
发文量
58
期刊介绍: The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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