Trends in suicide attempts at an emergency department.

Brazilian Journal of Psychiatry Pub Date : 2017-01-01 Epub Date: 2016-10-17 DOI:10.1590/1516-4446-2015-1833
Verônica M Alves, Leilane C Francisco, Aryane R de Melo, Cinthya R Novaes, Flaviane M Belo, Antonio E Nardi
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Abstract

Objective: To characterize the profile of suicide attempts treated at an emergency department in the municipality of Arapiraca, state of Alagoas, Brazil, from 2009 to 2012.

Methods: We analyzed all emergency department records containing a diagnosis of suicide attempt. Data were evaluated using Student's t test and Pearson's chi-square test. Significance was accepted at p<0.05.

Results: We identified 2,142 cases. Suicide attempts were more frequent among women and young adults, but deaths were more frequent among men. Suicide attempts were most frequent among patients aged 10 to 39 years (81.1%). Drug intoxication (65.0%) and non-drug poisoning (16.2%) were significantly more prevalent than other methods of suicide. The month of April (10.6%) accounted for the greatest number of cases, and July had the smallest number (5.5%). Suicide attempts were most prevalent in spring (28.3%), on Sundays (18.4%) and Saturdays (16.8%), and from 12:00 p.m. to 5:59 p.m.

Conclusion: Suicide prevention measures should focus on young women. Further research into the care provided to suicide attempters and better monitoring of the sale and use of medicines and poisons could be useful.

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急诊科自杀未遂的趋势。
摘要研究巴西阿拉戈斯州阿拉皮拉卡市急诊科在2009年至2012年期间收治的自杀未遂患者的特征:我们分析了急诊科所有诊断为自杀未遂的病历。采用学生 t 检验和皮尔逊卡方检验对数据进行评估。结果:我们共发现了 2,142 个病例:我们发现了 2,142 个病例。自杀未遂者多为女性和年轻人,但死亡者多为男性。自杀未遂最常见于 10 至 39 岁的患者(81.1%)。药物中毒(65.0%)和非药物中毒(16.2%)的自杀率明显高于其他自杀方式。四月份的自杀案例最多(10.6%),七月份的案例最少(5.5%)。自杀企图在春季(28.3%)、周日(18.4%)和周六(16.8%)以及中午 12:00 至下午 5:59 最为普遍:结论:预防自杀的措施应以年轻女性为重点。对自杀未遂者提供的护理进行进一步研究,并对药品和毒药的销售和使用进行更好的监测,可能会有所帮助。
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