Attendance at the accident and emergency department in the year before suicide: retrospective study
Attendance at the accident and emergency department in the year before suicide: retrospective study
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DOI：
10.1192/bjp.183.1.28
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发表时间：
2003-07-01
影响因子：
10.5
通讯作者：
Owens, D
中科院分区：
文献类型：
--
作者：
Gairin, I;House, A;Owens, D
国家机密调查自杀。英格兰和威尔士发现，四分之一的自杀者在死亡前一年与心理健康服务机构有过接触。然而，访问事故和紧急部门，由于自我伤害可能不会导致精神，卫生服务contact.Aims的记录，以确定自杀的比例之前，事故和紧急出席在previousyear.Method我们获得了可能的自杀名单在利兹的38个月期间，并查阅了该市事故和急诊部门在每例死亡前一年的记录。在219名后来死于自杀的人中，有15%是因为非致命性的自我伤害。最后访问，由于自残往往自杀前不久（中位数38天），但国家机密调查记录约五分之一的人为“不接触”与当地的精神卫生service.Conclusions虽然许多自杀之前，最近出席事故和急诊室，由于非致命的自我伤害，当地的精神卫生服务记录可能显示没有最近的接触。自杀预防可能会得到加强，如果事故和紧急部门和精神卫生服务更密切地合作。
Background The National Confidential Inquiry into suicides in. England and Wales found that a quarter of suicides are preceded by mental health service contact in the year before death. However, visits to accident and emergency departments due to self-harm may not lead to a record of mental, health service contact.Aims To determine the proportion of suicides preceded by accident and emergency attendance in the previous year.Method We obtained the list of probable suicides in Leeds for a 38-month period, and examined the records from the city's accident and emergency departments for a year before each death.Results Eighty-five(39%)of the 219 people who later died by suicide had attended an accident and emergency department in the year before death, 15% because of non-fatal self-harm. Final-visits due to self-harm were often shortly before suicide (median 38 days), but the National Confidential Inquiry recorded ab out a fifth of them as 'not in contact' with local mental health services.Conclusions Although many suicides are preceded by recent attendance at accident and emergency departments due to non-fatal self-harm, local mental health service records may show no recent contact. Suicide prevention might be enhanced were accident and emergency departments and mental health services to work together more closelyDeclaration of interest None.