Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon,
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888 |
Resumo: | Introduction: Some studies alerted for the burden of suicidal attempters at emergency rooms. In this study we characterized the suicidal patients admitted to a Portuguese emergency room.Material and Methods: For three years, all patients assessed by the first author after suicidal behaviour were included. Suicidal intentionality was evaluated with the Pierce Suicide Intent Scale. Clinical records were searched for follow-up status and satisfaction level was assessed through telephone call.Results: From 120 included patients 70.8% were female, with mean age of 42.35 years. Pierce Suicide Intent Scale suicidal intentionality was low in 30.1%, medium in 59.3%, and high in 10.6% of the sample. The most important predictors of Pierce Suicide Intent Scale intentionality were male gender (p < 0.001), family history of suicide (p < 0.01), divorced or widowed marital status (p < 0.013), and severe mental illness (p < 0.015). In 41.6% of the patients the follow-up status was unknown. Regarding satisfaction, only 19.5% gave a valid answer: 2.7% ‘mildly satisfied’, 4.4% ‘moderately satisfied’, and 12.5% ‘very satisfied’.Discussion: The Pierce Suicide Intent Scale is useful on suicidal behavior assessment at emergency rooms. Highly intentional suicidal behaviour is related to male sex, social problems and personal and familial psychiatric history.Conclusion: The quality of administrative records on this psychiatric emergency room setting are still unacceptable. The most important variables correlated with higher suicidal intentionality are the same described in other countries. Of the reachable patients, one fifth was satisfied with provided follow-up. We still need studies for better understanding of suicidal behaviour observed on this Portuguese emergency room. |
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Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon,Avaliação do Comportamento Suicida numa Urgência Psiquiátrica em Lisboa,Emergency ServiceHospitalIntentionPortugalQuestionnairesSelf-Injurious BehaviorSuicideAttempted.Comportamento AutodestrutivoIntençãoPortugalQuestionáriosServiço de Urgência HospitalarTentativa de Suicidio.Introduction: Some studies alerted for the burden of suicidal attempters at emergency rooms. In this study we characterized the suicidal patients admitted to a Portuguese emergency room.Material and Methods: For three years, all patients assessed by the first author after suicidal behaviour were included. Suicidal intentionality was evaluated with the Pierce Suicide Intent Scale. Clinical records were searched for follow-up status and satisfaction level was assessed through telephone call.Results: From 120 included patients 70.8% were female, with mean age of 42.35 years. Pierce Suicide Intent Scale suicidal intentionality was low in 30.1%, medium in 59.3%, and high in 10.6% of the sample. The most important predictors of Pierce Suicide Intent Scale intentionality were male gender (p < 0.001), family history of suicide (p < 0.01), divorced or widowed marital status (p < 0.013), and severe mental illness (p < 0.015). In 41.6% of the patients the follow-up status was unknown. Regarding satisfaction, only 19.5% gave a valid answer: 2.7% ‘mildly satisfied’, 4.4% ‘moderately satisfied’, and 12.5% ‘very satisfied’.Discussion: The Pierce Suicide Intent Scale is useful on suicidal behavior assessment at emergency rooms. Highly intentional suicidal behaviour is related to male sex, social problems and personal and familial psychiatric history.Conclusion: The quality of administrative records on this psychiatric emergency room setting are still unacceptable. The most important variables correlated with higher suicidal intentionality are the same described in other countries. Of the reachable patients, one fifth was satisfied with provided follow-up. We still need studies for better understanding of suicidal behaviour observed on this Portuguese emergency room.Introdução: Alguns estudos têm alertado para a sobrecarga de tentativas de suicídio nas urgências médicas. Neste estudocaracterizamos os doentes suicidas numa urgência médica portuguesa.Material e Métodos: Durante três anos, todos os doentes observados pelo primeiro autor, em urgências médicas, após tentativa suicida, foram incluídos no estudo. A intencionalidade da tentativa suicida foi determinada com a Pierce Suicide Intent Scale. O seguimento foi registado recorrendo ao processo clínico, e o nível de satisfação a chamada telefónica.Resultados: Dos 120 doentes incluídos 70,8% eram mulheres e a média de idades foi 42,35 anos. A intencionalidade suicida (Pierce Suicide Intent Scale) foi baixa em 30,1%, média em 59,3% e elevada em 10,6%. Os principais preditores de intencionalidade suicida foram: género masculino (p < 0,001), história familiar de suicídio (p < 0,01), divórcio ou viuvez (p < 0,013) e doença mental grave (p < 0,015). Em 41,6% dos doentes não se apurou seguimento. Quanto à satisfação, apenas 19,5% deram resposta válida: 2,7% “ligeiramente satisfeito”, 4,4% “moderadamente satisfeito”, e 12,5% “muito satisfeito”.Discussão: A Pierce Suicide Intent Scale é um instrumento útil na avaliação do comportamento suicida na urgência médica. Ocomportamento suicida de elevada intencionalidade está relacionado com género masculino, problemas sociais e antecedentes psiquiátricos pessoais e familiares.Conclusão: Os registos administrativos da urgência médica são ainda pouco rigorosos. As variáveis relacionadas com intencionalidade suicida são as mesmas que são descritas noutros países. Dos doentes a que conseguimos chegar, um quinto mostrou-se satisfeito com o seguimento. Mais estudos são necessários para compreender o comportamento suicida em Portugal.Ordem dos Médicos2015-07-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordapplication/mswordhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888oai:ojs.www.actamedicaportuguesa.com:article/5888Acta Médica Portuguesa; Vol. 28 No. 4 (2015): July-August; 469-473Acta Médica Portuguesa; Vol. 28 N.º 4 (2015): Julho-Agosto; 469-4731646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888/4419https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888/7698https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888/7818Gama Marques, JoãoFrasquilho Guerreiro, DiogoSampaio, Danielinfo:eu-repo/semantics/openAccess2022-12-20T11:04:36Zoai:ojs.www.actamedicaportuguesa.com:article/5888Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:13.045563Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, Avaliação do Comportamento Suicida numa Urgência Psiquiátrica em Lisboa, |
title |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, |
spellingShingle |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, Gama Marques, João Emergency Service Hospital Intention Portugal Questionnaires Self-Injurious Behavior Suicide Attempted. Comportamento Autodestrutivo Intenção Portugal Questionários Serviço de Urgência Hospitalar Tentativa de Suicidio. |
title_short |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, |
title_full |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, |
title_fullStr |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, |
title_full_unstemmed |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, |
title_sort |
Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon, |
author |
Gama Marques, João |
author_facet |
Gama Marques, João Frasquilho Guerreiro, Diogo Sampaio, Daniel |
author_role |
author |
author2 |
Frasquilho Guerreiro, Diogo Sampaio, Daniel |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Gama Marques, João Frasquilho Guerreiro, Diogo Sampaio, Daniel |
dc.subject.por.fl_str_mv |
Emergency Service Hospital Intention Portugal Questionnaires Self-Injurious Behavior Suicide Attempted. Comportamento Autodestrutivo Intenção Portugal Questionários Serviço de Urgência Hospitalar Tentativa de Suicidio. |
topic |
Emergency Service Hospital Intention Portugal Questionnaires Self-Injurious Behavior Suicide Attempted. Comportamento Autodestrutivo Intenção Portugal Questionários Serviço de Urgência Hospitalar Tentativa de Suicidio. |
description |
Introduction: Some studies alerted for the burden of suicidal attempters at emergency rooms. In this study we characterized the suicidal patients admitted to a Portuguese emergency room.Material and Methods: For three years, all patients assessed by the first author after suicidal behaviour were included. Suicidal intentionality was evaluated with the Pierce Suicide Intent Scale. Clinical records were searched for follow-up status and satisfaction level was assessed through telephone call.Results: From 120 included patients 70.8% were female, with mean age of 42.35 years. Pierce Suicide Intent Scale suicidal intentionality was low in 30.1%, medium in 59.3%, and high in 10.6% of the sample. The most important predictors of Pierce Suicide Intent Scale intentionality were male gender (p < 0.001), family history of suicide (p < 0.01), divorced or widowed marital status (p < 0.013), and severe mental illness (p < 0.015). In 41.6% of the patients the follow-up status was unknown. Regarding satisfaction, only 19.5% gave a valid answer: 2.7% ‘mildly satisfied’, 4.4% ‘moderately satisfied’, and 12.5% ‘very satisfied’.Discussion: The Pierce Suicide Intent Scale is useful on suicidal behavior assessment at emergency rooms. Highly intentional suicidal behaviour is related to male sex, social problems and personal and familial psychiatric history.Conclusion: The quality of administrative records on this psychiatric emergency room setting are still unacceptable. The most important variables correlated with higher suicidal intentionality are the same described in other countries. Of the reachable patients, one fifth was satisfied with provided follow-up. We still need studies for better understanding of suicidal behaviour observed on this Portuguese emergency room. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-07-10 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888 oai:ojs.www.actamedicaportuguesa.com:article/5888 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888 |
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eng |
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eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888/4419 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888/7698 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5888/7818 |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 28 No. 4 (2015): July-August; 469-473 Acta Médica Portuguesa; Vol. 28 N.º 4 (2015): Julho-Agosto; 469-473 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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