| Peer-Reviewed

Retrospective Assessment of Patients over 15 Years of Age Presenting to Emergency Department with a Suicide Attempt

Received: 17 March 2014     Accepted: 10 April 2014     Published: 20 April 2014
Views:       Downloads:
Abstract

Aims: In this study we aimed to assess sociodemographic characteristics of cases over 15 years of age who admitted to emergency department (ED) after a suicide attempt and determine the risk factors for suicide. Methods: This study was conducted retrospectively between 01.01.2013 – 31.12.2013 at the Emergency Department of Keçiören Training and Research Hospital. Age, sex, marital status, educational status, suicide cause and method, interventions applied in emergency department, history of suicide attempts, history of psychiayric diseases, time of suicide attempt, and admission time to emergency department were examined. Categorical variables were analysed using Chi-Square test. A p value less than 0.05 was considered statistically significant. Results: This study included data of 561 patients. The patients were most commonly 15 to 24 years old (46.3%) and 419 (74.7%) of them were female. Three hundred (53.5%) patients were single, 271 (48.3%) were primary school graduate, and 111 (%19.8) were active workers. The most common suicide cause was familial problems (49.9%). The most common suicide method was consuming medications in large amount (92.5%) and the most common intervention applied in emergency department was gastric lavage (26.6%). Twenty-seven (4.8%) patients had a history of suicide attempts, 371 (66.1%) patients had a previously diagnosed psychiatric illness. The highest number of attempts occurred in July (11.1%) and majority of them occurred between 18:00 and 24:00. The mean time from suicide attempt to ED admission was 2.5 hours. Conclusion: Although it is probably not possible to completely eliminate all suicide attempts, it is well possible to decrease the number of suicide attempts by reducing the number of possible risk factors for suicide

Published in Science Journal of Clinical Medicine (Volume 3, Issue 2)
DOI 10.11648/j.sjcm.20140302.13
Page(s) 24-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Emergency, Suicide, Poisining

References
[1] Ak M, Gülsün M, Ozmenler NK. Suicide and Personality. Cur Appr Psychiatry 2009; 1:45-54
[2] Suicide Attempt Statistics TR31 İzmir 2012. Available http//www.tuik.gov.tr/IcerikGetir.do?istab_id=254‎
[3] Sayar K. Bozkır F. Predictors of Suicide Intent and Lethality in a Sample of Adolescent Suicide Attempters. Yeni Symposium 2004; 42:28-36.
[4] Mann JJ. A current perspective of suicide and attempted suicide. Ann Intern Med 2002; 136: 302-11.
[5] Kurihara T, Kato M, Reverger R, Tirta IG. Suicide rate in Bali. Psychiatry Clin Neurosci 2009; 63: 701.
[6] Kose A, Eraybar S, Kose B, et al. Patients Over the Age of 15 Years Admitted for Attempted Suicide to the Emergency Department and the Psychosocial Support Unit JAEM 2012; 11: 193-6.
[7] Gokcen C, Koylu R. Evaluation of Cases Under 18 Years Admitted for Attempted Suicide to the Emergency Service and Transferred to the Psychosocial Support Unit. JAEM 2011;10: 18-21
[8] Rudd MD, Joiner T, Rajab MH. Relationships among suicide ideators, attempters and multiple attempters in a young-adult sample. J Abnorm Psychology 1996; 105: 541-50.
[9] Kavalcı C, Guzel A, Cevik Y, Durukan P. Evaluation of triage Tox Drug Kit in Intoxication Cases. Med Bull Haseki. 2009; 47: 159-62.
[10] Koylu R, Dundar ZD, Koylu O, et al. The experiences in a toxicology unit: a review of 623 cases. J Clin Med Res. 2014; 6: 59-65.
[11] Anthony L, Kulkarni C. Patterns of poisoning and drug overdosage and their outcome among in-patients admitted to the emergency medicine department of a tertiary care hospital. Indian J Crit Care Med. 2012; 16: 130-5.
[12] Elisei S, Verdolini N, Anastasi S. Suicidal attempts among Emergency Department patients: one-year of clinical experience. Psychiatr Danub. 2012; 24: S140-2.
[13] Kavalci C, Demir A, Arslan ED, et al. Adult Poisoning Cases in Ankara: Capital City of Turkey. Int J Clin Med, 2012; 3: 736-9.
[14] Moscicki EK, O’Carroll P, Rae DS, Locke BZ, Roy A, Regier DA. Suicide attempts in the Epidemiologic Catchment Area Study. Yale J Biol Med 1988; 61:259-68.
[15] Fawcett J, Shaughnessy R. The suicidal patient: In Flaherty J, Channon RA, Davis J (editors). Psychiatry, Diagnosis and Therapy. Norwalk: Appleton and Lange, 1988, p.49-56.
[16] Weissmann MM, Bland RC, Canino GC, et al. Prevelance of suicide ideation and suicide attempts in nine countries. Psychol Med 1999; 29:9–17.
[17] Hawton K, Fagg J, Simkin S, Mills J. The epidemiology of attempted suicide in the Oxford area, England (1989-1992). Crisis 1994; 15: 123-35.
[18] Akgun N, Ozcan AA, Karaman M, Yılmaz H, Basyigit S, Karahan D. Does suicide attempt age increase? Düşünen Adam J Psychiatry Neurol Sci, 2011; 24: 52-7.
[19] Sogut O, Sayhan MB, Gokdemir MT, et al. Evaluation of Suicide Attempts in Southeast of Turkey, Around the Sanliurfa Region. JAEM 2011; 10: 8-13.
[20] Stack S. Suicide: a 15-year review of the sociological literature. Part II: modernization and social integration perspectives. Suicide Life Threat Behav 2000; 30: 163-76.
[21] Yalaki Z, Tasar MA, Yalçın N, Dallar Y. Evaluation of suicide attempts in childhood and adolescence. Ege J Med 2011; 50: 125-8.
[22] Keskinoglu A, Inan F. Evaluation of Renal Functions in Adolescent Suicide Attempts by Drug Overdose. Med Bull Haseki 2012; 50: 96-100.
[23] Güloglu C, Gökhan S, Ustündag M, Orak M. Effects of suicide methods and demographic data on mortality in patients presented with suicide attempts to the emergency department. Tr J Emerg Med. 2009; 9: 109-14.
[24] Kavalci C, Cevik Y, Ozer M, Durukan P, Ikizceli I, Kavalci G. Characteristics of Poisoning Cases in Ankara, Turkey. Internet J Emerg Med, 2009;Volume 5: Number 1,
[25] Townsend E, Hawton K, Harriss L, Bale E, Bond A. Substances used in deliberate self-poisoning 1985-1997: trends and associations with age, gender, repetition and suicide intent. Soc Psychiatry Psychiatry Epidemiol 2001;36:228-34.
[26] Deveci A, Taskın O, Dundar P, et al. The Prevalence of Suicide Ideation and Suicide Attempts in Manısa City Centre. Tr J Psychiatry. 2005; 16: 170-8.
[27] Groholt B, Ekeberg O, Wichstrom L, Haldorsen T. Suicidal and nonsuicidal adolescents: different factors contribute to self-esteem. Suicide Life Threat Behav, 2005; 35:525-35.
[28] Isometsa ET. Psychological autopsy studies-a review. Eur Psychiatry 2001; 16: 379-85.
[29] Marttunen MJ, Aro HM, Henriksson MM, Lönnqvist JK. Antisocial behaviour in adolescent suicide. Acta Psychiatr Scand 1994: 89:167-73.
[30] Ting SA, Sullivan AF, Miller I, et al. Multicenter study of predictors of suicide screening in emergency departments. Emergency Department Safety and Follow-up Evaluation (ED-SAFE) Investigators. Acad Emerg Med. 2012; 19: 239-43.
[31] Kavalci C, Durukan P, Cevik Y, Ozer M, Ikizceli I. Analyses of intoxication cases: one-year experience of a new hospital. Tr J Emerg Med 2006; 6: 163-6.
Cite This Article
  • APA Style

    Bahattin Işık, Muhittin Serkan Yilmaz, Cihat Yel, Cemil Kavalci, Gulsum Kavalci, et al. (2014). Retrospective Assessment of Patients over 15 Years of Age Presenting to Emergency Department with a Suicide Attempt. Science Journal of Clinical Medicine, 3(2), 24-28. https://doi.org/10.11648/j.sjcm.20140302.13

    Copy | Download

    ACS Style

    Bahattin Işık; Muhittin Serkan Yilmaz; Cihat Yel; Cemil Kavalci; Gulsum Kavalci, et al. Retrospective Assessment of Patients over 15 Years of Age Presenting to Emergency Department with a Suicide Attempt. Sci. J. Clin. Med. 2014, 3(2), 24-28. doi: 10.11648/j.sjcm.20140302.13

    Copy | Download

    AMA Style

    Bahattin Işık, Muhittin Serkan Yilmaz, Cihat Yel, Cemil Kavalci, Gulsum Kavalci, et al. Retrospective Assessment of Patients over 15 Years of Age Presenting to Emergency Department with a Suicide Attempt. Sci J Clin Med. 2014;3(2):24-28. doi: 10.11648/j.sjcm.20140302.13

    Copy | Download

  • @article{10.11648/j.sjcm.20140302.13,
      author = {Bahattin Işık and Muhittin Serkan Yilmaz and Cihat Yel and Cemil Kavalci and Gulsum Kavalci and Yunsur Cevik and Burak Demirci and Miray Özlem and Bedriye Muge Sonmez},
      title = {Retrospective Assessment of Patients over 15 Years of Age Presenting to Emergency Department with a Suicide Attempt},
      journal = {Science Journal of Clinical Medicine},
      volume = {3},
      number = {2},
      pages = {24-28},
      doi = {10.11648/j.sjcm.20140302.13},
      url = {https://doi.org/10.11648/j.sjcm.20140302.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20140302.13},
      abstract = {Aims: In this study we aimed to assess sociodemographic characteristics of cases over 15 years of age who admitted to emergency department (ED) after a suicide attempt and determine the risk factors for suicide. Methods: This study was conducted retrospectively between 01.01.2013 – 31.12.2013 at the Emergency Department of Keçiören Training and Research Hospital. Age, sex, marital status, educational status, suicide cause and method, interventions applied in emergency department, history of suicide attempts, history of psychiayric diseases, time of suicide attempt, and admission time to emergency department were examined. Categorical variables were analysed using Chi-Square test. A p value less than 0.05 was considered statistically significant. Results: This study included data of 561 patients. The patients were most commonly 15 to 24 years old (46.3%) and 419 (74.7%) of them were female. Three hundred (53.5%) patients were single, 271 (48.3%) were primary school graduate, and 111 (%19.8) were active workers. The most common suicide cause was familial problems (49.9%). The most common suicide method was consuming medications in large amount (92.5%) and the most common intervention applied in emergency department was gastric lavage (26.6%). Twenty-seven (4.8%) patients had a history of suicide attempts, 371 (66.1%) patients had a previously diagnosed psychiatric illness. The highest number of attempts occurred in July (11.1%) and majority of them occurred between 18:00 and 24:00. The mean time from suicide attempt to ED admission was 2.5 hours. Conclusion: Although it is probably not possible to completely eliminate all suicide attempts, it is well possible to decrease the number of suicide attempts by reducing the number of possible risk factors for suicide},
     year = {2014}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Retrospective Assessment of Patients over 15 Years of Age Presenting to Emergency Department with a Suicide Attempt
    AU  - Bahattin Işık
    AU  - Muhittin Serkan Yilmaz
    AU  - Cihat Yel
    AU  - Cemil Kavalci
    AU  - Gulsum Kavalci
    AU  - Yunsur Cevik
    AU  - Burak Demirci
    AU  - Miray Özlem
    AU  - Bedriye Muge Sonmez
    Y1  - 2014/04/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.sjcm.20140302.13
    DO  - 10.11648/j.sjcm.20140302.13
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 24
    EP  - 28
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20140302.13
    AB  - Aims: In this study we aimed to assess sociodemographic characteristics of cases over 15 years of age who admitted to emergency department (ED) after a suicide attempt and determine the risk factors for suicide. Methods: This study was conducted retrospectively between 01.01.2013 – 31.12.2013 at the Emergency Department of Keçiören Training and Research Hospital. Age, sex, marital status, educational status, suicide cause and method, interventions applied in emergency department, history of suicide attempts, history of psychiayric diseases, time of suicide attempt, and admission time to emergency department were examined. Categorical variables were analysed using Chi-Square test. A p value less than 0.05 was considered statistically significant. Results: This study included data of 561 patients. The patients were most commonly 15 to 24 years old (46.3%) and 419 (74.7%) of them were female. Three hundred (53.5%) patients were single, 271 (48.3%) were primary school graduate, and 111 (%19.8) were active workers. The most common suicide cause was familial problems (49.9%). The most common suicide method was consuming medications in large amount (92.5%) and the most common intervention applied in emergency department was gastric lavage (26.6%). Twenty-seven (4.8%) patients had a history of suicide attempts, 371 (66.1%) patients had a previously diagnosed psychiatric illness. The highest number of attempts occurred in July (11.1%) and majority of them occurred between 18:00 and 24:00. The mean time from suicide attempt to ED admission was 2.5 hours. Conclusion: Although it is probably not possible to completely eliminate all suicide attempts, it is well possible to decrease the number of suicide attempts by reducing the number of possible risk factors for suicide
    VL  - 3
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Emergency Department, Ankara Training and Research Hospital, Ankara, Turkey

  • Emergency Department, Ankara Training and Research Hospital, Ankara, Turkey

  • Emergency Department, Ba?kent University Faculty of Medicine Ankara Hospital, Ankara, Turkey

  • Anesthesia and Reanimation Department, Yenimahalle State Hospital, Ankara, Turkey

  • Emergency Department, Ke?i?ren Training and Research Hospital, Ankara, Turkey

  • Emergency Department, Ankara Training and Research Hospital, Ankara, Turkey

  • Emergency Department, Ankara Training and Research Hospital, Ankara, Turkey

  • Sections