Five-year mortality after hospitalisation for suicide attempt with a violent method.

Autor: Hirot F; INSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Université Paris-Saclay. Villejuif, France; Fondation Santé des Etudiants de France (FSEF), Service hospitalo-universitaire de Santé Mentale de l'Adolescent et du Jeune Adulte (SMAJA), Paris, France. Electronic address: france.hirot@fsef.net., Ali A; INSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Université Paris-Saclay. Villejuif, France; Fondation Santé des Etudiants de France (FSEF), Service hospitalo-universitaire de Santé Mentale de l'Adolescent et du Jeune Adulte (SMAJA), Paris, France. Electronic address: aminata.ali@fsef.net., Azouvi P; INSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Université Paris-Saclay. Villejuif, France; Université Versailles Saint-Quentin-en-Yvelines, UFR Simone Veil-Santé, Montigny-le-Bretonneux, France; APHP - Hôpital Raymond Poincaré, Service de Médecine Physique et de Réadaptation, Garches, France. Electronic address: philippe.azouvi@aphp.fr., Naddaf A; Fondation Santé des Etudiants de France (FSEF), Service hospitalo-universitaire de Santé Mentale de l'Adolescent et du Jeune Adulte (SMAJA), Paris, France. Electronic address: adrien.naddaf@fsef.net., Huas C; INSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Université Paris-Saclay. Villejuif, France; Fondation Santé des Etudiants de France (FSEF), Service hospitalo-universitaire de Santé Mentale de l'Adolescent et du Jeune Adulte (SMAJA), Paris, France. Electronic address: caroline.huas@fsef.net., Guillaume S; Centre Hospitalier Universitaire De Montpellier, Service Urgence et Post-urgence psychiatrique, Montpellier, France; Université Montpellier 1, 34006 Montpellier, France; INSERM, U888, 34093 Montpellier, France. Electronic address: s-guillaume@chu-montpellier.fr., Godart N; INSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Université Paris-Saclay. Villejuif, France; Fondation Santé des Etudiants de France (FSEF), Service hospitalo-universitaire de Santé Mentale de l'Adolescent et du Jeune Adulte (SMAJA), Paris, France; Université Versailles Saint-Quentin-en-Yvelines, UFR Simone Veil-Santé, Montigny-le-Bretonneux, France. Electronic address: nathalie.godart@fsef.net.
Jazyk: angličtina
Zdroj: Journal of psychosomatic research [J Psychosom Res] 2022 Aug; Vol. 159, pp. 110949. Date of Electronic Publication: 2022 May 27.
DOI: 10.1016/j.jpsychores.2022.110949
Abstrakt: Objective: This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment.
Methods: In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a suicide attempt using violent means. Vital status was ascertained for these 215 people, a standardized mortality ratio (SMR) was calculated and Log-rank tests were used to identify factors associated with mortality.
Results: The crude mortality rate was 5.12% (11 deaths) and the SMR was 15.45 (95% CI = [7.71-27.65]; p < 0.001) 5.40 years after admission into the transdisciplinary unit. Factors associated with mortality were: older age (29.91 years versus 25.30 years, p < 0.001), a longer stay in acute care (p = 0.002) and a shorter stay in the transdisciplinary unit (p < 0.001).
Conclusion: Long-term mortality among people who have attempted suicide using violent means is 15 times higher than in the corresponding general young adult population. This study supports the hypothesis that the severity of a suicide attempt is associated with subsequent excess mortality. Therefore, there is a need to consolidate outpatient facilities that provide appropriate support for this specific population after discharge. These programmes need to ensure the continuity of coordinated psychiatric and somatic care and psychosocial rehabilitation in order to prevent the risk of suicide.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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