Intentional Injury and the Risk of Subsequent Hospitalization for Attempted Suicide
| Autor: | Jin Wang, Ali Rowhani-Rahbar, F. P. Rivara, Christopher R. DeCou |
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| Rok vydání: | 2018 |
| Předmět: |
Male
050103 clinical psychology medicine.medical_specialty Poison control Suicide Attempted Suicide prevention Article Suicidal Ideation Intentional injury 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans 0501 psychology and cognitive sciences Risk factor Time to onset Suicidal ideation Crime Victims Suicide attempt business.industry 05 social sciences Public Health Environmental and Occupational Health 030227 psychiatry Hospitalization Psychiatry and Mental health Clinical Psychology Increased risk Emergency medicine Female medicine.symptom business Self-Injurious Behavior |
| Zdroj: | Suicide Life Threat Behav |
| ISSN: | 1943-278X 0363-0234 |
| Popis: | Objective Trauma patients are at increased risk of suicidal behavior. The association between assault injury and subsequent suicidal behavior relative to unintentional injury remains under-studied. This study hypothesized that trauma patients with assault injuries would demonstrate greater risk of subsequent suicide attempt hospitalization compared to patients with unintentional injury. Method Trauma patients hospitalized in Washington State were identified via administrative records. Proportional hazard analysis was conducted to test differences in risk of suicide attempt hospitalization up to 5 years after the initial trauma hospitalization, and time to onset of first suicide attempt hospitalization by subgroup. Results Approximately 2% (n = 1264) of trauma inpatients were subsequently hospitalized for attempted suicide, and 0.3% died by suicide (n = 177) during the follow-up period. Relative to patients with unintentional injuries, those with assault-related injuries (aHR = 1.38, 95% CI: 1.02 to 1.86), and self-inflicted injuries (aHR = 8.22, 95% CI: 7.24 to 9.33) demonstrated greater risk of suicide attempt hospitalization after discharge. Conclusion These findings demonstrate a greater risk of suicidal behavior among trauma patients with assault injuries relative to patients with unintentional injuries. This suggests the importance of intentional cause of injury as a risk factor for suicidal behavior to be considered in assessment of suicidality and discharge planning for trauma patients. |
| Databáze: | OpenAIRE |
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