Denial of Suicide Attempt Among Hospitalized Survivors of a Self-Inflicted Gunshot Wound
| Autor: | Michael Matthew McClay, Angela Shields, Stephen E. Nicolson, Jo Ellen Wilson, Marissa Baudino, John Bone, Lisa Venanzi, Stephen S. O'Connor, Brittany Nicole Groh |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Adolescent media_common.quotation_subject Suicide Attempted Disclosure Affect (psychology) Young Adult 03 medical and health sciences 0302 clinical medicine Denial Trauma Centers Self-destructive behavior medicine Electronic Health Records Humans 0501 psychology and cognitive sciences Psychiatry Aged media_common Aged 80 and over integumentary system Suicide attempt business.industry 05 social sciences 030208 emergency & critical care medicine Disposition Middle Aged Patient Acceptance of Health Care medicine.disease Tennessee Hospitalization Psychiatry and Mental health Female Wounds Gunshot Gunshot wound medicine.symptom business |
| Zdroj: | Psychiatric Services. 69:657-663 |
| ISSN: | 1557-9700 1075-2730 |
| Popis: | Evidence suggests that suicide attempts by self-inflicted gunshot wound (GSW) are underreported and may in turn affect disposition following hospitalization. This study aimed to evaluate the clinical characteristics and use of services among individuals who do not disclose suicidal intent following a self-inflicted GSW.Electronic medical record data from 128 survivors of self-inflicted GSWs at a level 1 trauma center were analyzed to identify factors associated with nondisclosure of a suicide attempt to medical staff.Results indicated that 29% of patients denied that a self-inflicted GSW was a suicide attempt, and 43% of patients who denied suicidal intent were identified by the psychiatric consultation and liaison service as presenting under circumstances suspicious of a suicide attempt. Logistic regression analyses indicated that patients who denied having attempted suicide were 10.86 times more likely to be discharged to home than patients who disclosed suicidal intent. In a multiple regression model, no clinical or demographic characteristics were significantly associated with nondisclosure of suicide intent.Patients' nondisclosure of suicidal intent following a self-inflicted GSW may present a barrier to care for patients whose injuries are the result of a suicide attempt. Implications for reducing barriers to care for a high-risk population are discussed, including the impact of nondisclosure on future treatment and the potential utility of brief interventions for suicide risk reduction. |
| Databáze: | OpenAIRE |
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