Comparison of VA Intentional and Unintentional Deaths

Autor: Peter Barglow
Rok vydání: 2004
Předmět:
Male
Suicide Prevention
medicine.medical_specialty
Community Mental Health Centers
Quality Assurance
Health Care
Hospitals
Veterans
Substance-Related Disorders
Personnel Staffing and Scheduling
Medicine (miscellaneous)
Poison control
Suicide
Attempted
Suicide prevention
California
Occupational safety and health
Cause of Death
Injury prevention
Health care
medicine
Humans
Aged
Retrospective Studies
Psychiatric Status Rating Scales
business.industry
Mental Disorders
Managed Care Programs
Middle Aged
medicine.disease
United States
Diagnostic and Statistical Manual of Mental Disorders
Substance abuse
Suicide
United States Department of Veterans Affairs
Psychiatry and Mental health
Clinical Psychology
Diagnosis
Dual (Psychiatry)
Accidents
Accidental
Emergency medicine
Workforce
Managed care
Medical emergency
business
Zdroj: American Journal on Addictions. 13:358-371
ISSN: 1521-0391
1055-0496
DOI: 10.1080/10550490490483026
Popis: This retrospective clinical study contrasts 22 unintentional ('accidental') deaths with 31 intentional (suicide) deaths of patients obtaining psychiatric care in a mid-sized VA Health Care system during 1993-1998. Unintended deaths were more frequently associated with addicting agents, particularly opioids. The number of such incidents increased from 1993-1998, a phenomenon that appeared to be associated with the implementation of managed care. These findings challenge rapidly changing psychiatric care systems to generate more effective treatment methods for dangerous addiction pathology despite decreasing numbers of substance abuse personnel per patient.
Databáze: OpenAIRE
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