Association between immigration status and inpatient psychiatric admission after attempted suicide: Results from a hospital-based observational study - 13/04/16
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Résumé |
Introduction |
Acute suicidality or a condition after attempted suicide frequently leads patients to both voluntary or involuntary inpatient admission. Emergency room psychiatrists decide whether such patients can be treated on an outpatient basis.
Objectives |
To identify if immigration status is associated with the decision whether a patient needs a hospital admission.
Aims |
To detect social determinants of hospital-based health resource uses.
Methods |
A cross-sectional study including data from 323 patients treated in a general hospital's emergency room after a suicidal attempt during year 2014.
Results |
Seventy-six patients were admitted to the hospital (23.5%). Hospitalization frequencies for immigrant and non-immigrant individuals were 6.3% and 26.5% (P=0.002). No significant association was found between psychiatric admission and history of a diagnosed psychiatric disorder, previous suicidal attempts, previous emergency room care use, family support or current drug use. A subgroup of patients (n=37; 9%) answered Beck's suicidal intent scale (SIS), a measure of risk in suicidal attempters. Mean SIS was found to be higher among hospitalized than discharged patients (8.5 vs. 16.5; P=0.01). No significant difference was found in mean SIS between immigrant and non-immigrant patients (9.3 vs. 9.1; P=0.3).
Conclusions |
These preliminary results call for consideration. The highly significant lower rate of psychiatric admission among immigrant patients, without significant differences in mean SIS score in regard to non-immigrants, needs further study.
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Vol 33 - N° S
P. S273-S274 - mars 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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