Cost of attempted suicide: a retrospective study of extent and associated factors.

Abstract:

QUESTIONS UNDER STUDY:Suicidal behaviour is a major source of burden of disease. While most studies focus on cost associated with completed suicides, data on costs of, non-lethal, suicide attempts are lacking. The aim of this study was to assess direct annual cost of suicide attempts in Basel in 2003 from a health services perspective. METHODS:Retrospective cost-of-illness-study of the Basel cohort of the 2003 WHO/EURO-Multicentre Study on Parasuicide. We extracted cost information from the two major hospitals involved in treatment of these patients. We determined overall cost, compared cost medians and identified variables associated with higher cost by means of logistic regression. RESULTS:For 2003, treatment of suicide attempters in Basel's main hospitals amounted to 3,373,025 Swiss Francs (CHF), mainly attributable to psychiatric care. Mean and median cost per case were 19,165 CHF and 6,108 CHF, respectively. Based on these findings, the extrapolated direct medical costs for medical treatment of suicide attempts in Switzerland per year amount to 191 million CHF. Parameters associated with high costs were age above 65 (p<0.01), using a hard method (p<0.05), receiving intensive care (p<.05), and lethal intention (p<0.05). The ICD-10 diagnostic category F3 was associated with significantly higher costs than F1 (p<0.05) and F4 (p<0.05). CONCLUSIONS:Attempted suicide produces substantial direct medical costs, which are only a part of the financial burden. Prevention targeting mood disorders, the elderly and the use of hard methods may be most cost-effective. Further research should aim at identifying additional indirect costs and the cost-effectiveness of prevention measures.

journal_name

Swiss Med Wkly

journal_title

Swiss medical weekly

authors

Czernin S,Vogel M,Flückiger M,Muheim F,Bourgnon JC,Reichelt M,Eichhorn M,Riecher-Rössler A,Stoppe G

doi

10.4414/smw.2012.13648

subject

Has Abstract

pub_date

2012-07-23 00:00:00

pages

w13648

eissn

1424-7860

issn

1424-3997

pii

smw-13648

journal_volume

142

pub_type

杂志文章,多中心研究
  • Intensive care without walls - introduction of a Medical Emergency Team system in a Swiss tertiary care centre.

    abstract:QUESTIONS UNDER STUDY:To improve the response of deteriorating patients during their hospital stay, the University Hospital Bern has introduced a Medical Emergency Team (MET). Aim of this retrospective cohort study is to review the preceding factors, patient characteristics, process parameters and their correlation to ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2014.14027

    authors: Etter R,Takala J,Merz TM

    更新日期:2014-10-08 00:00:00

  • Changes in olfactory function with several pregnancies?

    abstract:OBJECTIVE:To investigate whether olfactory performance decreases as a function of the number of pregnancies, previous research having indicated that olfactory function decreases in the course of pregnancy. METHODS:In a prospective study three groups of women were investigated (total n = 93), women who have given birth...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2008/31/smw-12200

    authors: Wohlgemuth C,Beinder E,Ochsenbein-Kölble N,Hummel T

    更新日期:2008-08-09 00:00:00

  • A new sexually transmitted infection (STI) in Geneva? Ciprofloxacin-resistant Neisseria gonorrhoeae, 2002-2005.

    abstract:PRINCIPLES:Neisseria gonorrhoeae (NG) resistant to ciprofloxacin (CR) was documented for the first time in Geneva in 2002 and increased from 7% that year to 47% in 2005. We describe NG cases during this period and compare characteristics of CR and ciprofloxacin susceptible (CS) cases. METHOD:Geneva microbiological lab...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2008/15/smw-12029

    authors: Le Lin B,Pastore R,Liassine N,Aramburu C,Sudre P

    更新日期:2008-04-19 00:00:00

  • Carbon nanotubes: an insight into the mechanisms of their potential genotoxicity.

    abstract::After the health catastrophe resulting from the widespread use of asbestos which was once hailed as a new miracle material, the increasing use of carbon nanotubes (CNTs) has spawned major concern due to their similarities in terms of size, shape and poor solubility. Assessment of genotoxicity has shown that CNTs can d...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2012.13698

    authors: van Berlo D,Clift MJ,Albrecht C,Schins RP

    更新日期:2012-11-05 00:00:00

  • Improvement in function after spinal cord injury: the black-box entitled rehabilitation.

    abstract::Rehabilitation can be referred to as a "black box" because little is known about what specific interventions comprise the rehabilitation process, including patients with spinal cord injury (SCI). Despite that rehabilitation professionals can "see" daily what rehabilitation looks like, the contribution of each interven...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2012.13673

    authors: van Hedel HJ

    更新日期:2012-09-20 00:00:00

  • Underreporting of needlestick and sharps injuries among healthcare workers in a Swiss University Hospital.

    abstract:OBJECTIVES:To determine 1) rates of needlestick and sharps injuries (NSSIs) not reported to occupational health services, 2) reasons for underreporting and 3) awareness of reporting procedures in a Swiss university hospital. MATERIALS AND METHODS:We surveyed 6,367 employees having close clinical contact with patients ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13523

    authors: Voide C,Darling KE,Kenfak-Foguena A,Erard V,Cavassini M,Lazor-Blanchet C

    更新日期:2012-02-10 00:00:00

  • Evidence for age-based rationing in a Swiss university hospital.

    abstract:AIM:To test the hypothesis that rationing of medical management mainly based on age exists in our health care system today. METHODS:We studied 303 consecutive patients hospitalised for acute coronary syndrome (ACS) and 163 consecutive patients hospitalised with congestive heart failure (CHF). They were divided into tw...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2001/43/smw-09823

    authors: Jenni D,Osterwalder R,Osswald S,Buser P,Pfisterer M

    更新日期:2001-11-10 00:00:00

  • Fibroblasts as therapeutic targets in rheumatoid arthritis and cancer.

    abstract::Rheumatoid arthritis is a common chronic inflammatory disease that causes progressive synovial inflammation resulting in irreversible joint destruction, chronic disability and premature mortality. Although it is recognised that in rheumatoid arthritis, inflammation and its persistence result from complex interactions ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2012.13529

    authors: Juarez M,Filer A,Buckley CD

    更新日期:2012-02-24 00:00:00

  • Cerebral vasculitis complicating postoperative meningitis: the role of steroids revisited.

    abstract::Meningitis due to Streptococcus pneumoniae is a rare complication of trans-sphenoidal surgery. We present the case of a patient who developed pneumococcal meningitis with associated bacteraemia after elective endoscopic trans-sphenoidal resection of a pituitary macro-adenoma. After initial treatment with ceftriaxone a...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13697

    authors: Darling KE,Niederhauser J,Bervini D,Giulieri S,Daniel RT,Bille J,Erard V

    更新日期:2012-10-29 00:00:00

  • Prognostic impact of plasma lipids in patients with lower respiratory tract infections - an observational study.

    abstract:PRINCIPLES:A decrease in plasma lipids occurs during severe sepsis and has prognostic implications in critical illness. Whether lipids have prognostic implications or could help to differentiate community-acquired pneumonia from other lower respiratory tract infections remains unknown. METHODS:We analysed data from pa...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:smw-12494

    authors: Gruber M,Christ-Crain M,Stolz D,Keller U,Müller C,Bingisser R,Tamm M,Mueller B,Schuetz P

    更新日期:2009-03-21 00:00:00

  • Diagnostic competence of Swiss general practitioners in skin cancer.

    abstract:QUESTIONS UNDER STUDY:In Switzerland, skin cancer is one of the most prevalent neoplasms. General practitioners (GPs) are often faced with suspicious skin lesions in their patients. The aim of our study was to assess GPs' competence to diagnose skin cancer and to examine whether this can be improved by a one-day dermat...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2013.13834

    authors: Badertscher N,Braun RP,Held U,Kofmehl R,Senn O,Hofbauer GF,Rossi PO,Wensing M,Rosemann T,Tandjung R

    更新日期:2013-07-29 00:00:00

  • The many faces of interstitial pneumonia: a case of presumed SARS-CoV-2 infection.

    abstract::We present the case of an oncology patient admitted to our hospital during the current COVID-19 pandemic with clinical and radiological features strongly suggestive of interstitial pneumonia. Multiple laboratory tests were negative for SARS-CoV-2 (polymerase chain reaction testing of nasopharyngeal swabs, and of induc...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2020.20312

    authors: Rigamonti E,Salera D,Gheorghiu AC,Fratila C,Gianella P

    更新日期:2020-07-11 00:00:00

  • Loss of a preterm infant: psychological aspects in parents.

    abstract:QUESTIONS UNDER STUDY:The unexpected death of a preterm infant is an extremely painful situation for parents. Despite a number of quantitative studies, little is known about parents' inner experience. The aim of this study was to gather more in-depth information about what preoccupies parents in this situation of suffe...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2007/27/smw-11868

    authors: Glaser A,Bucher HU,Moergeli H,Fauchère JC,Buechi S

    更新日期:2007-07-14 00:00:00

  • Elevation of B-type natriuretic peptide levels in acute respiratory distress syndrome.

    abstract:BACKGROUND:B-type natriuretic peptide (BNP) has been proven to be a biochemical marker of severity of congestive heart failure. We are aware of only few papers reporting the association of BNP elevation and pulmonary hypertension (primary, thromboembolic, or as a consequence of chronic obstructive pulmonary disease). L...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2003/37/smw-10367

    authors: Maeder M,Ammann P,Rickli H,Diethelm M

    更新日期:2003-09-26 00:00:00

  • Additional malignancies in patients with neuroendocrine tumours: analysis of the SwissNET registry.

    abstract:PRINCIPLES:Neuroendocrine neoplasms (NENs) are believed to be associated with an increased risk for additional malignancies (AMs). We aimed to (1) assess the occurrence of AM in NEN patients (2) investigate the characteristics and temporal relationship of NEN patients with and without AM. METHODS:The SwissNET registry...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2016.14362

    authors: Kollár A,Blank A,Perren A,Bütikofer L,Stettler C,Christ E

    更新日期:2016-11-12 00:00:00

  • Illuminating human health through cell mechanics.

    abstract::Cells reside in mechanically rich and dynamic microenvironments, and the complex interplay between mechanics and biology is widely acknowledged. Recent research has yielded insights linking the mechanobiology of cells, human physiology, and pathophysiology. In particular, we have learned of the cell's astounding abili...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2013.13766

    authors: Steward RL Jr,Rosner SR,Zhou EH,Fredberg JJ

    更新日期:2013-03-14 00:00:00

  • Sleep and wakefulness disturbances in Swiss pharmacy customers.

    abstract:BACKGROUND AND OBJECTIVE:Sleep disturbances are prevalent but often overlooked or underestimated. We suspected that sleep disorders might be particularly common among pharmacy customers, and that they could benefit from counselling. Therefore, we described the prevalence and severity of symptoms associated with sleep a...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2006/09/smw-11265

    authors: Schwegler K,Klaghofer R,Nirkko AC,Mathis J,Hersberger KE,Bloch KE

    更新日期:2006-03-04 00:00:00

  • Reduction of radiocesium load: supplementation of Cs versus its depletion by enterosorbents.

    abstract:: ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2011.13166

    authors: Jargin SV

    更新日期:2011-03-18 00:00:00

  • Stent placement in the endovascular treatment of intracranial aneurysms.

    abstract:OBJECTIVE:To analyze the immediate and midterm angiographic and clinical results of stent placement in the endovascular treatment of intracranial cerebral aneurysms. METHODS:Out of 330 cerebral aneurysms treated by endovascular approach in our neurovascular centre, stents have been used in 18 patients. Twelve aneurysm...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2008/43/smw-12396

    authors: Mordasini P,Walser A,Gralla J,Wiest R,Ozdoba C,Reinert M,Schroth G

    更新日期:2008-11-01 00:00:00

  • Identification of a MAFB mutation in a patient with multicentric carpotarsal osteolysis.

    abstract::Multicentric carpotarsal osteolysis (MCTO) is an autosomal dominant disease of the skeleton characterised by progressive destruction of carpal and tarsal bones. Recently, it has been demonstrated that this disease is caused by heterozygous mutations in the gene for the transcriptional repressor MAFB. We analysed genom...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2017.14529

    authors: Zhuang L,Adler S,Aeberli D,Villiger PM,Trueb B

    更新日期:2017-10-27 00:00:00

  • The predictive validity of the aptitude test for the performance of students starting a medical curriculum.

    abstract:INTRODUCTION:Selection of medical students varies between German- and French-speaking Swiss faculties. Geneva introduced an aptitude test in 2010, aimed at helping decision making among students. The test was compulsory: it had to be taken by those who intended to register for medical studies. But it was not selective:...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2013.13872

    authors: Cerutti B,Bernheim L,van Gessel E

    更新日期:2013-09-19 00:00:00

  • Education, employment and marriage in long-term survivors of teenage and young adult cancer compared with healthy controls.

    abstract:QUESTIONS UNDER STUDY:Teenage and young adult (TYA) cancer patients are faced with the diagnosis during a challenging period of psychosocial development that may affect social outcomes in the long term. Therefore, we aimed to: (1) determine differences in social outcomes between long-term TYA cancer survivors and healt...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2017.14419

    authors: Mader L,Vetsch J,Christen S,Baenziger J,Roser K,Dehler S,Michel G

    更新日期:2017-03-07 00:00:00

  • Cessation of extracorporeal photopheresis in chronic lung allograft dysfunction: effects on clinical outcome in adults.

    abstract:BACKGROUND:Extracorporeal photopheresis (ECP) has been reported to be safe and the ultimate treatment option in lung transplant recipients with chronic lung allograft dysfunction (CLAD), the main overall cause of mortality in lung transplant recipients. However, ECP is not reimbursed in selected health jurisdictions, a...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2017.14429

    authors: Robinson CA,Huber L,Murer C,Schuurmans M,Kohler M,Hofbauer G,Benden C

    更新日期:2017-03-13 00:00:00

  • Survey of management of first-ever seizures in a hospital based community.

    abstract:BACKGROUND:Epidemiological studies focusing on first-ever seizures have been carried out mainly on community based populations. However, since hospital populations may display varying clinical features, we prospectively analysed patients with first-ever seizure in a hospital based community to evaluate prognosis and th...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2004/39/smw-10738

    authors: Kawkabani A,Rossetti AO,Despland PA

    更新日期:2004-10-02 00:00:00

  • Is the Eichenholtz classification still valid for the diabetic Charcot foot?

    abstract::In his 1966 monograph "Charcot joints", Sidney N. Eichenholtz (1909-2000) described "three well defined stages … in the course and development of a Charcot joint", based on plain X-rays of 68 patients. Since then, medical imaging has advanced very much: computed tomography and magnetic resonance imaging (MRI) scans ex...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2014.13948

    authors: Chantelau EA,Grützner G

    更新日期:2014-04-24 00:00:00

  • Association between maternal smoking and low birth weight in Switzerland: the EDEN study.

    abstract:PURPOSE:To study the association between maternal smoking during pregnancy and low birth weight (LBW), small-for-gestational-age birth weight (SGA) and preterm birth, and to quantify the population-attributable fractions for these outcomes in Switzerland. METHODS:Data were gathered for all births in the Canton of Vaud...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2005/35/smw-11122

    authors: Chiolero A,Bovet P,Paccaud F

    更新日期:2005-09-03 00:00:00

  • Lung transplantation for COPD - evidence-based?

    abstract::Lung transplantation has now been performed for more than 30 years in patients with end-stage chronic obstructive pulmonary disease (COPD). This disease is the major indication for lung transplantation, involving more than one third of the procedures worldwide. Although lung transplantation in COPD patients has clearl...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:smw-12377

    authors: Lahzami S,Aubert JD

    更新日期:2009-01-10 00:00:00

  • General practitioner's adherence to the COPD GOLD guidelines: baseline data of the Swiss COPD Cohort Study.

    abstract::PRINCIPLES: Chronic obstructive pulmonary disease (COPD) is a major burden on patients and healthcare systems. Diagnosis and the management of COPD are often administered by general practitioners (GPs). This analysis investigated the adherence of GPs in Switzerland to the Global Initiative for Chronic Obstructive Lung...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2010.13053

    authors: Jochmann A,Neubauer F,Miedinger D,Schafroth S,Tamm M,Leuppi JD

    更新日期:2010-08-09 00:00:00

  • Epidemiology and pathophysiology of obesity as cause of cancer.

    abstract::According to World Health Organisation estimates 1.1 billion people were overweight or obese worldwide in the year 2000 with the prevalence rapidly increasing. Compelling evidence suggests that excess body weight is a risk factor for several cancer types including cancer of the colon, breast, endometrium, kidney, oeso...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:2007/03/smw-11435

    authors: Ceschi M,Gutzwiller F,Moch H,Eichholzer M,Probst-Hensch NM

    更新日期:2007-01-27 00:00:00

  • Intensity of cytosol expression of 8-OHdG in normal renal tubules is associated with the severity of renal fibrosis.

    abstract:INTRODUCTION:It has been proposed that reactive oxygen species play a role in renal fibrosis. 8-OHdG, a metabolite of oxidative damage to leukocyte DNA, has been identified as a marker of oxidative stress in patients with chronic renal failure. MATERIALS AND METHODS:Seventy-four patients following nephrectomy were ret...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2011.13268

    authors: Tsai JP,Liou JH,Yeh KT,Tai HC,Cheng YW,Chang HR

    更新日期:2011-10-12 00:00:00