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Characteristics of attempted suicides seen in emergency-care settings of general hospitals in eight low- and middle-income countries.

Abstract：

BACKGROUND:The objective was to describe patients presenting themselves at emergency-care settings following a suicide attempt in eight culturally different sites [Campinas (Brazil), Chennai (India), Colombo (Sri Lanka), Durban (South Africa), Hanoi (Viet Nam), Karaj (Iran), Tallinn (Estonia), and Yuncheng, (China)]. METHOD:Subjects seen for suicide attempts, as identified by the medical staff in the emergency units of 18 collaborating hospitals were asked to participate in a 45-minute structured interview administered by trained health personnel after the patient was medically stable. RESULTS:Self-poisoning was the main method of attempting suicide in all eight sites. Self-poisoning by pesticides played a particularly important role in Yuncheng (71.6% females, 61.5% males), in Colombo (43.2% males, 19.6% females), and in Chennai (33.8% males, 23.8% females). The suicide attempt resulted in danger to life in the majority of patients in Yuncheng and in Chennai (over 65%). In four of the eight sites less than one-third of subjects received any type of referral for follow-up evaluation or care. CONCLUSIONS:Action for the prevention of suicide attempts can be started immediately in the sites investigated by addressing the one most important method of attempted suicide, namely self-poisoning. Regulations for the access to drugs, medicaments, pesticides, and other toxic substances need to be improved and revised regulations must be implemented by integrating the efforts of different sectors, such as health, agriculture, education, and justice. The care of patients who attempt suicide needs to include routine psychiatric and psychosocial assessment and systematic referral to professional services after discharge.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Fleischmann A,Bertolote JM,De Leo D,Botega N,Phillips M,Sisask M,Vijayakumar L,Malakouti K,Schlebusch L,De Silva D,Nguyen VT,Wasserman D

doi

10.1017/S0033291705005416

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

1467-74

issue

eissn

0033-2917

issn

1469-8978

pii

S0033291705005416

journal_volume

pub_type

杂志文章,多中心研究

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Characteristics of attempted suicides seen in emergency-care settings of general hospitals in eight low- and middle-income countries.