Citation

Eudier F, Gault S, Batt-Moillo A, Drapier D, Millet B. Presse Med. (1983) 2006; 35(5 Pt 1): 759-763.

Vernacular Title

Diminution des repetitions suicidaires grace a une reorganisation des soins

Affiliation

Unite de psychiatrie et de psychologie medicale, Hopital Pontchaillou, Rennes (35).

Copyright

(Copyright © 2006, Elsevier Publishing)

DOI

unavailable

PMID

16710142

Abstract

TWO COHORTS: OBJECTIVES: To investigate the impact of the reorganization of psychiatric care in the Accident and Emergency (A&E) unit on repeated suicide attempts. Method:The study includes suicide attempters admitted to the Rennes University Hospital (Brittany, France) A&E unit in 1994 (n=1003) and 2000 (n=1018). We compared the clinical data (age, gender, marital status, suicide history, methods, and outcome at discharge from A&E) and psychiatric management of the two cohorts. The rate of repeated suicide attempts was measured according to the same criterion in 1994 and 2000 (re-admission to the A&E unit). RESULTS: Both populations of suicide attempters were very similar from both a clinical and demographic point of view. The repetition rate at 1 month was significantly higher (OR=4.16, p=0.0001) in 1994 than in 2000. The difference between the cohorts continued at three and six months, but became statistically insignificant at one year. CONCLUSION: By 2000, organization of psychiatric care in the A&E unit had been substantially strengthened. The presence of a complete psychiatric team (nurses, junior psychiatrist, and senior psychiatrist) in the A&E unit, 24 hours a day, seven days a week, was associated with a lower rate of repeated suicide attempts.

Language: fr