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Journal Article

Citation

Cerel J, Singleton MD, Brown MM, Brown SV, Bush HM, Brancato CJ. Crisis 2015; 37(1): 5-12.

Affiliation

5 University of Kentucky , Department of Statistics/DATAQUeST, Lexington, KY, USA.

Copyright

(Copyright © 2015, International Association for Suicide Prevention, Publisher Hogrefe Publishing)

DOI

10.1027/0227-5910/a000354

PMID

26620917

Abstract

BACKGROUND: Emergency departments (EDs) serve a wide range of patients who present at risk of impending suicide and homicide. AIMS: Two statewide surveillance systems were probabilistically linked to understand who utilizes EDs and then dies violently within 6 weeks.

METHOD: Each identified case was matched with four randomly selected controls on sex, race, date of birth, resident zip code, and date of ED visit vs. date of death. Matched-pair odds ratios were estimated by conditional logistic regression to assess differences between cases and controls on reported diagnoses and expected payment sources.

RESULTS: Of 1,599 suicides and 569 homicides in the 3-year study period, 10.7% of decedents who died by suicide (x = 13.6 days) and 8.3% who died by homicide (x = 16.3 days) were seen in a state ED within 6 weeks prior to death. ED attendees who died by suicide were more likely to have a diagnosis of injury/ poisoning diagnosis or mental disorder and more likely to have Medicare. Those who died by homicide were more likely to have a diagnosis of injury/poisoning and less likely to have commercial insurance.

CONCLUSION: It is essential for research to further explore risk factors for imminent suicide and homicide in ED patients who present for psychiatric conditions and general injuries.


Language: en

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