Citation

Ichimura A, Kato K, Taira T, Otsuka H, Seki T, Nakagawa Y, Inokuchi S. Arch. Suicide Res. 2019; ePub(ePub): 1-12.

Affiliation

Emergency and Critical Care Medicine, Shimokasuya , Tokai University School of Medicine , Isehara , Japan.

Copyright

(Copyright © 2019, International Academy of Suicide Research, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/13811118.2018.1438323

PMID

29474136

Abstract

OBJECTIVES: To evaluate whether treatment at a psychiatric hospital reduces the risk of repeating parasuicide.

METHODS: Participants comprised 4,483 parasuicide patients admitted to an emergency department between July 2003 and March 2012. We analyzed the effectiveness of psychiatric hospitalization in preventing repeated parasuicide. We adjusted for background factors using multivariate logistic regression.

RESULTS: Effects of psychiatric hospitalization upon the likelihood of repeated parasuicide within one year varied by age (especially those aged <35 years), indicating that hospitalization was a significant risk factor.

CONCLUSION: We must be mindful of the risk of repeated parasuicide following discharge in young patients and to provide them with ongoing outpatient care and multimodal support.

Language: en

Keywords

emergency department; intervention; multimodal support; prevention; psychiatric hospitalization; repeated deliberate self-harm