Citation

Baader-Matthei T, Richter P, Mundt C. J. Neuroeuropsychiatry (Santiago, Chile) 2004; 42(4): 293-316.

Copyright

(Copyright © 2004, Society of Neurology, Neurosurgery and Psychiatry, Chile)

DOI

unavailable

PMID

unavailable

Abstract

Introduction. The purpose of this work is the one to determine the risk factors of suicide of patients in hospitalized psychiatric treatment, diurnal hospitalization, with ambulatory treatment and until a month subsequent to the discharge.

METHOD. The suicides happened between these groups of patients of the Psychiatric Clinic of the University of Heidelberg, within the period of year 1991 until the 2000, compared with a group control defined by the following criteria: sort, age (+/- 2 years), diagnosis (according to ICD-10), year of entrance (+/-1 year), station or unit of treatment and condition of treatment (ambulatory, complete, diurnal regime, tall).

RESULTS. Were 32 cases of suicides happened within that period (53% masculine patients and feminine 47%). Most of the cases they underwent an affective desease (53%) and a shyzofreniform desease (22%). 96% of the patients who entered due to an attempt of suicide, did not commit suicide during the treatment nor after finalized this one. When doing the comparison with the control group, was stated that the cases were different statistically in significant form, in that the cases had a smaller time of hospitalisation, solicited to be discharged from the hospital against indication of the doctor, had a greater suicidal psychopatologic appreciation, were more cases of suicides in the family, more were arranged to communicate their intentions to commit suicide, showed a smaller degree of improvement of their psychopatologic state and had a significant amount of delirious ideas.

DISCUSSION. All the statistically significant results were examined by means of a hierarchic logistic regression to determine the probability of predicting a suicide. The result is, that the psychopatologic estimation of risk of suicide of the patient conducted by the tratant equipment during his hospitalisation in the clinic, demonstrated that great probabilities of later suicide of that patient existed, not being stated improvement of its pathology of base during this time. The second predicting factor talks about the fact of previous clinical recovery, that was not awaited so quickly in the patient and who was associated later to the suicide of the same one. © 2006 Sociedad de Neurología, Psiquiatría y Neurocirugía.

Language: es

Keywords

Risk factors; adult; human; Chile; suicide; Suicide; female; male; university; family; hospitalization; risk assessment; prediction; mood disorder; risk factor; circadian rhythm; article; comparative study; mental disease; controlled study; physician; clinical article; statistical significance; mental patient; follow up; mental hospital; hospital discharge; delirium; outpatient care; logistic regression analysis; case control study; probability; control group; Psychiatric in-patients; schizophreniform disorder