Citation

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

Copyright

(Copyright © 2006, Elsevier Publishing)

DOI

10.1016/S0755-4982(06)74686-3

PMID

unavailable

Abstract

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 become 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. © 2006, Masson.

Language: fr

Keywords

adult; human; female; male; psychotherapy; suicide attempt; article; major clinical study; controlled study; mental health care; marriage; statistical significance; demography; anamnesis; cohort analysis; university hospital