@article{ref1,
title="Suicide attempts by jumping and length of stay in general hospital: a retrospective study of 225 patients",
journal="Journal of psychosomatic research",
year="2019",
author="Todorov, Louise and Vulser, Hélène and Pirracchio, Romain and Thauvin, Isabelle and Radtchenko, Andrei and Vidal, Jean and Guigui, Pierre and Limosin, Frederic and Lemogne, Cédric",
volume="119",
number="",
pages="34-41",
abstract="OBJECTIVE: Violent suicide attempts, such as jumping from a height, frequently lead to hospitalization in general hospital with high length of stay (LOS). We investigated features associated with LOS in this context. <br><br>METHODS: We retrospectively included all patients admitted after suicide attempts by jumping in non-psychiatric wards of a university hospital between 2008 and 2016. Several socio-demographic and clinical data were collected, including psychiatric diagnoses, coded with the International Classification of Diseases-10th Revision. We used general linear models to identify factors associated with LOS. <br><br>RESULTS: Among 225 patients (125 men; mean age ± sd: 37.5 ± 15.4 years), several clinical factors were independently associated with a longer LOS: number of injuries (β = 8.2 p < .001), external fixator (β = 18.1 p = .01), psychotic disorder (β = 14.6 p = .02) and delirium (β = 16.6 p = .005). Admission in psychiatric ward at discharge tended to be associated with lower LOS (β = -15.3 p = .07). <br><br>CONCLUSION: In patients admitted in non-psychiatric wards after suicide attempt by jumping, the presence of a psychotic disorder may increase LOS by several days, and indirectly costs of hospitalization, to a similar extent of non-psychiatric factors. The association of transfer in psychiatric ward with lower LOS suggests that the psychiatric disorder might interfere with medical care.<br><br>Copyright © 2019 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0022-3999",
doi="10.1016/j.jpsychores.2019.02.001",
url="http://dx.doi.org/10.1016/j.jpsychores.2019.02.001"
}