@article{ref1,
title="Profiles of patients using emergency departments or hospitalized for suicidal behaviors",
journal="Suicide and life-threatening behavior",
year="2022",
author="Fleury, Marie-Josée and Cao, Zhirong and Armoon, Bahram and Grenier, Guy and Lesage, Alain",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: This study identified profiles of patients with suicidal behaviors, their sociodemographic and clinical correlates, and assessed the risk of death within a 12-month follow-up period. <br><br>METHODS: Based on administrative databases, this 5-year study analyzed data on 5064 patients in Quebec who used emergency departments (ED) or were hospitalized for suicidal behaviors over a 2-year period. Latent class analysis was used for patient profiles, bivariate analysis for patient correlates over 2 years, and survival analysis for risk of death within a 12-month follow-up. <br><br>RESULTS: Four profiles were identified: high suicidal behaviors and high service use (Profile 1: 23%); low suicidal behaviors and moderate service use (Profile 2: 46%); low suicidal behaviors and low service use (Profile 3: 25%); and high suicidal behaviors and high acute care, but low outpatient care (Profile 4: 6%). Profiles 1 and 4 patients had more serious conditions, with a higher risk of death in Profile 1 versus Profiles 2 and 3. Profile 2 patients had relatively more common mental disorders, and Profile 3 patients had less severe conditions. Profiles 3 and 4 included more men and younger patients. <br><br>CONCLUSION: Programs better adapted to patient profiles should be deployed after ED use and hospitalization in coordination with outpatient services.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12892",
url="http://dx.doi.org/10.1111/sltb.12892"
}