@article{ref1,
title="Reduction in short-term repetition of attempted suicide associated with new organization of psychiatric management of suicide attempters: Two cohorts",
journal="Presse Medicale (1983)",
year="2006",
author="Eudier, F. and Gault, S. and Batt-Moillo, A. and Drapier, D. and Millet, B.",
volume="35",
number="5 I",
pages="759-763",
abstract="OBJECTIVEs 〉 To investigate the impact of the reorganization of psychiatric care in the Accident and Emergency (A&E) unit on repeated suicide attempts. <br><br>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). <br><br>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. <br><br>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.<p /><p>Language: fr</p>",
language="fr",
issn="0755-4982",
doi="10.1016/S0755-4982(06)74686-3",
url="http://dx.doi.org/10.1016/S0755-4982(06)74686-3"
}