TY - JOUR PY - 2006// TI - Differences in suicidal intention, background and aftercare among patients treated for self-poisonings: a one-year prospective study from Oslo JO - Psychiatria Danubina A1 - Bjornaas, Mari A. A1 - Hovda, Knut Erik A1 - Heyerdahl, Fridtjof A1 - Ekeberg, O. A1 - Skog, Karina A1 - Drottning, Per A1 - Opdahl, Anders A1 - Jacobsen, D. SP - 87 EP - 87 VL - 18 IS - Suppl 1 N2 - Objective: Long term mortality after self-poisonings is higher than for the general population, irrespective of intention. Are there differences in background, previous psychiatric treatment, substance abuse and aftercare based on intention? Methods: A prospective study of all patients treated for self-poisonings in all medical departments in Oslo during one year (April 2003-March 2004), including 908 patients, 54% females, median age 36 yrs. A semi-structured interview was performed. Results: 332 patients were suicidal, 232 were appealing, and 344 were substance abusers. There were more previous suicide attempts among suicide attempters (60%) and those considered to be appealing (57%) than among substance abusers (22%), (p<0.001). Daily abuse was reported in 48% of the substance abuse group, 35% of the suicidal group and 25% of the appeal group (p<0.001). Present/previous psychiatric treatment was reported by 35%, 48% and 35%, respectively (p<0.001). 40% of the abusers were discharged without aftercare, 14% received psychiatric treatment. 94% of suicide attempters got aftercare, 38% as psychiatric inpatients, 39% outpatients. Conclusion: Although the intention behind a self-poisoning may imply differences, there is considerable co-morbidity regarding substance abuse, previous suicide attempts and psychiatric treatment among all patients. Those considered to be non-suicidal received less aftercare.

Language: en

LA - en SN - 0353-5053 UR - http://dx.doi.org/ ID - ref1 ER -