Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga: characteristics and associated factors
DOI:
https://doi.org/10.23938/ASSN.0047Keywords:
Suicidal behaviour. Suicidal tendencies. Attempted suicide. Risk factors.Abstract
Background. Suicidal behaviour (fatal and non-fatal) has become a serious public health problem in many countries. The aim of the study was to describe the differential characteristics of emergency calls due to suicidal behaviour made to the Emergency Coordinating Centre (CCUE) in the province of Málaga, in comparison with calls due to physical or psychiatric problems.
Methods. Retrospective observational study of the calls recorded in the database of the Public Company for Emergency Health during one year. Multivariate logistic regression analyses were carried out including age, gender and the following variables related with the demand: hours of the day, type of day (working days or bank holidays), months of the year and trimesters, number of resources mobilized and types of resolution.
Results. The analyses were carried out on 163,331 calls, of which 1,380 calls were due to suicidal behaviour (0.8%), 9,951 for psychiatric reasons (6.1%) and 152,000 for physical reasons (93%). The emergency calls for suicidal behaviour were mainly made by females, between 31-60 years, in the evening and at night, and required transfer to hospital and more than one mobilized resource. Calls due to completed suicide were more frequently made by older men. Calls due to suicidal tendencies predominated over those due to attempted or threatened suicide during the first trimester of the year, while the opposite was the case during the third trimester.
Discussion. The results indicated differential characteristics of suicide calls that are potentially relevant for prevention in spite of the limitations of the present study.
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HAVE M, DE GRAAF R, VAN DORSSELAER J, VERDURMEN H, VAN’T LAND S, VOLLEBERH W et al. Incidence and course of suicidal ideation and suicide attempts in the general population. Can J Psychiatry 2009; 54: 824-833.
Informe mundial sobre la violencia y la salud. Washington, D.C. Organización Panamericana de la Salud, Oficina Regional para las Américas de la Organización Mundial de la Salud. Publicado en 2003. apps.who.int/iris/bitstream/10665/112670/1/9275315884_spa.pdf. Consultado el 3 de diciembre de 2015.
Organización Mundial de la Salud. Public health action for the prevention of suicide: a framework. Publicado en 2012. http://www.who.int/mental_health/publications/prevention_suicide_2012/en/. Consultado el 5 de abril de 2016.
DE LEO D, BURGIS S, BERTOLOTE JM, KERKHOF AJFM, BILLE-BRAHE U. Definitions of suicidal behavior: lessons learned from the WHO/EURO multicentre study. Crisis 2006; 27: 4-15.
Organización Mundial de la Salud. Preventing suicide: a global imperative. Publicado en 2014. http://www.who.int/mental_health/suicide-prevention/ world_report_2014/en/. Consultado el 15 de marzo de 2016.
FERNÁNDEZ-NIÑO JA, ASTUDILLO-GARCÍA CI, BOJORQUEZ-CHAPELA I, MORALES-CARMONA E, MONTOYA-RODRIGUEZ AA, PALACIO-MEJIA LS. The Mexican cycle of suicide: A national analysis of seasonality, 2000-2013. PLoS One 2016; 11: 2000-2013.
GABILONDO A, ALONSO J, PINTO-MEZA A, VILAGUT G, FERNÁNDEZ A, SERRANO-BLANCO A et al. Prevalencia y factores de riesgo de las ideas, planes e intentos de suicidio en la población general española. Resultados del estudio ESEMeD. Medicina Clínica 2007; 129: 494-500.
BEAUTRAIS AL. Further suicidal behavior among medically serious suicide attempters. Suicide Life Threat Behav 2004; 34: 1-11.
COOPER J, KAPUR N, WEBB R, LAWLOR M, GUTHRIE E, MACKWAY-JONES K et al. Suicide after deliberate self-harm: a 4-year cohort study. Am J Psychiatry 2005; 162: 297-303.
GAIRIN I, HOUSE A, OWENS D. Attendance at the accident and emergency department in the year before suicide: retrospective study. Br J Psychiatry 2003; 183: 28-33.
OWENS D, HORROCKS J, HOUSE A. Fatal and non-fatal repetition of self-harm. Systematic review. Br J Psychiatry 2002; 181: 193-199.
SCOCCO P, DE GIROLAMO G, VILAGUT G, ALONSO J. Prevalence of suicide ideation, plans, and attempts and related risk factors in Italy: results from the European Study on the Epidemiology of Mental Disorders--World Mental Health study. Compr Psychiatry 2008; 49: 13-21.
SUOMINEN K, ISOMETSÄ E, SUOKAS J, HAUKKA J, ACHTE K, LÖNNQVIST J. Completed suicide after a suicide attempt: a 37-year follow-up study. Am J Psychiatry 2004; 161: 562-563.
WANG AG, MORTENSEN G. Core features of repeated suicidal behaviour: a long term follow-up after suicide attempts in a low-suicide-incidence population. Soc Psychiatry Psychiatr Epidemiol 2006; 41: 103-107.
HARRIS EC, BARRACLOUGH BM. Suicide as an outcome for medical disorders: a meta-analisys. Br J Psychiatry 1997; 170: 205-228.
CÓRDOBA-DOÑA JA, SAN SEBASTIÁN M, ESCOBAR-PUJOLAR A, MARTÍNEZ-FAURE J, GUSTAFSSON PE. Economic crisis and suicidal behaviour : the role of unemployment, sex and age in Andalusia, Southern Spain. Int J Equity Health 2014; 13-55.
Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 1999; 56: 617-626.
GUZMÁN-PARRA J, MARTÍNEZ-GARCÍA A.I., GUILLÉN-BENÍTEZ4 C, CASTRO-ZAMUDIO S, JIMÉNEZ-HERNÁNDEZ M, MORENO-KÜSTNER B. Factores asociados a las demandas psiquiátricas a los servicios de urgencias extra-hospitalarios de Málaga (España). Salud Ment 2016; 39: 287-294.
FERNÁNDEZ-EGIDO C, GARCÍA-HERRERO G, ROMERO-GARCÍA R, MARQUINA-SANTOS J. Intoxicaciones agudas en las urgencias extrahospitalarias. Emergencias 2008; 20: 328-331.
MEJÍAS Y, GARCÍA-CARO M, SCHMIDT J, QUERO A, GORLAT B. Estudio preliminar de las características del intento de suicidio en la provincia de Granada. An Sist Sanit Navar 2011; 34: 431-441.
MATEOS AA, HUERTA A, BENITO MA. Características epidemiológicas del intento autolítico por fármacos. Emergencias 2007; 19: 251-254.
NOCK MK, BORGES G, BROMET EJ, ALONSO J, ANGERMEYER M, BEAUTRAIS A et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry 2008; 192: 98-105.
GALLEGO JCF, PÁRAMO M, GUDE F. Perfil de los intentos de suicidio en el servicio de urgencias de un hospital. Psiquis 1999; 20: 1-7.
AZCÁRATE L, PEINADO R, BLANCON M, GOÑI A, CUESTA MJ, PRADINI I et al. Características de los suicidios consumados en Navarra en función del sexo (2010-2013). An Sist Sanit Navar 2015; 38: 9-20.
NOGUE S, RUIZ J, CARMONA J, MILLA J. Epidemiología de la tentativa de suicidio en el Servicio de Urgencias. Emergencias 1989; 1: 5-8.
VÁZQUEZ LIMA MJ, ALVAREZ RODRÍGUEZ C, LÓPEZ-RIVADULLA LAMAS M, CRUZ LANDEIRA A, ABELLÁS ALVAREZ C. Epidemiology of suicide attempts in a public health care area: the perspective of an emergency medical service. Emergencias 2012; 24; 121-125.
GABENNESH H. When promises fail : a theory of temporal fluctuations in suicide. Soc Forces 1988; 67: 129-145.
DURKHEIM, E. Le suicide. Paris: PUF, 2002.
AJDACIC-GROSS V, BOPP M, RING M, GUTZWILLER F, ROSSLERW. Seasonality in suicide--a review and search of new concepts for explaining the heterogeneous phenomena. Soc Sci Med 2010; 71: 657-666.
ROEHNER BM. How can one explain changes in the monthly pattern of suicide? Physica A 2015; 424: 350-362.
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