606 – Clinical characteristics of patients with suicide attempts in emergency hospital

Abstract

Introduction Suicidal rating Russia is one of the highest in the world. Only few publications are devoted to psychopathological characteristics of suicide subjects in emergency hospital. Objectives Clinical characteristics of emergency hospital patients with suicide attempts were studied. Methods Interview together with specially elaborated formalized card were used. Patients were diagnosed up to ICD-10 criteria. 970 patients (320 male, 650 female; mean age - 40±16) hospitalized to I.I. Dzhanelidze Institute of Emergency Medical Care (St. Petersburg) in 2011 due to the suicide attempt were investigated. Results The majority of patients were diagnosed as anxiety disorders (35,5%) and substance use disorders (SUD) (30,8%). Affective disorders (F30-F39) were diagnosed in 90 (9,3%), and schizophrenia in 4,1% cases. Self-poisoning was found the absolutely preponderant (87,1%) suicide mode. Chemical substances were used in 3,7%, psychoactive drugs in 2,1%, other medical products in 81,3%. Blood alcohol level higher than 1 ‰ was found in 45,2% patients. Suicidal patients have demonstrated low psychosocial level. Fulltime employment and permanent income was only in 20,8%. The first hospital care was carried out by resuscitators, surgeons, toxicologists, etc. After their recommendations patients were consulted by psychiatrist or psychotherapist. Outcomes 70,2% were discharged, in 13,6% out-patient psychiatrist supervision was recommended, 10,4% were transferred to psychiatric hospital, 5,8% died. Conclusions The majority of suicidal patients in emergency hospital have anxiety disorders or SUD and used self-poisoning mode. Alcohol as a provoking factor was found in nearly half of subjects.