Abstract
BackgroundPrevious studies have identified factors associated with admission to hospital after suicide spectrum behaviors. In this study, we aim to identify specific factors associated with psychiatric hospitalization after self-poisoning. Given earlier findings suggesting that alcohol use disorder is not associated with hospital admission, we also aim to consider its impact, as well as blood alcohol concentrations, on hospitalization decisions after a suicide attempt.MethodsWe studied the association between demographic features, suicide intent, psychiatric characteristics and admission to hospital in self-poisoning patients in an emergency department in France.ResultsSuicide intent, a past history of suicide attempts, bipolar disorder and depression were associated with psychiatric hospital admissions. Despite alcohol use disorder being known to be associated with a suicide risk, it was not linked with psychiatric hospitalization. A positive blood alcohol concentration in the emergency department likewise had no association with admission to a psychiatric ward for inpatient care.ConclusionsOur findings were similar to those reported for other suicide spectrum behaviors. Alcohol use disorder was not associated with admission for inpatient psychiatric care, whereas depression clearly was. The cause of this discrepancy must be determined in future research.
Highlights
Previous studies have identified factors associated with admission to hospital after suicide spectrum behaviors
In terms of suicide care, 80% of patients receiving medical help after a suicide attempt are admitted to the emergency ward
We aimed to identify factors associated with psychiatric hospitalization, especially in a population of self-poisoning suicide attempters
Summary
Previous studies have identified factors associated with admission to hospital after suicide spectrum behaviors. We aim to identify specific factors associated with psychiatric hospitalization after selfpoisoning. In France, every patient hospitalized for an attempted suicide benefits from a psychiatric assessment [7]. This assessment is an opportunity to evaluate the Salles et al BMC Psychiatry (2018) 18:287 studies have found that patients who self-poison are less often psychotic and more often have an anxiety or affective disorder than those admitted following the use of violent methods such as hanging, cutting, jumping, and the use of firearms. No differences in demographic characteristics (age, marital status, living conditions, educational status and employment status) and a past history of suicide attempts have been identified [13]
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