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Clinics Following Patients' Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments

Year 2020, Volume: 2 Issue: 2, 44 - 46, 11.11.2020

Abstract

Amaç: İntihar girişimi olan hastaların bakımı multidisipliner bir yaklaşım gerektirir. Günümüzde bu hasta grubunun tedavi ve takipleri büyük bir oranda acil servislerde ve yoğun bakım ünitelerinde yapılmaktadır. Biz bu çalışmamızda intihar girişimi ile hastanemiz acil servisine başvuran hastaların takip ve tedavilerinin hangi kliniklerde yapıldığını, acil serviste yapılan konsultasyonlarını incelemeyi amaçladık.
Gereç ve Yöntem: Acil servisimize Ocak 2014 - Ocak 2017 tarihleri arasında intihar girişimi sonrası başvuran 16 yaşından büyük hastalar prospektif olarak incelendi.
Bulgular: Toplam 426 hasta çalışmaya dahil edildi. Hastaların 285’i (%66,9) acil serviste gözlem odasında yatırılıp takip edildi. Şuuru açık ve acil operasyon ihtiyacı olmayan 404 hastaya (%94.8) psikiyatri konsültasyonu yapıldı.
Sonuç: İntihar girişimi ile başvuran hastaların tedavisinde acil servislerin, psikiyatri kliniğinin ve özellikle travmatik girişim varsa cerrahi servislerin önemli rol oynadığı görüldü. Bu nedenle ilgili kliniklerin bu hasta grubunun yönetimi için geliştirilmesinin ve hazır hale getirilmesinin bakım kalitesini arttıracağını düşünmekteyiz.

References

  • 1. Mgaya E, Kazaura RM, Outwater A, Kinabo L. Suicide in the dar es salaamregion, Tanzania, 2005. J Forensic Leg Med 2007; 30: 2-5.
  • 2. Yüksel N, Neurobiology of Suicide. Journal of Clinical Psychiatry 2001; 4: 5-15.
  • 3. Joubert L, Petrakis M, Cementon E. Suicide attempt presentations at the emergency department: outcomes from a pilot study examining precipitating factors in deliberate self-harm and issues in primary care physician management. Soc Work Health Care 2012; 51: 66-76.
  • 4. Bronstein AC, Spyker DA,Cantilena LR, Green JL, Rumack BH, Dart RC. 2010 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 28th Annual Report. Clin Toxicol 2011; 49: 910-941.
  • 5. T Ayaz, Ö Bilir, G Ersunan, OZ Şahin, Ö Yavaşi, H Rakıcı. Evaluation of Drug Intoxications for Suicide. Konuralp Medical Journal 2015; 7 (1): 53-56
  • 6. Murphy GE. Why women are less likely than men, to commit suicide. Compr Pschiatry 1998: 39(4): 165-175
  • 7. Sarıtemur M, Gür STS, Bayramoğlu A, Aköz A, Emet M. Patients with Altered Mental Status Due to Suicide Attempts: Follow-up Clinics and the Role of Emergency Departments. Tr J Emerg Med 2013; 13(1): 8-12
  • 8. Mert E, Toros F, Gamsız Bilgin N, Çamdeviren H. Evaluation of patients who came to the emergency clinic due to poisoning from a sociodemographic and psychosocial perspective. Anadolu Journal of Psychiatry 2007; 8: 121-125.
  • 9. Lee CA, Choi SC, Jung KY, Cho SH, Lim KY, Pai KS, et al. Characteristics of patients who visit the emergency department with self-inflicted injury. J Korean Med Sci 2012; 27: 307-312.
  • 10. Keles A, Demircan A, Aygencel G, Karamercan A, Turanlı S. Retrospective analysis of poisoning cases admitted to GÜTF Emergency Department. Academic Emergency Medicine Journal 2003; 1: (2): 39-42.
  • 11. Cooper JB, Lawlor MP, Hiroeh U, Kapur N, Appleby L. Factors that influence emergency department doctors’ assessment of suicide risk in deliberate self-harm patients. Eur J Emerg Med 2003; 10: 283-287.
  • 12. Mete B, Söyiler V, Pehlivan E. Investigation of the relationship between psychiatric disorders and suicide:A retrospective research based on records for 2013-2018. Clinical Psychiatry 2020; 23: 92-100
  • 13. Celikten OS. Bir üçüncü basamak hastane acil servisine başvuran hastaların demografik özellikleri ve acil servis klinik hizmetlerinin değerlendirilmesi: beş yıllık analiz. 2016. PhD Thesis. Selçuk Üniversitesi Tıp Fakültesi. http://hdl.handle.net/123456789/4877.tez. 2016

Clinics Following Patients' Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments

Year 2020, Volume: 2 Issue: 2, 44 - 46, 11.11.2020

Abstract

Objectives: Intervention of patients after suicide attempt requires a multidisciplinary approach. Today, the treatment and follow-up of this patient group is mostly carried out in emergency departments and intensive care units. In this study, it was aimed to evaluate the consultations and follow-up clinics of the patients with suicide attempt.
Methods: Patients over 16 years of age who applied to our emergency department between January 2014 and January 2017 due to suicide attempt were examined prospectively.
Results: A total of 426 patients were included in this study. 285 (66.9%) of the patients included in the study were hospitalized and followed up in the emergency room. Psychiatric consultation was requested for 404 patients (94.8%) who were conscious and did not need urgent operation.
Conclusions: Emergency departments, psychiatry clinics, and surgical clinics, especially in patients requiring traumatic intervention, played an important role in the treatment of patients presenting with suicide attempt. Therefore, we think that developing and preparing the relevant clinics for the management of this patient group will increase the quality of care.

References

  • 1. Mgaya E, Kazaura RM, Outwater A, Kinabo L. Suicide in the dar es salaamregion, Tanzania, 2005. J Forensic Leg Med 2007; 30: 2-5.
  • 2. Yüksel N, Neurobiology of Suicide. Journal of Clinical Psychiatry 2001; 4: 5-15.
  • 3. Joubert L, Petrakis M, Cementon E. Suicide attempt presentations at the emergency department: outcomes from a pilot study examining precipitating factors in deliberate self-harm and issues in primary care physician management. Soc Work Health Care 2012; 51: 66-76.
  • 4. Bronstein AC, Spyker DA,Cantilena LR, Green JL, Rumack BH, Dart RC. 2010 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 28th Annual Report. Clin Toxicol 2011; 49: 910-941.
  • 5. T Ayaz, Ö Bilir, G Ersunan, OZ Şahin, Ö Yavaşi, H Rakıcı. Evaluation of Drug Intoxications for Suicide. Konuralp Medical Journal 2015; 7 (1): 53-56
  • 6. Murphy GE. Why women are less likely than men, to commit suicide. Compr Pschiatry 1998: 39(4): 165-175
  • 7. Sarıtemur M, Gür STS, Bayramoğlu A, Aköz A, Emet M. Patients with Altered Mental Status Due to Suicide Attempts: Follow-up Clinics and the Role of Emergency Departments. Tr J Emerg Med 2013; 13(1): 8-12
  • 8. Mert E, Toros F, Gamsız Bilgin N, Çamdeviren H. Evaluation of patients who came to the emergency clinic due to poisoning from a sociodemographic and psychosocial perspective. Anadolu Journal of Psychiatry 2007; 8: 121-125.
  • 9. Lee CA, Choi SC, Jung KY, Cho SH, Lim KY, Pai KS, et al. Characteristics of patients who visit the emergency department with self-inflicted injury. J Korean Med Sci 2012; 27: 307-312.
  • 10. Keles A, Demircan A, Aygencel G, Karamercan A, Turanlı S. Retrospective analysis of poisoning cases admitted to GÜTF Emergency Department. Academic Emergency Medicine Journal 2003; 1: (2): 39-42.
  • 11. Cooper JB, Lawlor MP, Hiroeh U, Kapur N, Appleby L. Factors that influence emergency department doctors’ assessment of suicide risk in deliberate self-harm patients. Eur J Emerg Med 2003; 10: 283-287.
  • 12. Mete B, Söyiler V, Pehlivan E. Investigation of the relationship between psychiatric disorders and suicide:A retrospective research based on records for 2013-2018. Clinical Psychiatry 2020; 23: 92-100
  • 13. Celikten OS. Bir üçüncü basamak hastane acil servisine başvuran hastaların demografik özellikleri ve acil servis klinik hizmetlerinin değerlendirilmesi: beş yıllık analiz. 2016. PhD Thesis. Selçuk Üniversitesi Tıp Fakültesi. http://hdl.handle.net/123456789/4877.tez. 2016
There are 13 citations in total.

Details

Primary Language English
Subjects Toxicology
Journal Section Original Articles
Authors

Sultan Tuna Akgol Gur 0000-0002-4490-7267

Mehmet Turgut 0000-0002-8642-6824

Publication Date November 11, 2020
Submission Date July 10, 2020
Published in Issue Year 2020 Volume: 2 Issue: 2

Cite

APA Akgol Gur, S. T., & Turgut, M. (2020). Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments. Eurasian Journal of Toxicology, 2(2), 44-46.
AMA Akgol Gur ST, Turgut M. Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments. Eurasian J Tox. November 2020;2(2):44-46.
Chicago Akgol Gur, Sultan Tuna, and Mehmet Turgut. “Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments”. Eurasian Journal of Toxicology 2, no. 2 (November 2020): 44-46.
EndNote Akgol Gur ST, Turgut M (November 1, 2020) Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments. Eurasian Journal of Toxicology 2 2 44–46.
IEEE S. T. Akgol Gur and M. Turgut, “Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments”, Eurasian J Tox, vol. 2, no. 2, pp. 44–46, 2020.
ISNAD Akgol Gur, Sultan Tuna - Turgut, Mehmet. “Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments”. Eurasian Journal of Toxicology 2/2 (November 2020), 44-46.
JAMA Akgol Gur ST, Turgut M. Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments. Eurasian J Tox. 2020;2:44–46.
MLA Akgol Gur, Sultan Tuna and Mehmet Turgut. “Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments”. Eurasian Journal of Toxicology, vol. 2, no. 2, 2020, pp. 44-46.
Vancouver Akgol Gur ST, Turgut M. Clinics Following Patients’ Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments. Eurasian J Tox. 2020;2(2):44-6.

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