Health care contacts before and after attempted suicide |
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Authors: | Kirsi H Suominen Erkki T Isometsä Aini I Ostamo Jouko K Lönnqvist |
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Institution: | (1) Department of Mental Health and Alcohol Research, National Public Health Institute, Mannerheimintie 166, 00 300 Helsinki, Finland, Tel.: +3 58-9/47 44 82 13, Fax: +3 58-9/47 44 84 78, E-Mail: kirsi.suominen@ktl.fi, FI;(2) Jorvi Hospital, Department of Psychiatry, Helsinki University Central Hospital, Espoo, Finland, FI |
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Abstract: | Objective The prevalence and timing of contact with health care predicting and after a suicide attempt are not well known. This study
systematically investigated the pattern of all health care contacts both before and after attempted suicide. Methods All consecutive 1,198 suicide attempters treated in hospital emergency rooms in Helsinki during a 12-month period were identified.
Data were gathered on all health care contacts 1 year before and after the index attempt. Results The vast majority of the suicide attempters had contact with health care during the 12 months before and after the index
attempt. However, half were without a treatment contact during the final 30 days before the index attempt and one-third in
the 30 days following the attempt. Suicide attempters who were not referred to aftercare, did not suffer from a previously
recognised major mental disorder, were male, or made non-violent attempts were less likely to be receiving treatment after
the attempt. Conclusion Although most suicide attempters have contact with health care within the year before and after the parasuicide, far fewer
actually have a treatment contact at the time of the attempt.
Accepted: 20 September 2001 |
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Keywords: | attempted suicide – health care – treatment – aftercare |
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