Hostname: page-component-77c89778f8-5wvtr Total loading time: 0 Render date: 2024-07-18T13:13:33.088Z Has data issue: false hasContentIssue false

Patients who attempted suicide and failed to attend mental health centres

Published online by Cambridge University Press:  16 April 2020

J. Jauregui
Affiliation:
Sagrado Corazόn Hospital, C/ Jardines, n° 1
M.L. Martínez
Affiliation:
Psychiatric Service, La Paz University Hospital, 283 500 Ciempozuelos, Madrid, Spain
G. Rubio
Affiliation:
Sagrado Corazόn Hospital, C/ Jardines, n° 1
J. Santo-Domingo
Affiliation:
Psychiatric Service, La Paz University Hospital, 283 500 Ciempozuelos, Madrid, Spain
Get access

Summary

Different studies report non-attendance to treatment of between 20 to 70% of patients after a suicide attempt. However, few studies have analyzed the characteristics of this non-attending population. To determine therefore the characteristics or profile of individuals who do not attend outpatient centres to which they are referred after a suicide attempt, we performed this study.

A total of 232 patients who had attended the Emergency Department of our general hospital were interviewed. Instruments used included the suicide risk scale, the violent behaviour scale, the impulsivity scale, the hopelessness scale, and the Beck's depression scale.

Seventy-three percent of the sample did not attend the mental health centre to which they had been referred. In comparison to the attending group, the non-attending group had the following characteristics: unmarried, residing in an urban area, took less precautions not to be discovered, were more critical of the attempt, and the purpose of the attempt was to resolve a conflict. Our data emphasize the importance of social and interpersonal aspects in determining the nature of the psychiatric care required by these types of patients.

Type
Original article
Copyright
Copyright © Elsevier, Paris 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hawton, K, Catalan, J. The nature of attempted suicide.In: Hawton, K, Catalan, J, eds. Attempted suicide, a practical guide to its nature and management. New York: Oxford University Press; 1987. p. 725.Google Scholar
Sarro, B, Cruz, C. Introduccion.In: Sarro, B, Cruz, C, eds. Los suicidios. Barcelona: Ediciones Martínez Roca; 1991. p. 136.Google Scholar
Suokas, J, Lönnqvist, J. Selection of patients who attempted suicide for psychiatric consultation. Acta Psychiatr Scand 1991; 83: 179182.CrossRefGoogle ScholarPubMed
Hawton, K, Gath, D, Smith, E. Management of attempted suicide in Oxford. Br Med J 1979; 2: 10401042.CrossRefGoogle ScholarPubMed
Hawton, K. Assesment of suicide risk. Br J Psychiatry 1984; 144: 139148.Google Scholar
Nordström, P, Samuelsson, M, Asberg, M. Survival analysis of suicide risk after attempted suicide. Acta Psychiatr Scand 1995; 91: 336340.CrossRefGoogle ScholarPubMed
World Health Organization, . The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1992.Google Scholar
Plutchik, R, VanPraag, HM, Conte, HR, Pichard, S. Correlates of suicide and violent risk (I): the suicide risk measure. Compr Psychiatr 1990; 30: 296302.CrossRefGoogle Scholar
Rubio, G, Montero, I, Jauregui, J, Martinez, ML, Marin, JJ, Antodomingo, J. Validación de la Escala de Riesgo Suicida de Plutchick en población española. Arch Neurobiol (Madr) 1998; 61: 143152.Google Scholar
Plutchick, R, VanPraag, HM, Conte, HR. A self-report measure of violent risk (II). Compr Psychiatr 1990; 31: 450456.CrossRefGoogle Scholar
Rubio, G, Montero, I, Jauregui, J, Perez, P, Marin, JJ, Santodomingo, J. Validación de la Escala de Riesgo de Violencia de Plutchick en población española. Arch Neurobiol (Madr) 1998; 61: 307316.Google Scholar
Plutchick, R, VanPraag, HM. The measurement of suicidality, aggressivity, and impulsivity. Prog Neuropsychopharmcol Biol Psychiatr 1989; 13: 2324.CrossRefGoogle Scholar
Rubio, G, Montero, I, Jauregui, J, Salvador, M, Marin, JJ, Santodomingo, J. Validación de la Escala de Impulsividad de Plutchick en población española. Arch Neurobiol (Madr) 1998; 61: 223232.Google Scholar
Beck, AT, Weissman, A, Lester, D, Trexler, J. The measurement of pessimism: the hopelessness scale. J Consult Clin Psychol 1974; 42: 861865.CrossRefGoogle ScholarPubMed
Beck, AT, Rial, WY, Rickels, K. Short form of depression inventory (cross-validation). Psychol Reports 1974; 34: 11841186.Google ScholarPubMed
Morgan, HG, Jones, EM, Owen, JH. Secondary prevention of non-fatal deliberate self-harm. The green card study. Br J Psychiatry 1993; 163: 111112.CrossRefGoogle ScholarPubMed
Blake, DR, Mitchell, JR. Self-poisoning management of patients in Nottingham. Br Med J 1978; 1: 10321035.CrossRefGoogle ScholarPubMed
Platt, S, Bille-Brahe, E, Berkof, A, Schmidtke, A, Bjerki, T, Crepet, P. Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand 1992; 85: 97104.CrossRefGoogle ScholarPubMed
Greer, S, Cristopher, BEffect of psychiatric intervention in attempted suicide. Br Med J 1971; 1: 310312.CrossRefGoogle ScholarPubMed
Pearce, CM, Martin, G. Locus of control as an indicator of risk for suicidal behaviours among adolescents. Acta Psychiatr Scand 1993; 88: 409414.CrossRefGoogle ScholarPubMed
Moshe, K, Plutcher, RC, Comte, HR, Van Praag, HM. Correlates of suicide and violence risk in an inpatient population: coping styles and social support. Psychiatr Res 1996; 47: 281290.Google Scholar
Appleby, L. Suicide in psychiatric patients: risk and prevention. Br J Psychiatry 1992; 161: 749758.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.