Suicidality in emergency medicine: Results from a retrospective analysis of emergency documentation forms

Neuropsychiatr. 2016 Jun;30(2):69-73. doi: 10.1007/s40211-016-0181-2. Epub 2016 Jun 10.

Abstract

Background: To analyze suicidal care episodes in emergency medical responses in Germany.

Method: Anonymized data from emergency care episodes in Ulm from 2004 to 2013 were analyzed retrospectively.

Results: 158 of 933 psychiatric emergencies (16 %) were suicide related, including 14 completed suicides, 25 care episodes with suicidal ideation, and 119 suicide attempts. Significantly more men than women completed suicide (χ²(2,N = 934) = 12.70, p = 0.02). 93 % of the total psychiatric emergencies received any medication at all, and only about 33 % were transported to a psychiatric hospital.

Conclusion: Psychiatric treatment for suicidality in emergency medicine requires improvement to ensure that patients receive adequate therapy.

Keywords: Emergency medicine; Psychiatry; Suicide; Suicide attempt.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Germany
  • Hospitals, Psychiatric
  • Humans
  • Male
  • Middle Aged
  • Psychotropic Drugs / therapeutic use
  • Quality Improvement
  • Referral and Consultation
  • Retrospective Studies
  • Suicidal Ideation*
  • Suicide / psychology*
  • Suicide / statistics & numerical data*
  • Suicide Prevention
  • Suicide, Attempted / prevention & control
  • Suicide, Attempted / psychology*
  • Suicide, Attempted / statistics & numerical data*

Substances

  • Psychotropic Drugs