Analysis of health services use and clinical profiles in the year prior to suicide between 2010 and 2018: An opportunity to improve its prevention.

0 PSYCHIATRY
Andrea Gabilondo, Ana Gonzalez-Pinto, Jon Garcia, David Del Valle, Benito Morentin, Alvaro Iruin
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Abstract

Introduction: Suicide is the first cause of external death in Spain. International studies show frequent and varied health contacts in the months prior to suicide. There are hardly any studies on that phenomenon in this country.

Objective: To analyze health care use in the year prior to suicide between 2010 and 2018 in the Basque Country, as well as pharmacological prescriptions and psychiatric diagnoses received.

Methods: Retrospective descriptive study with all suicides registered by the Basque Institute of Legal Medicine (BILM) between 2010 and 2018. The records of the BILM and the Basque Health Service (Osakidetza) were cross-checked.

Results: 1526 suicides were analyzed. 74% had health contacts in the previous year. The use was higher in women (p<0.05) and in older ages (p<0001). Primary care was the most used specialty (58.8% the previous year and 7.1% the previous week), followed by Hospital Emergencies (50.3% and 10.2%) and Outpatient Medical Specialties (49% and 11.6%), especially Radiology. Outpatient psychiatry only contacted 29.6% that year, although it had the highest average number of visits (15.1 SD22.6). The most frequent diagnostic category among psychiatric patients was F30-39 (26.7%), with differences between sexes and ages. 49.7% received psychotropic drugs.

Conclusions: The results are aligned with international evidence, which they also extend, and reinforce the need to extend prevention beyond psychiatric services. It seems advisable to increase proactivity in the search for risk by sensitizing and training different professional profiles, but also to work from non-health settings to improve assistance to highly vulnerable profiles (young men) with low health links.

分析 2010-2018 年间自杀前一年的医疗服务使用情况和临床概况,为更好地预防自杀提供机会。
简介在西班牙,自杀是导致外部死亡的首要原因。国际研究表明,在自杀前的几个月里,自杀者会频繁地接触各种医疗机构。在西班牙,几乎没有关于这一现象的研究:分析 2010 年至 2018 年巴斯克地区自杀前一年的医疗服务使用情况,以及收到的药物处方和精神诊断:方法:对巴斯克法医研究所(BILM)登记的 2010-2018 年间所有自杀事件进行回顾性描述研究。结果:分析了1526例自杀者:结果:分析了1526名自杀者。74%的自杀者在前一年接触过医疗机构:这些结果与国际证据相吻合,同时也得到了扩展,并强化了将预防工作扩展到精神科服务之外的必要性。通过对不同的专业人员进行宣传和培训,在寻找风险时提高主动性似乎是可取的,但同时也要从非医疗机构着手,改善对与医疗机构联系较少的高危人群(年轻男性)的援助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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