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Suicidality in emergency medicine: Results from a retrospective analysis of emergency documentation forms
Fabian U Lang1, Nadine Hubel2, Markus Kösters2
1Department of Psychiatry II, Ulm University, Ludwig-Heilmeyer-Str. 2, 89312, Günzburg, Germany. fabian.lang@uni-ulm.de.
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.
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