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[Current aspects of para-suicidal poisoning]
L S Weilemann1, H J Hilgers, A Reckmann
1Klinische Toxikologie, Johannes-Gutenberg-Universität Mainz.
Medizinische Klinik (Munich, Germany : 1983)
|June 15, 1996
Summary
This study analyzed 153 patients who attempted suicide or parasuicide, finding most suffered from drug intoxications. Many patients exhibited psychological abnormalities, with depressive syndrome being most common, highlighting a need for better mental healthcare access.
Area of Science:
- Psychiatry
- Toxicology
- Public Health
Context:
- Suicidal and parasuicidal acts represent a significant public health concern.
- Understanding the patient profile and outcomes is crucial for effective intervention.
- This study investigates patients admitted for suicidal and parasuicidal acts at the University of Mainz.
Purpose:
- To critically evaluate the background, findings, and outcomes of patients who have engaged in suicidal and parasuicidal acts.
- To document basic patient data, including the timing of the act, hospital stay, clinical parameters, psychiatric assessments, and instituted therapies.
- To record the psychosocial background using the WHO/EURO's European Parasuicide Study Interview Schedule (EPSIS).
Summary:
- 153 patients (65% female, 35% male), average age 36, were treated primarily for sedative and psychoactive agent intoxications.
- Most patients (61%) showed moderate to severe psychological abnormalities, with depressive syndrome being the most frequent diagnosis.
- 58% were discharged home, 31% to psychiatric hospitals, and 2% died; 90% had seen a family doctor in the prior year, indicating prior contact with healthcare services.
Impact:
- The findings underscore the high prevalence of psychological distress and the need for integrated mental health services for individuals engaging in self-harm.
- This research provides valuable data for developing targeted prevention and treatment strategies for suicidal and parasuicidal behaviors.
- Improved access to and utilization of outpatient and inpatient psychiatric therapies could potentially reduce the incidence and severity of these acts.