Objective: This study aims is to conduct a comparative analysis of the clinical and sociodemographic profiles of individuals referred to Consultation-Liaison Psychiatry (CLP) at a tertiary general hospital, specifical...Objective: This study aims is to conduct a comparative analysis of the clinical and sociodemographic profiles of individuals referred to Consultation-Liaison Psychiatry (CLP) at a tertiary general hospital, specifically focusing on those seeking assistance due to suicide attempts (TS) versus CLP requests for other reasons (non-TS) between the years 2010 and 2020. Additionally, we aim to assess factors associated with suicide attempts. Method: This retrospective controlled study involves a thorough examination of medical records encompassing 3913 patients who received CLP services at the Hospital de Base (HB) and the Children and Maternity Hospital (HCM) of São José do Rio Preto Medical School Foundation (Funfarme) from June 2010 to June 2020. The patient cohort is categorized into two groups: those with requests for SA (n = 677) and those with requests for other reasons. Results: In the SA group, as opposed to the non SA group, statistically significant differences were observed for gender (predominantly female), employment status (employed), marital status (single), and age (younger). Notably, a higher prevalence of psychiatric antecedents (88.7%, n = 555 vs. 73.6% n = 2018) was found in the SA group, indicating a significant association. The frequency of SA requests remained stable over the years. Among the SA group, mood disorders were the most prevalent (39%, n = 372), followed by disorders related to substance use (21.2%, n = 202), and personality disorders (16%, n = 152). A history of previous suicide attempts emerged as a crucial factor for the recurrence of SA (p-value ≤ 0.001). Exogenous intoxication emerged as the most frequently employed method in attempts (79.6%, n = 539), particularly prevalent among patients diagnosed with mood disorders (41%, n = 314). A significant association was observed between the method of attempt and the nosological psychiatric diagnosis (χ<sup>2</sup> = 42.277;p ≤ 0.001). Regarding outcomes, the majority of patients were referred for outpatient follow-up (23%, n = 336) in specialized mental health services or at the Primary Healthcare Unit, highlighting the general hospital’s pivotal role in integrating patients into the broader healthcare network. Conclusion: Variables such as gender (female), age group (young adults), and psychiatric history exhibited stronger associations with suicide attempts compared to the group assisted by CLP for other reasons. Furthermore, a noteworthy correlation between the method employed and the psychiatric diagnosis was identified.展开更多
A case-control study was conducted to investigate associations between organophosphate pesticide（OP）exposure,aggression,impulsivity,and attempted suicide.Questionnaires were used to collect information;impulsivity a...A case-control study was conducted to investigate associations between organophosphate pesticide（OP）exposure,aggression,impulsivity,and attempted suicide.Questionnaires were used to collect information;impulsivity and aggression were measured by the Barratt Impulsivity Scale（BIS）and the Aggression Inventory（AI）.展开更多
Background: The association of eating habits and suicide attempts has been insufficiently studied. Aim: This study aimed to determine the eating habits associated with suicide attempts in a sample of psychiatric outpa...Background: The association of eating habits and suicide attempts has been insufficiently studied. Aim: This study aimed to determine the eating habits associated with suicide attempts in a sample of psychiatric outpatients. Methods: Through a case control study design, 283 psychiatric outpatients attending in two public hospitals in Durango City, Mexico were studied. Of the 283 patients, 156 have had suicide attempts and 127 have not had suicide attempts. Eating habits were obtained from all outpatients and compared in patients with history of suicide attempts and patients without such history. Results: Logistic regression analysis showed differences in eating habits between psychiatric outpatients with and without history of suicide attempts. A history of suicide attempts was positively associated with consumption of pork (OR = 2.35, 95% CI: 1.17 - 4.71;P = 0.01), mutton (OR = 2.38, 95% CI: 1.25 - 4.52;P = 0.008), chorizo (OR = 2.09, 95% CI: 1.04 - 4.19;P = 0.03), unwashed raw vegetables (OR = 3.23, 95% CI: 1.26 - 8.32;P = 0.01), and untreated water (OR = 1.77, 95% CI: 1.03 - 3.02;P = 0.03), and negatively associated with consumption of goat meat (OR = 0.39, 95% CI: 0.17 - 0.90;P = 0.02), and turkey meat (OR = 0.41, 95% CI: 0.23 - 0.73;P = 0.002). Conclusions: This is the first report on the association of eating habits with suicide attempts in psychiatric outpatients. Results suggest that suicide attempts are associated not only with the type of meat consumed but also with poor food hygiene in psychiatric outpatients. Further studies to confirm or challenge such results are needed.展开更多
文摘Objective: This study aims is to conduct a comparative analysis of the clinical and sociodemographic profiles of individuals referred to Consultation-Liaison Psychiatry (CLP) at a tertiary general hospital, specifically focusing on those seeking assistance due to suicide attempts (TS) versus CLP requests for other reasons (non-TS) between the years 2010 and 2020. Additionally, we aim to assess factors associated with suicide attempts. Method: This retrospective controlled study involves a thorough examination of medical records encompassing 3913 patients who received CLP services at the Hospital de Base (HB) and the Children and Maternity Hospital (HCM) of São José do Rio Preto Medical School Foundation (Funfarme) from June 2010 to June 2020. The patient cohort is categorized into two groups: those with requests for SA (n = 677) and those with requests for other reasons. Results: In the SA group, as opposed to the non SA group, statistically significant differences were observed for gender (predominantly female), employment status (employed), marital status (single), and age (younger). Notably, a higher prevalence of psychiatric antecedents (88.7%, n = 555 vs. 73.6% n = 2018) was found in the SA group, indicating a significant association. The frequency of SA requests remained stable over the years. Among the SA group, mood disorders were the most prevalent (39%, n = 372), followed by disorders related to substance use (21.2%, n = 202), and personality disorders (16%, n = 152). A history of previous suicide attempts emerged as a crucial factor for the recurrence of SA (p-value ≤ 0.001). Exogenous intoxication emerged as the most frequently employed method in attempts (79.6%, n = 539), particularly prevalent among patients diagnosed with mood disorders (41%, n = 314). A significant association was observed between the method of attempt and the nosological psychiatric diagnosis (χ<sup>2</sup> = 42.277;p ≤ 0.001). Regarding outcomes, the majority of patients were referred for outpatient follow-up (23%, n = 336) in specialized mental health services or at the Primary Healthcare Unit, highlighting the general hospital’s pivotal role in integrating patients into the broader healthcare network. Conclusion: Variables such as gender (female), age group (young adults), and psychiatric history exhibited stronger associations with suicide attempts compared to the group assisted by CLP for other reasons. Furthermore, a noteworthy correlation between the method employed and the psychiatric diagnosis was identified.
基金partially supported by the Colorado Injury Control Research Center Grant Number 5R49CE001168 from the Centers for Disease Control and Preventionthe USA-China Agricultural Injury Research Training Project Grant Number 5DW43TW007257 from the National Institutes of Health,Fogarty International Center
文摘A case-control study was conducted to investigate associations between organophosphate pesticide（OP）exposure,aggression,impulsivity,and attempted suicide.Questionnaires were used to collect information;impulsivity and aggression were measured by the Barratt Impulsivity Scale（BIS）and the Aggression Inventory（AI）.
文摘Background: The association of eating habits and suicide attempts has been insufficiently studied. Aim: This study aimed to determine the eating habits associated with suicide attempts in a sample of psychiatric outpatients. Methods: Through a case control study design, 283 psychiatric outpatients attending in two public hospitals in Durango City, Mexico were studied. Of the 283 patients, 156 have had suicide attempts and 127 have not had suicide attempts. Eating habits were obtained from all outpatients and compared in patients with history of suicide attempts and patients without such history. Results: Logistic regression analysis showed differences in eating habits between psychiatric outpatients with and without history of suicide attempts. A history of suicide attempts was positively associated with consumption of pork (OR = 2.35, 95% CI: 1.17 - 4.71;P = 0.01), mutton (OR = 2.38, 95% CI: 1.25 - 4.52;P = 0.008), chorizo (OR = 2.09, 95% CI: 1.04 - 4.19;P = 0.03), unwashed raw vegetables (OR = 3.23, 95% CI: 1.26 - 8.32;P = 0.01), and untreated water (OR = 1.77, 95% CI: 1.03 - 3.02;P = 0.03), and negatively associated with consumption of goat meat (OR = 0.39, 95% CI: 0.17 - 0.90;P = 0.02), and turkey meat (OR = 0.41, 95% CI: 0.23 - 0.73;P = 0.002). Conclusions: This is the first report on the association of eating habits with suicide attempts in psychiatric outpatients. Results suggest that suicide attempts are associated not only with the type of meat consumed but also with poor food hygiene in psychiatric outpatients. Further studies to confirm or challenge such results are needed.
