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Intento de suicidio y consulta psiquiátrica

Published online by Cambridge University Press:  12 May 2020

K.H. Suominen ,
E. T. Isometsä  and
J. K. Lönnqvist
K.H. Suominen
Affiliation:
Departamento de Salud Mental e Investigación del Alcohol, Instituto Nacional de Salud Pública, Mannerheimintie 166, 00300Helsinki, Finlandia Departamento de Psiquiatría, Hospital Jorvi, Hospital Central Universitario de Helsinki, Espoo, Finlandia
E. T. Isometsä
Affiliation:
Departamento de Salud Mental e Investigación del Alcohol, Instituto Nacional de Salud Pública, Mannerheimintie 166, 00300Helsinki, Finlandia
J. K. Lönnqvist
Affiliation:
Departamento de Salud Mental e Investigación del Alcohol, Instituto Nacional de Salud Pública, Mannerheimintie 166, 00300Helsinki, Finlandia
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Resumen

Este estudio investigó las diferencias en las características clínicas entre los pacientes que intentaron suicidarse derivados o no deriva-dos a consulta psiquiátrica después de un intento de suicidio y los factores que afectan a esta derivación a tratamiento post-hospitalario psiquiátrico después del intento. Se identified a los 1.198 pacientes consecutivos con intento de suicidio tratados en las salas de urgencias hos-pitalarias en Helsinki durante un periodo de 12 meses. Los datos se recogieron en todas las consultas psiquiátricas después de la tentativa y en todos los contactos sanitarios un año antes y después del intento índice. Encontramos que la mitad de los pacientes con intento de suicidio que no fueron derivados consulta psiquiátrica no tenía recomendación de tratamiento post-hospitalario y contacto de tratamiento pronto después de su tentativa. Los factores que predecían la derivación a la consulta psiquiátrica eran: edad, trastorno psicótico, ausencia de trastorno por uso de sustancias y, con más fuerza, el hospital donde se trató el intento de suicidio. Aunque las caractensticas de un pacien-te que intenta suicidarse desempefian un papel en determinar si una consulta psiquiátrica tendrá lugar o no, el factor más importante son las prácticas de consulta del hospital particular. Esto, a su vez, influye en la probabilidad de tratamiento post-hospitalario adecuado.

Keywords

Intento de suicidioAsistencia sanitariaTratamientoConsulta psiquiátrica
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 11 , Issue 6 , September 2004 , pp. 359 - 364
Copyright
Copyright © European Psychiatric Association 2004

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